DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100300-3
• Release Decision: RIFPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: October 17, 2000
• Sequence Number: 300
• Publication Date: April 30, 1963
• Content Type: FORM

CENTRAL INTELLIGENCE AGENCY NOTICE TO RECIPIENT
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DESCRIPTION OF DOCUMEN
DOCUMENT TITLE ATTACHMENTS
CIA NO. DOCUMENT DATE COPIES
1917
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RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
De ment Of State
Approved For Release 200
FORM USE PREVIOUS EDITIONS
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URIC ~r nom.... .
'7 OR000600100300-3
 TO: CIA RECIPIEN'~pprov d For Release 2001/08/09 :CIA-RDP71`T00073OR000600100300-3
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
Approved For Release 2001/08/09 : CIA-RDR7-T00730R000600100300-3