-- - - - - - - - - - - For wse of this form, set AR 380.5; the proponent agency ;s the Office, Assistant Chief of Stuff fvr Intelligence. SECTION A - GENERAL i0 -- ACSI ACTION OFFICE(S) DATE RECEIVFD t~65PEN~E'EA~Tfli REGISTER OR CONTROL NO, CONTROL. LOG CLASSIFI- NUMBER, OF DESCRIPTION (Type. File Ref. Unclassified Subject DATE OF ORIGINATOR OR FILE NO. CATION COPIES o r Short Title and Number of IndorsementslIncls) DOCUMENT CL.-046-03 S/NOFORN 1 Cy 1 of 1 cy - Report 1022/8305/01 ........................ ........... ....... ....... .......... NOTHING FOLLOWS ............. SECTION 0 - ROUTING IA. 0 TO COPY NO. DAT E INTED NAME ~IGNATLFRE ---------- 3. SFCTION C - DESTRUCTION CERTIFICATE (Check appropriate block) MATERIAL DESCRIBED HEREON HAS BEEN: PAGE OR COPY N DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5) -&FF16E SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REP SIGNATURE RT Z EKfii I&N i4C&&kD DATE PRINTED NAME OF CERTIFYING/DESTR. OFF. SIGNATURE F~ZE 6R COPY NUMBER DATE PRINTED NAME OF WITNESSING OFFICIAL SIGNATURE SECTION D - REPRODUCTION AUTHORITY NUMBER OF COPIES TO BE REF~ODUCE& A6646klZ .6 SECTION E - RECEIPT/TRACER ACTION (Check appropriate block) ORECEtFr OF DOCUMENT(S) ACKNOWLEDGED DOCUMENT45) HAVE NOT BEEN RECEIVED I-RACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED. --- -E6~ -- - -- ---- - - - ---- -- -T - ----- - - - -- -- .- --- -- DATE- AM E. GRADE OR TITLE SIGNATURE D A FORM 3W, I Jul 79 EDITION OF I NOV 72 IS OBSOLETE. For Release 2000/08/08 CIA-RDP96-00788RO 0 19 0,61TOM-6