Approved For Release 2000/08/08 CIA-RDP96-00789ROO2100270005-5
CLASSIFIED                                                DATE  
DOCUMENT                                                        
ACCOUNTABILITY                                                      
RECORD                                                          
For us*                                                         
of this                                                         
form.                                                           
so* A*.                                                         
380-5.                                                          
%* prop                                                         
onont                                                           
ag*ncy                                                          
it Ih*                                                          
Offko,                                                          
Assistant                                                       
Chiof                                                           
of Staff                                                        
for Intelligence.                                                      
                                                                

SECTION                                                         
A - GENERAL                                                      
                                                                

TO-                                  FROM:                      
77 7;:                                                          
                                                                

DATE RECEIVED       ACTION              SUSPENSE DATE(Sk      REGISTER
                 OFFICE(S)                                  OR    
                                                          CONTROL
                                                          NO.   
                                                                

CONTROL.  CLASSiFI-NUMBER DESCRIPTION                           DATE  
LOG       CATION OF     I Type.                           OF    ORIGINATOR
OR FILE          COPIES File                              DOCUMENT
NO.                     Ref.                                    
                        Unclassified                                 
                        Subject                                 
                        ot-                                     
                        Short                                   
                        Title                                   
                        and                                     
                        Number                                  
                        of                                      
                        IndorseynewslInds)                                 
                                                                

0001 -                  57                                      
9D                      ~r &1141                                 
IVIA                    ;06~~                                   
                        0 112e10                                 
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                        _1.17EI                                 
                        -Z7,V-S7-V                                 
                        616,77,,;~,,U                                 
                                                                

                                                                
                                                                

SECTION                                                         
9 - ROUTING                                                      
-                                                               
                                                                

                               1 ACKNOWLEDGE                           
                               RECEIPT                           
                               OF                               
                               THL                              
                               MATERiAL                           
                               DeSCAIBED                           
                               HEREON                           
                               T                                
                                                                

TO               COPY   DATE   PRINTED               SIGNATURE      
                 NO.           NAME                             
                                                                

                                                                
                                                                

2.                                                              
                                                                

3.                                                              
                                                                

A.                                                              
                                                                

5.                                                              
                                                                

SECTION                                                         
C - DESTRUCTION                                                      
CERTIFICATE                                                      
(Check                                                          
appropriate                                                      
block)                                                          
                                                                

MATERIAL                                                        AGE OR COPY
DESCRIBED                                                       N
HEREON                                                          P
HAS BEEN:                                                       
0 DESTROYED                                                      
E] TORN                                                         
IN HALF                                                         
AND PLACED                                                      
IN A CLASSIFIED                                                      
WASTE                                                           
CONTAINER                                                       
(AR 380-5)T                                                      
                                                                

OFFICE           DATE   PRINTED                     SIGNATURE      
SYMBOL                  NAME                                    
                        OF                                      
                        CUSTODIAN                                 
                        OR                                      
                        REP                                     
                                                                

DESTRUCTION       DATE   PRINTED                     SIGNATURE      
RECORD                  NAME                                    
NO.                     OF                                      
                        CERTIFYING/DESTR.                                 
                        OFF.                                    
                        I                                       
                                                                

PAGE OR          DATE   PRINTED                     SIGNATURE      
COPY NUMBER              NAME                                    
                        OF                                      
                        WITNESSING                                 
                        OFFICIAL                                 
                                                                

SECTION                                                         
0 - REPRODUCTION                                                      
AUTHORITY                                                       
                                                                

NUMBER                  AUTHORIZED                     DATE        
OF COPIES               BY                          SG1         
TO BE                                               I           
REPRODUCED              1                                       
                                                                
.0000 1                                                         
                                                                

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

'OF DOCUMENT(S)                                                      
ACKNOWLEDGED                                                      
[:] DOCUMENT(S)                                                      
HAVE NOT                                                        
8EEN RECEIVED                                                      
[::]TRACER                                                      
ACTION:                                                         
SIGNED                                                          
RE- 11111-~l                                                      
10n%19714A1.                                                      
MrIT APPM                                                       
Pirrvivirn                                                      
DATE                                                            
lu lq4le                                                        
COMMENTS                                                        
AmmmwtaW                                                        
F-mr-Relesse                                                      
                                                                

0 A FORM                                                        
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