CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R001900280003-0
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: May 2, 2000
• Sequence Number: 3
• Publication Date: August 25, 1983
• Content Type: FORM

AppCAASi
For use of this form, ees AR 38O-S; tha proponent agency is the Office, Assistant Chief of Staff for Intelligence.
Aug 83
SECTION A - GENERAL
TO: FROM:
NSA
-ATE RECEIVED ACTION QFFIC:EIS,
~- _.~.....__..._ SUSPENSE DATEISI REGISTER OR CONTROL NQ
I
CONTROL. LOG CLASSIFI- NUMBER OF DESCRIPTION (Type .File Ref. Llnclossifted Subject DATE OF
OR FILE NO. CATION COPIES
or Short Tale and Number of Indo+'senrents/dncls) DOCUMENT ORIGINATOR
CL-058/83
S/NOFOR
1
Cy 1 of 1 cy, Report Ills-1032/8308/08..
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SECTION 8 - ROUTING
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i~r`K NOwL EC>GE Ft -CC F_!P7 QF 7H Er M4'ATEfi-I L i Hrb-R--
COPY NO
DATE
PRINTED NAME
SIGNATURE
2
- - ----- - - -------- -
SECTION C - DESTRUCTION CERTIFICATE (t'heth apfroprtatehlockj
MATERIAL. DESCRIBED HEREON HAS BEEN. _._._FmPAG _OR COPY-N0
DESTROYED TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (Afl 3ro(s:ij
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tC t SYMBOL
DATE PRINTk:[? NAME OF CUSTODIAN OR titP
SIGNATURE
Lli'..STRUCi'ION RECORD NO. DATE PRINTED NAME OF CERTIFYING/DI_'iTR Oi F
SIGNATURE
PAS E OR C..C}PY Nf1MB R DATE PRINTED NAME OF WITNESSING OFF ICIAI. SIGNATURE
SECTION D - REPRODUCTION AUTHORITY
+atUfatB1R OF COPIES T,'"t. 13E REPRODUCED AUTHORIYED ESY ~.--_~..._....~, _'~""~".~"" -:?-..---?--?~_.._..._,.~_..._._.._.~.,,~
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SZCTION E - RECEIPT/TRACER ACTION t('Aech apprrrprtate block)
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[
]RECEIPT OF DOCUMENTIS) ACKNOWLEDGED [J DOCIIMENTISi HAVE NOT BEEN RECEIVED
1 eTRACER
ACTION SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT B
A
EEN RECEIVED.
DATE PRINTEJ:NAMLGRAOEORTiTL E-._._..____~ SIGNATURL:
COMMENTS
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