........... 09000 -R6 as For pgroved le' CkASSIFIED DOCUMEW ACCOUNTABILM RECORD DATE For vx& of this fortc, so* At 380.3; the proponent agency is the Offke, Assistant Chief of Staff forI nc*. a,* SECTION A - GENERAL Y OFF TO: _FF WO M RECEIVED I ACTION OFFICE(S) SUSPENSE DATE(S) EGISTER OR CONTROL NO CONTROL. LOG CLASSIFI- NUM13ER OF DESCRIPTION t Type, Fric Ref. Unclassified Sub)er( DATE OF 0 OR FILE NO. CATION COPIES or Short Title and Numbri of DOCUMENT RIGINATOR CL-057-83 SNOFORN I Ey I of 1 cy, r?eport HU-1033/8308/01 ....... ...... .................................... NOTHING FOLLOWS .... ............... SECTION 8 - ROUTING I ACKNOWLEDGE REQEIPI TO COPY NO. DATE PRINTED NAME SECTION C - DESTRUCTION CERTIFICATE (Check upp,, mATERIAL DESCRIBED HEREON HAS BEEN: DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED !OFFICE SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REP "~T RUCTION RECORD NO. DATE PRINTFD NAME OF CERTIFY I NG/DFSTR ~ OFF I W_ IAGE & C6FY NLTf~iii ~R 6;~T NAME OF WITNESSING OFFICIAL ~ SIGNATURE riate Work) PAGE OF; COPY N VASTE CONTAINER 1AR 38()_ SIGNATURE SIGNATURE SIGNATURE SEC71ON 0 - REPRODUCTION AUTHORITY 14-U _M8 kfT6F_Z_0_PI FS 7,5-0 EF R EPRODUC ED DATE SECTION E - RECEIPTITRACER ACTION (Check approprrale blorAj VE NO_T_ E-JRECEIPT OF DOCUMENT(Sy ACKNOWLEDGED DOCUMENTISI IIA BEEN RCCEIVED OTRACER ACTION: SIGNED REcEiPT- FOR MATERIAL DESCRIBED ABOVE HAS NOT aEEN RECEIVED. DATE PRINTED NAME. GRADE OR TITLE SIGNATURE 11114 or; J r a ase 20 U TApprove( D A FORM 3%4. 1 Jul 79 EDITION OF I NOV 72 IS OBSOLETE.