RECEIPT FOR CLASSIFIED MATERIAL

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04767A000300010014-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: November 29, 2004
• Sequence Number: 14
• Publication Date: December 26, 1969
• Content Type: STATEMENT

Approved For. (ease 2005/02/17 CIA-RDP78BO4767400030001( -1
1` . IA L
STATOTHR TO
Southwest station
Washington, D.C.
20024
Signa or I, A.
Courier
ssiication CopyInfo/Teen
No. deg. o.
a,b,c,117a,117b,.
Secret
117c. 11]7e_'
Secret
(unclassified
when separated
from classified
attachment)
Date
Transmitted Dec 26 ,1969
STATOTHR
Postal an
Reoristr carried by
Number
Unclassified Description
2200901-ONH-1
Cover letter for?above
STAT,OTHR
STATOTHR
Lceeipt of the above material is hereby acknowledged and full responsibility is accepted for handling
in accordance ~vith security reg llations.
acct ivinj Office 'T'yped or. Printed Name and Title of Receiver Signature Date
\1/1 A I
11x011 AAA M1 111r%Aff
BY
' E A Vp" FA &aAcEIPQJ/k 7 aWoPNAi76 b 16ooii&14 iE D l.A T E L Y