DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100011-4
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 11
• Publication Date: October 2, 1969
• Content Type: FORM

sENTRAL INTELLIGENCE AGENCY
NOTICE TO RECIPIENT
11 `d
COURIER RF' NO.
DATE SENT
DOCUMEN rRfQEI R
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R0006 -00011-
SENDER OF DOCUMENT(S)
ROOM
BLDG.
DATE DOCUMENT(S) SENT
DES
CRIPTION OF DOCUMENT) SEN
T
CIA NO.
DOCUMENT DATE
COPIES
DOCUMENT TITLE
ATTACHMENTS
CLASS
STA 1/351, #569
S
6189
2 Oct 69
0 & I
Memo
STA 1/352, #570
S
STA 1/353, #570
S
STA 1/354, #570
C
RECIP
IENT
ADDRESS OF RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
Department of State
OFFICE
DATE OF RECEIPT
INR/CC
F
1OR61 615 USE PREVIOUS EDITIONS (33)
Approved For Release 2001/08/09 : CIA-RDP71TOO73OR000600100011-4
 Appro M For Release 2001/08109 : CIA-RDP71T000730R000600100011-4
To: CIA RECIPIENT
Place signed receipt in outgoing messenger box for return to sender of document
through agency messenger service.
Place signed receipt in envelope and transmit to:
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
I
Approved For Release 2001/08/09 : CIA-RDP71TOO73OR000600100011-4