(SANITIZED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-03424A001100010014-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 22, 2016
• Document Release Date: September 15, 2011
• Sequence Number: 14
• Publication Date: December 23, 1958
• Content Type: MISC

Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424A001100010014-5
CONHDENTAAL
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WHEN FILLED IN
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FROM
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WHEN FILLED IN
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Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424A001100010014-5