RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00170R000200210012-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: June 3, 2008
• Sequence Number: 12
• Publication Date: March 20, 1967
• Content Type: FORM

Approved For Release 2008/06/03: CIA-RDP90B00170R000200210012-7
ASSIGNED BY RECORDS C
NTER
RECORDS RETIREMENT REQUEST
c
JOB NO.
Submit ori
inal and 4
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cop
es so
ecor
s Center. Two copies will be returned to the originating office.
Additional copies may be prepared as indicated by your RMO.
or
eference
err
ce on Records Tranef curd to
Storage Complete Form 490 and Refer I.; Abore
Job Number.
PART. I (TO BE COMPLETED BY THE RECORDS CUSTODIAN)_
T0:
FROM:
DIVISION d i L ... _
Chief, Records Center
(Of
BRANCH -- ..........__ ..._._.._ __.,..~..+.,`._
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APPLICATION IS MADE FOR RETIREMENT'OF TNERECORDS DESCRIBED BELOW
DESCRIPTION OF FILE SERIES (Use description in Records Control Schedule and inclusive dates.) ' IF NECESSARY TO LIST RECORDS, USE FORM NO. 140a, RECORDS
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' jai SHELF LIST SHELF LIST INCLUDED IN TRANSFER
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APPROXLMATE REFERENCE ACTIVITY PER MONTH ---
LOCATION OF RECORDS
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SIGNATURE OF RECORDS CUSTODIAN
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PART 11 (-TO BE COMPLETED BY THE RECORDS MANAGEMENT OFFICER)
TYPE OF MATERIAL - -
El RECORD NON-RECORD
RESTRICTIONS ON USE OF RECORDS (If no restrictions write "None")
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EXTENSION
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IGNATURE OF RECORDS MANAGEMENT OFFICER
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Approved For Release 2008/06/03: CIA-RDP90B00170R000200210012-7
 Approved For Release 2008/06/03: CIA-RDP90B00170R000200210012-7
Approved For Release 2008/06/03: CIA-RDP90B00170R000200210012-7
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Approved For Release 2008/06/03: CIA-RDP90BOO170R000200210012-7
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REMARKS
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Returned- for. Purge," with concurrence
of thw 1 -7
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Approved For Release 2008/06/03: CIA-RDP90BOO170R000200210012-7 r_ 1 Qs!i7
PART III BE COMPLETED BY THE RECORDS CENTER)
REFERENCE ACTIVITY
MAY
APR JUN JUL
AUG SEP OCT NOV
DEC TOTAL
r_L 1 ~_r-1
STORAGE LOCATION
SPACE
DISPOSAL ACTIVITY
BRANCH
DATE : _,. _ .2 DISPOS1T N No. ~.~ .1:...
DISPOSITION OF THE. RECORDS DESCRIBED
HMRMON HAS BEEN MADE AS FOLLOWS:
TRANSFERRED n DESTROYED 0 OTHER C~
AU i IN U RA 116 N:,:~
27 Parch _ 2967
. MOTIF.ICATION OF DISPOSITION ACTION.