DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100155-5
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 155
• Publication Date: September 30, 1965
• Content Type: FORM

CENTRAL INTELLIGENCE AGENCY
NOTICE TO RECIPIENT
COURIER REC_ NO. DATE SENT
1
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DATE DOCUMENT(S) SENT
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DESCRIPTION OF DOCUMENT S) SEN
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CIA NO.
DOCUMENT DATE
COPIES
DOCUMENT TITLE
ATTACHMENTS:
CLASS
3566
3o sep 65
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RECIP
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ADDRESS OF RECIPIENT
SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
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Department of Ve
Approved For Release 2001/08/
FFIC ATE OF RECEIPT
P71T00730R 00600100155-5
FORM USE PREVIOUS EDITIONS
?_A, 61 S
 Approved For Release 2001/08/09 : CIA-RDPWT00730R000600100155
TO: CIA RECIPIENT
Place signed receipt in outgoing messenger box for return to sender of document
through agency messenger service.
TO: NON-CIA RECIPIENT
Place signed receipt in envelope and transmit to:
P
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
L~ Approved For Release 2001/08/09 : CIA-RDw~1T00730R000600100155-5