@(U.S. GOVERNMENT PRINTING OFFICE: 1974 -558 - 057
      Ap prove&                                                      
      WWW"209W&WO                                                     
      UNPAIROR9640MB                                                     
      R002000TUMS                                                     
      -Z                                                             
                                                                     

      For use                                                        
      ofqhis                                                         
      form,                                                          
      see AR                                                         
      380-5;                                                         
      the proponent                                                     
      agency                                                         
      is the                                                         
      Office,                                                        
      Assistant                                                      
      Chief                                                          
      of Staff                                                       
      for Intelligence.                                                     
      21 Nov                                                         
      78                                                             
                                                                     

      SECTION                                                        
      A - GENERAL                                                     
                                                                     

                                                                     
                                                                     

      TO:                                 FROM:                      
                                                                     

                                          HQDA (DAMI-ISH)            
                                                                     

                                          WASH DIC 20310             
                                                                     

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

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

      OR FILE   CATIONCOPIES oi-                              DOCUMENTORIGINATOR
      NO.                    Short                                   
                             Title                                   
                             and                                     
                             Number                                  
                             of                                      
                             IndorsementslInchs)                                 
                                                                     

                3/ORCO1\2      'Memo                            20Nov7 3 DAMI-ISH
                             for                                     
                             USofA,                                  
                             subject:                                 
                             USofA                                   
                                                                     

                             GRILL                                   
                             FLAME                                   
                             Request                                 
                             (U)                                     
                             w/TABS                                  
                                                                     

                             A and                                   
                             B.                                      
                                                                     

                             ==========NOTHING                          =======
                             FOLLOWS=======:                                 
                                                                     

                      I      EUM                              -4     
                             P I                              i `ii  
                             @J                                      
                             i i                                     
                                                                     

                                                              I      
                                                              *      
                                                              L      
                                                                     

      SECTION                                                        
      B ROUTING                                                      
                                                                     

      TO              COPY   DATE   PRINTED               SIGNATURE       
                      NO.           NAME                             
                                                                     

      CSA                    -21,41OV7yM ,                              
                                    410L,91@                           
                                                                     

      2.                                                             
                                                                     

      USofA                                                          
                                                                     

      3.                                                             
                                                                     

      4.                                                             
                                                                     

                                                                     
                                                                     

      SECTION                                                        
      C - DESTRUCTION                                                     
      CERTIFICATE                                                     
      (Check                                                         
      appropriate                                                     
      block)                                                         
                                                                     

      MATERIAL                                                       
      DESCRIBED                                                      
      HEREON                                                         
      HAS BEEN:                                                      
                                                                     

      DDESTROYED                                                     
      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      I      NAME                                    
      I                      OF                                      
                             WITNESSING                                 
                             OFFICIAL                                 
                             I                                       
                                                                     

      SECTION                                                        
      D - REPRODUCTION                                                     
      AUTHORITY                                                      
                                                                     

      RODUCED                AUTHORIZED                                 
      NUMBER                 BY                                      
      OF COPIES                                                      
      TO BE                                                          
      REP 1                                                          
                                                                     

      SECTION                                                        
      E @ RECEIPT/TRACER                                                     
      ACTION                                                         
      (Checle                                                        
      appropriate                                                     
      bloch)                                                         
                                                                     

      r_1RECEIPT                                                     
      OF DOCUMENT(S)                                                     
      ACKNOWLEDGED                                                     
      EJ DOCUMENT(S)                                                     
      HAVE NOT                                                       
      13EEN                                                          
      RECEIVED                                                       
                                                                     

      TRACER                                                         
      ACTION:                                                        
      SIGNED                                                         
      RECEIPT                                                        
      FOR MATERIAL                                                     
      DESCRIBED                                                      
      ABOVE                                                          
      HAS NOT                                                        
      BEEN RECEIVED,                                                     
                                                                     

      DATE            PRINTED                            URE         
                      NAME,                                          
                      GRADE                                          
                      OR                                             
                      TITLE                                          
                                                                     

      COMMXTS                                                        
      pproved                                                        
      For Release                                                     
      2001/03/07                                                     
      : CIA-RDP96-00788ROO2000010008-2                                                     
                                                                     

      







                     VA FORM 39164, 1 Nov 72 REPLACES DA FORMS 1203, 1 SEP 58: 1204, 1 JAN 60: 631, 1 MAR 62 AND
      546, 1 OCT 63, WHICH ARE OBSOLETE.