SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000600080028-6
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: April 8, 1999
• Sequence Number: 28
• Publication Date: September 14, 1955
• Content Type: FORM

Approved For Release 2000/08/26: CIA-RDP61 SO07 000600080028-6
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SIGNATURE RECORD AND COYER SHE
DOCUMENT DESCRIPTION
I
REGISTRY
SOURCE
Ics
CIA CONTROL NO.
0 326 37 P, to,
DOC. NO. Dgil .-26- 55
DATE DOCUMENT RECEIVED
Vpy
DOC. DATE
sopt 195S
14
6 Sept. 1955
.
COPY NO. /A 4
NUMBER OF PAGES
NUMBER OF ATTACHMENTS
25X1A9a
ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intel-
ligence Agency or classified Top Secret within the CIA and will remain attached to the document until sl,ch 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
columns provided. Each individual who sees the Top Secret document will sign and indicate the date of handling in the
right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
DATE
TIME
DATE
TIME
SIGNATURE AND OFFICE
DATE
/
#xec. e
JAA
s?
25X1A9a
25X1A9a
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.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY (Signature)
DATE Approved For Release
b 0/08/26: CIA-RDP615007
dXdO0600080028-6
1OATE
FORM NO.
I A DD