CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00972A000100190031-7
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: September 24, 1998
• Sequence Number: 31
• Publication Date: May 22, 1963
• Content Type: FORM

25X1
roved For Release 2000/ l k-RDP79B0
[1NCLASSIFIED when blank - T( ECRET when attached to Top Secret Dnent - Automatically downgraded
to SECRET when filled in form is ached from controlled document.
CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
Dep. Dir. DIA
0037880 Memo for Seca of Defe
PS#
6
-46
CIA CONTROL
DOC. NO.
nse
i
,
/1
20 Mew 1963 22 K
6
DOC. DATE
3
W
c If (Second Series) P
COPY NO.
ei.
S
(
LOGGED BY
NUMBER OF PAGES
P98
7 pgs tot)
A
NUMBER OF ATTACHMENTS
tehs.
1? Statement of Adv. De1tve,
,2 j)M T
I'~... ' - -~i
ATTENTION: This form will be placed on top of and 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 matter is limited to Top Secret Control personnel and those individuals whose official
duties relate to the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form
and indicate period of custody in the left-hand columns provided. Each. individual who sees the Top Secret document will sign and
indicate the date of handling in the right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
OFFICE/DIV.
DATE
22 MA
Y 1963
22 M
AY 1963
2c a'
,
{per
~
~
~y,
4 At
1~
let
1903
NOTICE OF DETACHMENT When this form is detached from Top Secret material it shall be c in the appropriate spaces below
and transmitted to Central Top Secret Control for.,, record.
DOWNGRADED
~r DESTROYED
D
TD
By (Signature)
TO
By (Signature)
WITNESSED BY (Signature)
BY (Signature)
OFFICE J
DATE
OFFICE BATE
OFFICE
DATE
a
-
6972A000100190631-7