REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-01370R000100090020-0
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: June 22, 1998
• Sequence Number: 20
• Content Type: FORM

Mtandard;Form No. 115
Promulgated 9-1-49 by7q~l~rg(ia
The National A obivefrgJ roved ForUQUse T08'QEiB/AIU TBMR3mR80-01370 0 VE BLANK
TO Vf'SPOSE OF RECORDS DATE t'M ED I JOH NO.
(For instructions on the use of this form see National Archives Manual
-, on the Disposition of Federal Records) DATE APPROVED
TO: THE ARCHIVIST OF THE UNITED STATES,
NATIONAL ARCHIVES, WASHINGTON 25, D. C.
1. FROM (AGENCY OR ESTABLISHMENT)
;";;Won Amptuftr
6. CERTIFICATE OF AGENCY REPRESENTATIVE:
The records have B The records will cease to have sufficient value C The records will have ceased to have sufficient value to warrant
ceased to have suffi- to warrant further retention on the expiration retention in their original form by virtue of the fact that the
cient value to warrant of the period of time indicated or on the occur- Ir microphotographic copies, made in accordance with standards of
further retention, rence of the event specified. [ the National Archived C'--ii win 1-
CONGRESSIONAL AUTHORIZATION
CONGRESS I DATE
SESSION
NOTIFICATION TO AGENCY
CONGRESS HAS AUTHORIZED DISPOSAL OF ITEMS MARKED
"DISPOSAL APPROVED" IN COLUMN 10.
I hereby certify that I em authorized to act for the head of this agency in matters pertaining to the disposal of records, and that the records described in this list or
schedule of pages are proposed for disposal for the reason indicated: ("X" only one)
ITEM NO.
8. DESCRIPTION OF ITEM
(WITH INCLUSIVE DATES OR RETENTION PERIODS)
_..i -Approved For Release 2001/08/07 : CIA-RDP80-01370R0001000901 20-0
Four copies, including original, to be submitted to the National Archives
9. ( I0.
SAMPLE OR
A, TICJN TAKEN
JOB NO.