DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100226-6
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 226
• Publication Date: October 15, 1964
• Content Type: FORM

I CENTRAL INTELLIGENCE AGENCY
COURIER REC. NO.
NOTICE TO RECIPIENT
DATE SENT
DOCUMENT RECEIF r v . F m I R t c e s R 4 l O T 1 4 6 8 5 e - R 1 30ROOO
-
SENDER OF DOCUMENT(S)
ROOM
BLDG.
DATE DOCUMENT(S) SENT
st `k C
441
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15 October 1964 -
DES
CRIPTION OF DOCUMENT(S) SE
NT
CIA NO.
DOCUMENT DATE
COPIES
DOCUMENT TITLE
ATTACHMENTS
CLASS
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15 Oct bit
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1/221, #565 (8)
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1/223,, 680 (S)
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1/2 40 PAM
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#57 (C)
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RECIP
IENT
ADDRESS OF RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
iem R.
W113
Mr
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'F e t O Ji$ d For Release 200
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OR000600100226-6
Cep -er
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FORM L USE PREVIOUS EDITIONS
f7_A~ 61
 Approved For Release 2001/08/09: CIA-RDP71T
TO: CIA RECIPIENT gQ730R000600100226-6
. Place signed receipt in outgoing messenger box for return to sender of document
through agency messenger service.
TO: NON-CIA RECIPIENT
Place signed receipt in envelope and transmit to:
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
L Approved For Release 2001/08/09: CIA-RDP71T00730R00060p,10Q33fi 6