SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00970A000100010082-2
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 12, 2016
• Document Release Date: July 31, 1998
• Sequence Number: 82
• Publication Date: June 26, 1953
• Content Type: FORM

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SIGNATURE RECORD AND COVER SHEET
DOCIIIHENT D0011PTION
REGISTRY
SOURCE 25X1A9a
CIA CONTROL NO.
773 5
DOC. NO. cto
DATE DOC. RECD.
DOC. Date 26 Jun 51
26 1 53
COPY No.
LOGGED BY
No. of Pages
NO. OF ATTACHMENTS
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 OF-
FICIAL DUTIES RELATE TO THE MATERIAL. EACH ALTERNATE OR ASSISTANT TOP SECRET CONTROL OFFICER WHO RECEIVES iAND/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
INDICATED
REFERRED TO
RECEIVED
REL
EASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
NAME & OFFICE SYMBOL
DATE
I
AT
2
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
THE TOP SECRET MATERIAL DETACHED WA So
BY (SIGNATURE)
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA) TO
QNA
46 P-1 m
OFFICE
DATE
FORM NO. 13
JAN 1950 TO