SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00970A000100010077-8
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 12, 2016
• Document Release Date: July 31, 1998
• Sequence Number: 77
• Publication Date: June 30, 1953
• Content Type: FORM

SIGNATURE RECORD AND COVER SHEET
AWMNT DESCRIPTION
fil
REGISTRY
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is ANSI -
CIA CONTROL NO.
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Doc. Date so jua
DATE DOC. REC
D.
30
Jun A
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COPY No.
.,--.
LO
. of Paues
GGED BY
NO. OF ATTACHMENTS
40
ATTENTION: THIS FORM WILL BE ATTACHED TO EACH TOP SECRET DOCUMENT RECEIVED BY THE CENTRAL INTELLIGENCE AGENCY OR ACHEDTOTHE
L H TIME
DOWNGRA CLASSIFIEDORTO RANSMITTEDTOUTSIDE OFACAIA. WACCESSILL
MATERDIALUISNLIMITED TOCTHOSEE INDIVIDUALS WHOSEDOF-
FICIAL DUTIES RELATE TO THE MATERIAL. EACH ALTERNATE OR ASSISTANT TOP SECRET CONTROL OFFICER WHO RECEIVES SAND/OR
RELEASES THE ATTACHED TOP SECRET MATERIAL WILL SIGN THIS FORM AND INDICATE PERIOD OF CUSTODY IN THE LEFT-HAND COL-
UMNS PROVIDED. THE NAME OF EACH INDIVIDUAL WHO HAS SEEN THE TOP SECRET DOCUMENT AND THE DATE OF HANDLING SHOULD
REFE D TO
RECEIVED
REL
EASED
SEEN BY
OFFICE
25XlA9 SIGNATURE
a
DATE
TIME
DATE
TIME
NAME & OFFICE SYMBOL
DATE
NOTICE OF DETACHMENT; WHEN THIS FORM IS DETACHED FROM TOP SECRET MATERIAL IT SHALL BE COMPLETED IN THE APPROPRIATE
SPACES BELOW AND TRANSMITTED TO CENTRAL TOP SECRET CONTROL FOR RECORD,
T TOP SECRET MAIER AL DETACHED THIS
BY (SIGNATURE)
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA) TO
FORM N0
OFFICE
DATE
.
JAN 1950 38-13 TO T