SIGNATURE AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-01617A000700230007-9
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 16, 2016
• Document Release Date: April 6, 2005
• Sequence Number: 7
• Publication Date: October 27, 1949
• Content Type: FORM

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'/S GNATURE' RECORD ")(ND COVER SHEET
DOCUMENT DESCRIPTION
REGISTRY
SOURCE: OIR =
DATE OF DOCUMENT: 27 October 1949
COPY NUMBER (S) : 1 & 2
NUMBER OF PAGES: lea DOCUMENT NO.
NUMBER OF ATTACHMENTS: None
CIA CONTROL NUMBER: c.5
DATE DOCUMENT RECEIVED:31 Oct 1949
LOGGED BY: 251
ATTENTION: THIS FORM WILL BE ATTACHED TO EACH TOP SECRET DOCUMENT RECEIVED BY THE CENTRAL INTELLIGENCE
AGENCY OR CLASSIFIED TOP SECRET WITHIN THE CIA AND WILL REMAIN ATTACHED 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. 25X1 A
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
NAME Ao OFFICE SYMBOL DATE
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NOTICE OF
DETACH
MENT
WHEN THIS FORM IS DETACHED FROM TOP SECRET MATERIAL IT WILL BE COMPLETED IN THE APPROPRI-
ATE SPACES BELOW AND TRANSMITTED TO CENTRACTOP SECRET CONTROL FOR RECORD.
The Top Secret material detached from this form was:
DOWNGRADED BY: ~- -
DESTROYED (SIGNATURE)
DISPATCHED (OUTSIDE CIA) TO:
(OFFICE) (OATS)
Approved For Release 2005/04/14*@WNWMi 8-01617A000700230007-9