SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00970A000100010057-0
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 12, 2016
• Document Release Date: July 31, 1998
• Sequence Number: 57
• Publication Date: August 18, 1953
• Content Type: FORM

Approved For Release 2001/08/0 =.L. B0097OA000100010057-0
SIGNATURE RECORD AND COVER SHEET
DOCUMENT DESCRIPTION
SOURCE
IS OM Wi BE A ACHED TO EACH TOP SECRET DOCUMENT RECEIVED BY THE CENTRAL INTELLIGENCE AGENCY OR
ATTENTION: "IT
CLASSIFIED TOP SECRET WITHIN THE CIA AND WILL REMAIN A (ACHED 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 WHOSI. OF-
FICIAL 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 TH'S FORM AND INDICATE PERIOD OF CUSTODY IN THE LEFT-HAND COL-
UMNS PROVIDED. THE NAME OF EACH INDIVIDUAL WHO HAS SFEN THE TOP SECRET DOCUMENT AND THE DATE OF HANDLING SHOULD
BE INDICATED THE BRIGHT-HAND COLUMNS.
REFERRED TO RECEIVED RELEASED
SEEN BY
n'iir
NOTICE OF DETACHMENT: WHEN THIS FORM IS DETACHED FROM TOP SEi:RET MATERIAL IT SHALL BE COMPLETED IN THE APPROPRIATE
SPACES BELOW AND TRANSMITTED TO CENTRAL TOP SECRET CONTROL_FOR RECORD.
THE TOP SECRET MATERIAL DETACHED1R M.....,,THJSfORh1VA
DOWNGRADED
DISPATCHED (OUTSIDE CIA) TO OFFICE
ApprnvPd For RPIPasp 2(1(11(Q 0 , CIA-: DEZ9 00010n1nnrIz-0
FORM NO
JAN N 1960 . 38-13 TM"1111W ET
T