DOCUMENT RECEIPT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP71T00730R000600100253-6
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 253
• Publication Date: February 12, 1964
• Content Type: FORM

CENTRAL INTELLIGENCE AGENCY
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SIGNATURE (ACKNOWLEDGING RECEIPT OF ABOVE DOCUMENT(S))
Approved For Release 200
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FORM ~~ S USE PREVIOUS EDITIONS (33)
 Approv,W For Release 2001/08/09 : CIA-RDP71.ZD073OR000600100253-6
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:
F
CENTRAL INTELLIGENCE AGENCY
2430 E STREET NW.
WASHINGTON 25, D.C. Stop 64
L Approved For Release 2001/08/09 : CIA-RDP7~1T00730R000600100253-6