TRANSMITTAL SLIP (Sanitized)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81M00980R001900080084-2
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 16, 2016
• Document Release Date: May 27, 2005
• Sequence Number: 84
• Publication Date: April 14, 1978
• Content Type: FORM

25.X1
TRANSMITTAL SLIP
April 14, 1978
ROOM NO. BUILDING
1D15
REMARKS:
Headquarters
The attached list represents
reports of injuries or illnesses
received in this office for the
first quarter.
i FFEB ORM 55 OA 1 REPLACES FORM 36-8 (47)
WHICH MAY BE USED.
 Date Location Nature of Injury
3 Mar 78 HQS 6D0120 Slammed finger in safe--
fainted
Indicates Accident Report Form 2652a received.
Approved For Release 2005/07/14: CIA-RDP81 M009809"f8(O
25
Approved For Release 2005/07/14: CIA-RDP81 M00980R001900080084-2