SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP59-00882R000100330009-3
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 9
• Publication Date: December 17, 1954
• Content Type: FORM

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T SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION REGISTRY
SOUR CIA CONTROL NO.
143947
DOC. NO.' none DATE DOCUMENT RECEIVED
DCC. DATE -17 Dec 1954 25X1 A9a
COPY NO. 2 LOGGED BY
AGES
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ENUMMA OF 1AI-HRILKIZ,
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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 assist-
ailt Top Secret Control Officer who receives and/or releases the attached Top Secret material will sign this form and indicate period of
cusToody~in t ie left-hand columns provided. The name of each individual who has seen the Top Secret document and the date of han-
dling should be indicated in the right-hand columns.
REFERRED TO
RECEIVED
RELEASED
25X1A9a SEEN BY
OFFICE
2 5)(1 ATURE DATE TIME
DATE TIM
DATE
G/
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J
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s
NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate spaces below and
transmitted to Central Top Secret Control for record.
THE TOP SECRET MATERIAL DETACHED FROM THIS FORM WAS:
BY (Signature)
DOWNGRADED ^ -
DESTROYED ^
DISPATCHED (OUTSIDE CIA) TO
OFFICE
DATE
Approved For Release 1999/
2 : CIA-RDP59-00882R000100330009-3