SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000600080030-3
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: April 8, 1999
• Sequence Number: 30
• Publication Date: July 12, 1955
• Content Type: FORM

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Approved For Release 2000 61 SO0ZjOA000600080030-3
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
SOURCE
REGISTRY
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CIA CONTROL NO.i091071-
4
DOC
N
1
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DAT
DOC. DATE
E DOCUMENT RECEIVED
COPY NO
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LOGGED
NUMBER OF PAGES
BY
NUMBER
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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-
ant Top Secret Control Officer who receives and/or releases the attached Top Secret material will sign this form and indicate 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 han-
dling should be indicated in the right-hand columns.
REFERRED TO
OFFI E
RECEIVED
TE
TIME
RELE
p TE
ASED
TIME
SEEN BY
AME AND OFF DATE
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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
Approved For Release 2000/08/26 : CIA-RDP61
FORM NO
SUD75OA0006000800 G4
. 06 REPLACES 38- 13
I AUG 54 G WHICH MAY' BE USED.