(UNTITLED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP33-02415A000100030021-3
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 29, 2000
• Sequence Number: 21
• Publication Date: August 18, 1969
• Content Type: FORM

Approved For Ra se 2001/ A0 0100030021-3
CONTROL NO. X8670-69
Copy 5 of 8
SEEN BY
REFERRED TO RECEIVED RELEASED
OFFICE SIGNATURE DATE TIME DATE TIME NAME PEKESYMBOL DA
D/SA
4000 16~p
Handle Via Indicated Controls
Access ess to this document nt will be re restricted to those p cleared for the specific projects;
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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 ontrol System. 25X1A2d2
Approved For Release 2001/08/17!CIA-FCDP33'O241r5A000100030021-3
GROUP I
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