OFFICIAL ROUTING SLIP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000700060012-4
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: January 11, 1999
• Sequence Number: 12
• Content Type: FORM

Approved For Release 2000/08/26 : CIA-RDP61 SO075OA000700060012-4
SENDER WILL CHECK CLASSIFICATION TOP AND BOTTOM
UNCLASSIFIED CONFIDENTIAL SECRET
CENTRAL INTELLIGENCE AGENCY
OFFICIAL ROUTING SLIP
TO
NAME AND ADDRESS
INITIALS
DATE
I
2
s ZP
3
4
5
6
ACTION
DIRECT REPLY
PREPARE REPLY
APPROVAL
DISPATCH
RECOMMENDATION
COMMENT
FILE
RETURN
F
CONCURRENCE
INFORMATION
SIGNATURE
Remarks :
FOLD HERE TO RETURN TO SENDER
FROM: NAME, ADDRESS AND PHONE NO.
DATE
U
N
ASSIFIED CONFIDENTIAL
SECRET
gq
'7
FORM
I APR N O. 2J / Replaces Form 30-4 (40)
Which may be used. U. S. GOVERNMENT PRINTING OFFICE: 1955-0-342531
55
Approved For Release 2000/08/26 : CIA-RDP61 SO075OA000700060012-4