ROUTING AND TRANSMITTAL SLIP

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP87B01034R000200030055-1
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 16, 2016
• Document Release Date: August 2, 2005
• Sequence Number: 55
• Content Type: FORM

Approved For Release 2005/08/15 : CIA-RDP87BO1034R000200030055-1
ROUTING AND TRANSMITTAL SUP
16
M.
(Name, office symbol, room number,
building, Age
Initials
Date
2
a
4.
on
File
Note and Return
pproval
For Clearance
per conversation
Requested
For Correction
Prepare Reply
irculate
For Your Information
See Me
mment
Investigate
Signature
Coordination
Justify
DO NOT use this form as a RECORD of approvals, concurrences, disposals,
clearances, and similar actions
FROM: (Name, org. symbol, Agency/Post)
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k r -~ /'0-' ~' h
5041-102 OPTIONAL FORM 41 (Rev. 7-76)
Prescribed by GSA
U.S GOVERNMENT PRINTING OFFICE 1979-281-184'1 FPMR (41 CFR) 101-11.206
Approved For Release 2005/08/15 : CIA-RDP87BO1034R000200030055-1