CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

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This document is a classified record from the US Army Material, Systems Analysis division. It is dated May 8, 1980, and is a control log for a special study titled "Special Study No. I." The document includes routing information and a destruction certificate, indicating that the material described was either torn in half and placed in a classified waste container or destroyed. The document also mentions a reproduction authority, but does not provide any details. It ends with an approval statement from the CIA dated August 7, 2000.

Text

Body:  CLASSIFIED DOCUMENT ACCOUNTAE3LITY RECORD
 June l98)
 For use of this form, see AR 280.5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.
 FROM: US Army i ateriel, Sy t+   Anal eis  iotr!
 TO: commander
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 SUSPENSE DATE'S)                        REGISTER OR CONTROL NO.
 DATE i-2ECEIVED    ACTION OFFICE(S
 8May1980
 Ct)NTROL, LOG
 CLASSIFI-   N
 UMBER OF
 DESCRIPTION (Type. File Ref., Unclassified Subject
 r Short Title and Number of Indorsements/Incls)
 DATE OF
 DOCUMENT
 ORIGINATOR
 OR FILE NO.
 CATION
 COPIES
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 LAME Special Study No. I   ..--........-_-
 3
 FOLLOWS--__......----..
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 E4  ON
 Jul 98
 SECTION B B. ROUTING
 TO
 COPY NO.
 DATE
 PRINTED NAME
 SIGNATURE
 2.
 3.
 4.
 5.
 SECTION C - DESTRUCTION CERTIFICATE  (Check appropriate block)
 MATERIAL DESCRIBED HEREON HAS BEEN:
 ED DESTROYED                        [--]TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)
 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 E. RECEIPT/TRACER ACTION (Check appropriate block)
 RECEIPT OF DOCUMENT(S) ACKNOWLEDGED                                  .        DOCUMENT(S) HAVE NOT BEEN RECEIVED
 0TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.
 DATE
 PRINTED NAME, GRADE OR TITLE
 SIGNATURE
 D
 DA FORM 3964,     Nov 72              REPLACES DA FORMS 1203. (SEP 58: 1204. 1 JAN 60: 63i. I MAR 82 AND
 48 1 OCT 63, WHICH ARE CESOLETE.
 Approved Fortelease 2000/08/07 : CIA-RDP96-00788R001100080012-0