(UNTITLED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78Z02997A000100060019-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: March 21, 2001
• Sequence Number: 19
• Publication Date: October 24, 1975
• Content Type: FORM

Approved For Release 2001/08/25 : CIA-RDP78ZO2997A000100060019-3
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Do NOT use this form as a RECORD of approvals, concurrences,
disapprovals, arances, and similar actions.
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Approved For Release 2001/08/25 : CIA-RDP78ZO2997A000100060019-3