TELEPHONE OR VERBAL CONVERSATION RECORD

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A003000040034-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: January 21, 2003
• Sequence Number: 34
• Publication Date: September 16, 1965
• Content Type: FORM

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Approved For ReleT5e 2003/01/28: CIA-RDP78B04747A00M
TELEPHONE OR VERBAL CONVERSATION RECORD
DATE
(AR 340-15)
SERVICE NUMBER
STAT
HOME ADDRESS OR ORGANIZATION AND STATION
TELEPHONE NUMBER
STAT
INFORMATION OR ACTION SOUGHT
Declass Review by NIMA / DoD
INFORMATION GIVEN OR ACTION TAKEN
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CLERK TAKING CALL
TIME SEARCHED BY
TIME
ANSWERED BY
TIME
DATE SIGNATURE OF PERSON DIRECTING ACTION
Approved For Relea a 2003/01/28 : CIA-RDP78BO4747AO03000040034-8
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 Approved For Rele'e 2003/01/28 : CIA-RDP78BO4747A00-W00040034-8
DATE
TELEPHONE OR VERBAL CONVERSATION RECORD
(AR 340-15)
LAST NAME - FIRST NAME - MIDDLE INITIAL OR, SUBJECT OF CONVERSATION
GRADE SERVICE NUMBER
HOME ADDRESS OR ORGANIZATION AND STATION
PERSON CALLING
OFFICE OR RELATIONSHIP
TELEPHONE NUMBER
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TIME
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TIME
ANSWERED BY
TIME
DATE
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