FORM: CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R002000160002-2
• Release Decision: RIFPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: November 4, 2016
• Document Release Date: May 19, 2000
• Sequence Number: 2
• Publication Date: September 5, 1978
• Content Type: FORM

CDR, 902d MI Gp
ATTN: IAG =A-F-CIPU
Ft Meade, MD 20755
CONTR
OL, LOG
OR FIL
CLASSIFI-
NUMBER OF
DESC
RIPTION (Type, File Rai., unclassified Subject
DATE OF
E NO.
CATION
COPIES
or
Short Title and Number of, indorsements/Incle)
DOCUMENT
SAVE-7591
Letter
dtd 25 Aug 78, Sj: Gondola
Aug 78
78
Wish A
ssessment Report (U)///////
MATERIAL DESCRIBED HEREO
O DESTROYED
CDR, INSCOM
AHS
Arlington, VA 22212
ACTION OFFICE(S) SUSPENSE DATE(S)
- GENERAL
IFROMI
- DESTRUCTION CERTIFICATE (Check appropriate block)
E] TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER(AR380-S)
PRINTED NAME OF CUSTODIAN OR REP. SIGNATURE
PRINTED NAME OFCERTIFYING/DESTR. OFF. SIGNATURE
UMBER OF COPIES TO BE REPRODUCED AUTHORIZED BY
SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)
RECEIPT OF DOCUMENT(S) ACKNOWLEDGED DOCUMENT(S) HAVE NOT BEEN RECEIVED
[-]TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
U.S. GOVERNMENT PRINTING OFFICES 1973-490.74
App rove - sI @Wu p l@$t~1f t -
For Use of this form, see AR 380-5; the proponent age:Icy is the Office, Assistant Chief of Staff for Intelligence. 5 Sep 78
SECTION A
DATE
SIGNATURE
Approved For Release 2000/08/08 : CIA-RDP96-00788R002000160002-2
DA FORM 3964, 1 Nov 72 REPLACES DA FORMS 1203, 1 SEP 59: 1204, 1 JAN 801 631, 1 MAR 62 AND
546, 1 OCT 63, 'WHICH ARE OBSOLETE.