SIGNATURE RECORD AND COVER SHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61S00750A000600080026-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: April 8, 1999
• Sequence Number: 26
• Publication Date: October 7, 1955
• Content Type: FORM

Approved For Release 21,p0/08/26: CIA-RDP61 SO0750AOZ 600080026-8
' '. SIGNATURE RECORD AND COVER SHEET
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DOCUMENT DESCRIPTION
REGISTRY
JRCE
CIA CONTROL NO.
0
DATE DOCUMENT RECEIVED
DC. DATE
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1
LOGGED BY
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^.N UMBER OF PAGES l
NUMBER OF ATT CHMENTS
ATTENTION: This form will be attached to each Top Secret document received by the Central Intelligence Agency or
classified Top Secret within the CIA and will remain attached to the document until such time as it is downgraded,
destroyed, or transmitted outside of CIA. Access to Top Secret matter is limited to Top Secret Control personnel
and those individuals whose official duties relate to the matter. Top Secret Control Officers who receive and/or
release the attached Top Secret material will sign this form and indicate period of custody in the left-hand col-
umns provided. Each individual who sees the Top Secret document will sign and indicate the date of handling in the
right-hand columns.
REFERRED TO
RECEIVED
RELEASED
SEEN BY
OFFICE
SIGNATURE
DATE
TIME
DATE
TIME
SIGNATURE AND OFFICE
DATE
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NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate
spaces below and transmitted to Central Top Secret Control for record.
DOWNGRADED
DESTROYED
DISPATCHED (OUTSIDE CIA)
TO
BY (Signature)
TO
BY (Signature)
WITNESSED BY (Signature)
BY (Signature)
DATE Approved For Relea
a 2000/08/26 : CIA-RDP61 SO
Yv6A00060008002 8 E
FORM NO. r)C REPLACES PREVIOUS EDITIONS OF
^ _: LV _ WHICH MAY BE USED.
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