For us* of this                                    
  form, see AIR                                      
  380,5. the proponent                                   
  agency is the                                      
  Office, Assistant                                   
  Chief of Staff                                     
  for Intelligence,                                   
                                                     

  SECTION A - GENERAL                                   
                                                     

  TO: FROM:                                          
                                                     

  ;r-n/ C o m                                        
  S                                                  
                                                     

  f V'                                               
                                                     

  TION ~T_                                           
  FFI(:~~                                            
  DATE RECEIVED                                      
  E S1 ~USFjj4SC6A                                   
  E( REGISTER                                        
  OR CONTROL NO,                                     
                                                     

                                                     
                                                     

  CONTROL, LOG                                       
  CLASSIFI- NUMBER                                   
  OF DESCRIPTION                                     
  f Type. File                                       
  Ref. Unclassified                                   
  Subject DATE                                       
  OF                                                 
                                                     

  OR FILE NO. CATION                                   
  COPIES or Short                                    
  Tille and Number                                   
  of Indorsern                                       
  en alln cis)                                       
  DOCUMENT ORIGINATOR                                   
                                                     

  CI-071-83 3/NOFORN                                   
  1 Cy 1, of 1                                       
  cy Report HU-1050/8313/01                                   
  ... ...................                                   
                                                     

  ..........................................                                   
  NOTHING FOLLOWS                                    
  .......... ...................                                   
                                                     

                                                     
                                                     

  J6                                                 
                                                     

                                                     
                                                     

  SECTION B - ROUTING                                   
                                                     

                                "ACKNOWLEDGE RECEIPT 
                                OF H AT R1 L %E9C_A_F6CO
                                HEIVIEM              
                                                     

  TO COPY NO, DATE              PRINTED NAME         SIGNATURE
                                                     

                                                     
                                                     

                                                     
                                                     

                                                     
                                                     

  4.                                                 
                                                     

                                                     
                                                     

                                                     
                                                     

  SECTION C - DESTRUCTION                                   
  CERTIACATE (Check                                   
  appropriate                                        
  block)                                             
  "                                                  
                                                     

  j~TTiR7il_ 6iiC                                    
  Ri&EIS H                                           
  EiCO"jg BEEN                                       
  COPY NO                                            
                                                     

  DESTROYED TORN                                     
  IN~'HALF AND                                       
  PLACED IN A                                        
  CLASSIFIED WASTE                                   
  CONTAINER (AR                                      
  380-5)                                             
                                                     

  _F ---pi- _EU                                      
  OFFIC SYMBOL                                       
  DATE _~Rli~T                                       
  6NA 01~ I N                                        
  R I~E`P_ I ATURE                                   
  ___                                                
                                                     

  DESTRUCTION RECORD6ATE   FRINi5ED                     SIGNATURE
  NO.                    NXME                        
                         OF                          
                         CERTIFY                     
                         I NG/DESTR.                     
                         OFF.                        
                                                     

                                                     
                                                     

  PAGE OR CZ5;Y   DATE   TED                         SIGNATURE
  NUi~                   NAME                        
                         OF                          
                         WITNESSING                     
                         OFFICIAL                     
                                                     

  SECTION 0 - REPRODUCTION                                   
  AUTHORITY                                          
                                                     

  NUMBER OF COIPTES                                   
  TO BE REPRODUCE                                    
  ORIZED BY ATE                                      
  4.                                                 
                                                     

  SECTION E - RECEIPT/TRACER                                   
  ACTION (Check                                      
  appropriate                                        
  block)                                             
                                                     

  E]RECEIPTOF DOCUMENT4S)                                   
  ACKNOWLEDGED                                       
  DOCUMENTiS)                                        
  HAVE NOT BEEN                                      
  RECEIVED                                           
                                                     

  [DTRACER ACTION:                                   
  SIGNED RECEIPT                                     
  FOR MATERIAL                                       
  DESCRIBED AE30VE                                   
  HAS                                                
                                                     

  NOT BEEN RECEIVED.                                   
                                                     

  DATE                                               
                  PRINTED                            SIGNATURE
                  NAME,                              
                  GRADE                              
                  OR                                 
                  TITLE                              
                                                     

                                                     
                                                     
  
  
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