(UNTITLED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00972A000100260020-1
• Release Decision: RIFPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: July 30, 1998
• Sequence Number: 20
• Content Type: FORM

r?v -d For R -IPacc 200 R I_
UNCLASSIFIED when ik-TOP SECRET when attached to Top Se o ument-Automatically downgraded to SECRET when
filled in form is detachfrom controlled document.
CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTION
REGISTRY
Source
CIA Control No.
Doc. No.
Date Document Received
Doc. Date
Copy No.
Logged By
Number of Pages
Number of Attachments
ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intelligence Agency or classi-
fied 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 Signature Office/Div. Date
NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate spaces below and trans-
mitted to Central Top Secret Control for record.
DOWNGRADED DESTROYED DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
By (Signature)
WITNESSED BY (Signature)
BY (Signature)
OFFICE
DATE
OFFICE
DATE
OFFICE
DATE
FORM
6_64 26 /~yNN USE PRFXlf~ljC =^~TLOIa1SFor Release 20
reamIdAdQQ4402 020-1 (40)
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1 AND DECLASSIFICATION 11