DA FORM 3Wrj&VWd For Release 20UWC*/Otl,*4OiA~.ROPSV*0789RO02foo2MGgLSP6-162-374
Awroved For Release 2000/08/08 CIA-RDP96-00789ROO2100270009-1
'CLASSIFIED                                               DAT~_ 
DOCUMENT                                                 1     
ACCOUNTABIWY                                                     
RECORD                                                         
                                                               

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see At                                                         
3W5: The                                                       
Proponent                                                      
agency                                                         
is the                                                         
Office,                                                        
Assistoni                                                      
Chief                                                          
of Staff                                                       
for Intelligence.                                                     
                                                               

~ 4 SECTION                                                     
A - GENERAL                                                     
                                                               

To:~ az,-W                           FROM:                     
Z;,-/                                                          
                                                               

                                                               
                                                               

                                                               
                                                               

                                                               
DATE RECEIVED      ACTION               SUSPENSE DATEIS)      REGISTER
I               OFFICE4S)                                  OR    
                                                         CONTROL
                                                         NO.   
                                                               

CONTROL   CLASSIFI'NUMBER DESCRIPTION                           DATE  
LOG             OF     t Type.                           OF    ORIGINATOR
                       File                                    
                       Ref.                                    
                       Unclassified                                 
                       Subject                                 
                                                               

OR FILE   CATIONCOPIES or Short                           DOCUMENT
NO,       "            Title                                   
                       and                                     
                       Number                                  
                       of                                      
                       IndorsementsIrnels)                                 
                                                               

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SECTION                                                        
B - ROUTING                                                     
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                              ATITEUW                          
                              fTZW                             
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                              I ACKNOWLEDGE                          
                              RECEIPT                          
                              OF                               
                              THE                              
                              fAATERIX                          
                                                               

TO              COPY   DATE   PRINTED              SIGNATURE      
                NO.           NAME                             
                                                               

                                                               
                                                               

2.                                                             
                                                               

3~                                                             
                                                               

4.                                                             
                                                               

5.                                                             
                                                               

SECTION                                                        
C - DESTRUCTION                                                     
CERTIFICATE                                                     
(Check                                                         
appro,6riate                                                     
block)                                                         
                                                               

MATERIAL.                                                      PAGE OR
DESCRIBED                                                      COPY NO
HEREON                                                         
HAS BEEN:                                                      
                                                               

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

OFFICE          DATE   PRINTED                     SIGNATURE      
SYMBOL                 NAME                                    
                       OF                                      
                       CUSTODIAN                                 
                       OR                                      
                       REP                                     
                                                               

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

PAGE OR         DATE   PRINTED                     SIGNATURE      
COPY NUMBER             NAME                        SG1J        
                       OF                                      
                       WITNESSING                                 
                       OFFICIAL                                 
                                                               

SECTION                                                        
D - REPRODUCTION                                                     
AUTHORITY                                                      
                                                               

NUMBER                 AUTHORIZED                     DATE        
OF COPIES              BY                                      
TO BE                                                          
REPRODUCED                                                     
                                                               

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

<RECEIPT                                                       
OF DOCUMENT(S)                                                     
ACKNOWLEDGED                                                     
DOCUMENT(S)                                                     
HAVE NOT                                                       
BEEN RECEIVED                                                     
C                                                              
                                                               

ACER ACTION:                                                     
SIGNED                                                         
REC-'--                                                        
                                                               

DATE