SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000700040008-1
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: October 7, 1998
• Sequence Number: 8
• Publication Date: July 2, 1956
• Content Type: FORM

IbNAIURE RECORD AND COVER SHEET '.w
DOCUMENT D wESCRIPTION
.
REGISTRY
SOURCE
o/ne TS A!OP377-c
CIA CONTROL NO.
DOC. NO.
2 156
DATE DOCUMENT RECEIVED
DOC. DATE
f.
Cy
COPY NO.
~;~
o YC GI:S 1- 'C`3f'~''S
LOGGED BY
NUMBER OF PAGES
3
h
L 31 each
NUMBER OF ATTACHMENTS
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 sI,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
F
DATE
TIME
DATE
TIME
SIGNATURE AND OFFICE
DATE
,z
aye
25X1A9a
fl
1AI
OR DESTROY
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 Re
RM NO
O
DATE
ease 1999/09/17: CIA-RDP61
Sb150A00070004
O8-1
.
~ em cc 2 6 USE PREVIOUS F
OUS EDITIONS.
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