(UNTITLED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP33-02415A000100030019-6
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 29, 2000
• Sequence Number: 19
• Content Type: FORM

875-69
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REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
NAM & OFFICE SYMBOL
DATE
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F: IF
Handle Via Indicated Controls
Access to this document will be restricted to those persons
cleared for the specific projects;
This document contains information affecting the national security/ of the United States within the meaning
of the espionage laws U. S. Code Title 18, Sections 793 and 794. The law prohibits its transmission or
the revelation of its contents in any manner to an unauthorized person, as well as its use in any manner
prejudicial to the safety or interest of the United States or for the benefit of any foreign government to the
detriment of the United States. It is to be seen only by personnel especially indoctrinated and authorized
to receive information in the designated control channels. Its security must be maintained in accordance
with regulations pertaining to -Control System.
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