-5 A: Foe Release 2000/08/08 CIA-RDP96-00r78SR001 900320003- CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD DA~" -±-D F-11 ~0-01 tkis form, see At 360.5; the proponent agency is the Offks, Assistant Chief of Staff for lnt*llig*nc SECTION A - GENERAL FROM: NSA EA P E5 c7iiopi F IC F (ST SUSPENSE DATE i S) G ISTER OR CONTROi- NQ CONTROL, LOG, CLASSIFI- NUMBER OF DESCRIPTION (Type. Fdc Ref. Unclossifted Sub 'fe< i DAI E OF ORIGINATOR OR FILE NO CATION COPIES w Shwl Tideand Number of bidwsementslbwls DOCUMENT CL-056-83 S/NOFOR~ I Cy I of I cy, Report FI[J-1031/8309/01. .......... ............... ............. NOTHING FOLLOWS .......... SECTION 8 - ROWING -----T--7 ACKN~5'W E15GE RE -.-" E~-JPTOF-- Y Y TO NO. j DATE S G717ATURE SECTION C - DESTRUCTION CERTIFICATE (Cherk upp,olmatchloc4 I~ATERFAL D6-Ejii&~15 f4iREON 14AS BEEN -C)Py N C:1 DESTROYED TORN IN HALf AND PLACTD IN A CLASSIFIED WASTE CONTAINER (Af~ VsI0-5) IF PRINTED NAME OF CUSTODIAN OR H EP -T, DESTRUCTION RECORD NO. DATE RINTrb NAME OF CER1 IFYINO/DE-STR Of r S~GNATURE PAGE OR COPY NUMBER DATE RINI ED NAME OF WITNESSING OFF IC IAL SIGNATURE SECIION 0 - REPRODUCTION AUTHORITY R&~C6FIi~ FE EP~ ~,6d FiIZED BY DATE SECTION F - ACTION I Check uppropriate h1orki [::)RECEIPT OF DOCUMENTiS) ACKNOWLELK~LD DOCUMENT(S) HAVE NOT BEEN RECEIVED OTRACER ACTION: SIGNED RECEIPT FOR MAT ERIAL_DF-S(--RIBE0 ABOVE HAS NOr BEEN RECEIVED. NTED NAME. GRADE OR TITLE DATE C5 Approved For Release 2000/08108: CIA-RDP96-00788ROO1900320003-5 D A FORM 3W4, I Jul 79 EDITION OF. 1 NOV 7:2 IS OSSOLETE~