CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP05T00644R000601680090-5
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 22, 2016
• Document Release Date: September 9, 2009
• Sequence Number: 90
• Publication Date: August 5, 1977
• Content Type: FORM

Approved For Release 2009/09/09: CIA-RDP05T00644R000601680090-5
TOP SECRET i I
UNCLASSIFIED when blank-TOP :ET when attached to Top Secret Document Jtomatically downgraded or declassi-
fied wht>n 'illed in form is detached Tiom controlled document.
CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
REGISTRY
SOURCE
NUMBER OF PAGES
NUMBER OF ATTACHMENTS
ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intelligence Agency
or classified Top Secret within the ,CIA and will remain attached to the document until such time as it is downgraded, destroyed, or
transmitted outside of CIA. Access to Top Secret matter is limited to Top Secret Control personnel and those individuals whose official
duties relate to the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form
and indicate period of custody in the left-hand columns provided. Each individual who sees the Top Secret document will sign and
indicate the date of handling in the right-hand columns.
I I I NOTICE OF DETACHMENT: When this form is detached /rom Top Secret material it shall be completed in the appropriate spaces below
LOGGED BY
CIA CONTROL NO. TS--77203
iDATE DOCUMENT RECEIVED
DATE OFFICE
FORM 7R ,,,z Approved For Release 2009/09/09: CIA-RDP05T00644R000601680090-5
5 aa1 ' ~i'7
DOWNGRADED DESTROYED