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7 mateeteaninnalentbesiatantnchaanatevethewenertnnntnrahtanbanarefahn meee oe
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CIA foun, NO, 3
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ATE eer RECEIVED
d by the Central Intelligence Agency or classified Top Secret
the document until such time as it is, «i ers destroyed, or transmitted outside of
LA. Access to Top Secret Vnaceriat is ‘Timited to those individuals whose official dutic to the mat Each alternate or assint-
+a Top devret Control Officer who reeeives and/or ses the et! 4 Top Scerct will sign this form and indicste period of
the left-hand columns provided.==The name of each individual wha has seen the Top Secret document and the date of h an
¥
ould be indicated in the right-hand colurins.—
eee}
‘Top Secret document recived b
tua the CHA and wi
wOTICE oF DETAEHIENT When this form is detached from Top Sccret_ material it shall be completed | int ‘the appropriate spaces betew &
Prtay Vey go
weiter OO-1
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