SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000700070152-8
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 7, 2000
• Sequence Number: 152
• Publication Date: February 27, 1951
• Content Type: FORM

Approved For Release 2001/08/17 : CIA-RDP61 SO075OA000700070152-8
SIGNATURE RECORD AND COVt SHEET
SOURCE: OI= _.
DATE OF DOCUMENT:? T* b 51 DATE DOCUMENT RECEIVED:27 Fob 5l
COPY NUMBER CS): #~( LOGGED BY: SAW
OF ATTACHMENTS:
DOCUMENT DESCRIPTION
REGISTRY (tel. ~,,,
NUMBER
ATTENTION: THIS FORM WILL BE ATTACHE 0 E H TOP S ET CUM T RECEIVED BY THE CENTRAL INTELLIGENCE
AGENCY OR CLASSIFIED TOP SECRET WITH( THE IA AND W LL REMAIN TTACHED 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 ASSISTANT TOP SECRET
CONTROL OFFICER WHO RECEIVES AND/OR RELEASES THE ATTACHED TOP SECRET MATERIAL WILL SIGN THIS FORM AND INDI-
CATE 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 HANDLING SHOULD BE INDICATED IN THE RIGHT-HAND COLUMNS.
RELEASED 11 SEEN BY
SIGNATURE DATE TIME DATE TIME NAME & OFFICE SYMBOL DATE
30
f/Z1
25X1A9I
NOTICE OF DETACHMENT
WHEN THIS FORM IS DETACHED FROM TOP SECRET MATERIAL IT WILL BE COMPLETED IN THE APPROPRI4
ATE SPACES BELOW AND TRANSMITTED TO CENTRAL TOP SECRET CONTROL FOR RECORD.
The Top Secret material detached from this form was:
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA) TO:
(OFFICE) (DATE)
Approved For Release 20 5 1,, 61 S00750A000700070152-8