SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP57-00384R000100030023-5
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: May 12, 2000
• Sequence Number: 23
• Publication Date: November 29, 1949
• Content Type: FORM

Approved For Release 2001Iff928 ? Ek6P57-00384R000100030023-5
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
REGISTRY
SOURCE: COAPS
DATE OF DOCUMENT: 29 Novenber 19L9
COPY NUMBER (S) :
NUMBER OF PAGES: 2 DOCUMENT NO.
NUMBER OF ATTACHMENTS: 0
CIA CONTROL NUMBER: 36008
DATE DOCUMENT RECEIVED:
LOGGED BY:
ATTENTION: THIS FORM WILL BE 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 MATERIAL IS LIMITED
TO THOSE INDIVIDUALS WHOSE OFFICIAL DUTIES RELATE TO THE MATERIAL. EACH ALTERNATE OR ASSISTANT TOP SECRET
CONTROL OFFICER WHO RECEIVES AND/OR RELEASES THE ATTACHED TOP SECRET MATERIAL WILL SIGN THIS FORM AND INDI-
CATE PERIOD OF CUSTODY IN THE LEFT-HAND COLUMNS PROVIDED. THE NAME OF EACH INDIVIDUAL WHO HAS SEEN THE TOP
SECRET DOCUMENT AND THE DATE OF HANDLING SHOULD BE INDICATED IN THE RIGHT-HAND COLUMNS.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
COAPS
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SIGNATURE
DATE
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TIME
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NAME & OFFICE SYMBOL
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NOTICE OF DETACHMENT
OMPLETED IN THE APPROPRI
WHEN THIS FORM IS DETACHED FROM TOP SECRET MATERIAL IT WILL BE C
'ATE SPACES BELOW AND TRANSMITTED TO CENTRAL TOP SECRET CONTROL FOR RECORD.
The Top Secret material detached from this form was:
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA) TO:
Approved For Rel
(OFFICE)
-00384R000100030023-5