OFFICIAL ROUTING SLIP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP62-00328A000100120003-0
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 1
• Document Creation Date: November 9, 2016
• Document Release Date: August 18, 1998
• Sequence Number: 3
• Content Type: FORM

Sanitized - Approved For Release : CIA-RDP62-00328A000100120003-0
`49W5ER WILL CHECK CLASSIFICATION TOP AND BOTTOM
UNCLASSIFIED SECRET
25X1A
CENTRAL INTELLIGENCE AGENCY
OFFICIAL ROUTING SLIP
TO
NAME AND ADDRESS
INITIALS
ATE
D
3
a4
~L~
5
6
ACTION
DIRECT REPLY
PREPARE REPLY
APPROVAL
DISPATCH
RECOMMENDATION
COMMENT
_
FILE
RETURN
CONCURRENCE
INFORMATION
SIGNATURE
Remarks :
FOLD HERE TO RETURN TO SENDER
FROM: NAME, ADDRESS AND PHONE NO.
DATE
UNC
ASSIFIEDZ'
SECRET
FORM N0. r/~ Replaces Form 30--4 (40)
1 APR55 23 wh(eh may he used. , U.S. GOVERNMENT PRINTING OFFICE 1955-0-342531
Sanitized - Approved For Release : CIA-RDP62-00328A000100120003-0