CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP84B00506R000100040063-2
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: July 28, 1998
• Sequence Number: 63
• Content Type: FORM

`lied whe'tiri filldd'in form is detached from controlled document.
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CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT
DOCUMENT DESCRIPTION
REGISTRY
SOURCE
I C~
CIA CONTROL NO.
- T-- aG 5 d `a 73
DOC. NO.
DATE DOCUMENT RECEIVED
DOC. DATE
COPY NO.
LOGGED BY
NUMBER OF AGES
25X1 A9
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 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
OFF IICE
SIGNATURE
DATE
TIME
DATE
TIME
SIGNATURE
OFFICE/DIV.
DATE
C lLQ
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 record.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY (Signature)
OFFICE Approv Dd'Tftor Rele
sei'000/09 /03 : CI
D-WDP84B
OF e6R000100040
~'3T1
FORM 26 USE PREVIOUS EDITIONS.
8.73
Ivr aSECIRE