SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00970A000100010073-2
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 12, 2016
• Document Release Date: July 31, 1998
• Sequence Number: 73
• Publication Date: June 26, 1953
• Content Type: FORM

DOCUMENT DESCRIPTICN
NUMBER OF PAGES
NUMBER OF ATTACHMENTS
REGISTRY
CIA N OL NO+~
/ '~y T`'R D E S cc
DATE DOCUMENT RECEIVED
ATTENTION: This form will be attached to each Top Secret document received by the Central Intelligence Agency or classified Top Secret
within the CIA and will remain attached 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 whose official duties relate to the material. Each alternate or assist.
ant Top Secret Control Officer who receives and/or releases the attached Top Secret the material Top will sign Secret this form and indicate
custody in the left-hand columns provided. The name of each individual who has seen document and the date of han-
dling should be indicated in the right-hand columns, period of
REFERRED TO
OFFICE
SEEN BY
NAME AND OFFICE SYMBOL
NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate
transmitted to Central Top Secret Control for record. spaces below and
THE TOP SECRET MATERIAL DETACHED FROM THIS FORM WAS:
DOWNGRADED BY (Si4nature~
A000100010073-2