Approved For Release 2001/04/02 : CIA-RDP96-00788ROO1200410013-1
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           To-guVame. office                  InitialsDate
            symbol, room                          
            number,                               
            ,,ding, AgencylPost)                        
                                                  

           2.                                      
                                                  

                                                  
                                                  

           4.                                      
                                                  

           IL                                      
                                                  

            on            File            Note      
                                          and      
                                          Return      
                                                  

            pproval       For Clearance   Per      
                                          Conversation      
                                                  

                                                  
            Requested     For Correction  Prepare      
            T                             Reply      
                                                  

            irculate      For Your Information See      
            i 'n                          Me      
                                                  

            mment         Investigate     Signature      
                                                  

           1coordination  Justify                 
                                                  

           

Aidooo'
                         DO NOT use this form as a RECORD Or disposals, Ak'
           clearances, and similar actions
           FROM: (Nam*, org. symbol,
           Room No.-Bldg.
           Phone No.
           5WI-102
           *U.S. G.P.O. 1979-285-092
           OPTIONAL FORM 41 (Rev. 7-76)
           Proscribed by GSA
           FPMR (41 CFW) 101-11-206
           SG1J
           Approved For Release 2001/04/02 : CIA-RDP96-00788ROO1200410013-1