SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP59-00882R000100290005-2
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 2
• Document Creation Date: December 15, 2016
• Document Release Date: February 19, 2002
• Sequence Number: 5
• Publication Date: July 22, 1955
• Content Type: FORM

Approved For Release 2003/03/25 : CIA-RDP59-00882R000100290005-2
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
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CIA CONTROL NO.
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DOC. NO.
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DATE DOCUMENT RECEIVED
DOC. DATE
COPY NO.
LOGGED BY'' 7
NUMBER OF PAGES ,
NUMBER OF ATTACHMENTS
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ATTENTION: This for 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 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 col-
umns provided. Each individual who sees the Top Secret document will sign and indicate the date of handling in the
right-hand columns.
REFERRED TO
ECEIVED
RELEASED
2 5X 1 A 9 N BY
OFFICE
SIGNATU
RE
DATE
TIME
DATE
TIME
SI$NATURE AND OFFICE
DATE
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