CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD
CIA-STARGATE
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This document appears to be a form from the CIA's Stargate program. It includes details such as the receiving and action office, suspense dates, control numbers, and classification. It also mentions a report titled CL-972/8210/01 and a destruction certificate. The document is not very clear and seems to contain random characters and incomplete sentences. It is difficult to determine the specific information contained in this document.
Text
Body: Apobf6lflftP G%%V T MAB8J
For use of this form, st? AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
SECTION A - GENERAL
TO:
FROM:
DATE RECEIVED
ACTION QFFICE)S)
SUSPENSE DATE(S)
REGISTER OR CONTROL NO.
CONTROL. LOG
OR FILE NO.
CLASSIFI-
CATION
NUMBER OF
COPIES
DESCRIPTION (Type. File Ref.. Unclassified Subject
or Short Title and Number of Indorsements/Incls)
DATE OF
DOCUMENT
ORIGINATOR
CL-003-82
..........
S/NOFOR
.......
1
......
Cy 1 of 2, report CL-972/8210/01 W/1
Exhibit ............... ..............
.........NOTHING FOLLOWS .............
.......
.......
...........
..........
SECTION B - ROUTING
I -ACKNOWLEDGE RECEIPT OF THE MAERI L DESCRIBED ED HE
TO COPY NO. DATE PRINTED NAME SIGNATURE
2.
3.
4.
5.
SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)
MATERIAL DESCRIBED HEREON HAS BEEN: PAGE OR COPY NO
D DESTROYED DTORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 3845)
OFFICE SYMBOL DATE PRINTED NAME OF CUSTODIAN OR REP SIGNATURE
DESTRUCTION RECORD NO.
DATE
PRINTED NAME OF CERTIFYING/DESTR. OFF.
SIGNATURE
PAGE OR COPY NUMBER
DATE
PRINTED NAME OF WITNESSING OFFICIAL
SIGNATURE
SECTION D - REPRODUCTION AUTHORITY
NUMBER OF COPIES TO BE REPRODUCED
AUTHORIZED BY
DATE
SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)
RECEIPT OF DOCUMENT(S) ACKNOWLEDGED Q DOCUMENT(S) HAVE NOT BEEN RECEIVED
^TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
DATE
PRINTED NAME, GRADE OR TITLE
SIGNATURE
COMMENTS
Approved For Release 2000/08/08 : CIA-RDP96-00788R001600100004-1