RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00170R000200210010-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 21, 2016
• Document Release Date: June 3, 2008
• Sequence Number: 10
• Publication Date: September 25, 1962
• Content Type: FORM

Approved For Release 2008/06/03: CIA-RDP90B00170R001l0200210010-9
0 t J
ASSIGNED BY RECORDS CENTER
RECORDS RETIREMENT-REQUEST
JOB NO.'
63 11~ 6
"
S.ubmif in original end 3 copies..
One copy
wil
l:.be returnedi
to
the?
FOR REFERENCE SERVICE-ON RECORDS TRANS-
-
,
..
.
.
originating office when material is accessioned?.by:-Recoi-dslCenter
FERRED TO STORAGECOMPLETE FORM 490 AND
.
REFER TO ABOVE JOB NUMBER.
PART I (TO BE COMPLETED BY THE RECORDS CUSTODIAN)
TO.
FROM:
(Office) 7~:D5 !} /~"
DIVISION
Chief
Records Center.
,
BRANCH
SECTION
Adma
APPLICATION IS MADE FOR RETIREMENT OF THE RECORDS DESCRIBED BELOW
DESCRIPTION OF FILE SERIES (Include: Name of File, Contents, Function, Arrangement and Inclusive a es. IF NECES-
SARY TO LIST RECORDS. USE FORM NO. 140A. RECORDS SHELF LIST (Check appropriate box below.)
+~7i bfltFiiifi R M
Q SHELF LIST ATTACNED SHELF LIST INCLUDED IN TRANSFER
FLASS'IFICATION OF RECORDS '.'?:_"?- "'
FILE EQUIPMENT `OCCUPIED BY RECORDS `?1='
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LETTER OTNER .
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OF DRAWERS
'APPROXIMATE REFERENCE ACTIVITY PER-MONTH 'I ?. -' "? "- -
LOCATION OF RECORDS
BUILDING
'ROOM
EXTENSION
DATE S
IGNATURE OF-RECORDS CUSTODIAN
PART II (TO BE COMPLETED BY THE AREA RECORDS OFFICER),.
;TYPE OF MATERIAL
RECORD ' ~ NON - RECORD
RESTRICTIONS ON USE OF RECORDS (If'no restrictions- write '.'None'-
- TO ' 054 ..
{
. ? O:I,SPOS I TI ON AUTHORIZATION
)CITE SCHEDULE OR AUTHORITY'
BUILDING
ROOM -EXTE ??
DATE
25 962
2;25X1
FORM NO. 140 USE PREVIOUS EDITIONS
I ,
MAR 56
Approved For Release 2008/06/03: CIA-RDP90B00170R000200210010-9
 Approved For Release 2008/06/03: CIA-RDP90B00170R000200210010-9
PART III (TO BE COMPLETED BY THE RECORDS CENTER)
REFERENCE ACTIVITY
YEAR
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
TOTAL
STORAGE LOCATION
JOB NO.
b3.116
AREA
ROW
SPACE
~~SS?~ c1~ S s~
F
H
D
E DISPOSAL ACTIVITY
OFFICE
ADS 4--r
DIVISION
BRANCH
A&"
SECTION
DISPOSAL DATE
AUTHORITY FOR DISPOSAL
SCHEDULE NO. (or List)
PAGE
ITEM
REMARKS
RECEIPT PROCESSING
RECEIVED BY
CUBIC FEET
NO. OF CONTAINERS
TYPE OF CONTAINERS
DATE RECEIVED
25X1
FOL
HER
OLD
ERE
Approved For Release 2008/06/03: CIA-RDP90B00170R000200210010-9