◆ SpookStack

SIGNATURE DOCUMENT DE$Cm?TiCN SOURCE C. DD/P/TSS CIA CONTROL MO, 101077 DATE DOCUMENT RECEIVED NUMBER OF PAGES 2 mSmbEROF ATTACHMENTS 101 0 ? 7A ATTENTION: This form will be attached to each Top gec«t document received by the Central Intelligence Agency or classified Top Secret within the CIA and will remain attached to the document until such time as it is downgraded, destroyed, or transmitted outside of CIA. Access to Top Secret materia! is limited to those individuals whose official duties relate to the material. Each alternate or assist- ant Top Secret Control Officer who receives and/or releases the attached Top Secret material will sign this form and indicate, period of custody in the left-hand columns provided. The name of each individual who has seen the Top Secret document and the date of han- dling should be indicated in the right-hand columns. —- -» EFJEBRED TO OFFICE RECEIVED .ftEl£A$€Q | SIGNATURE DATE V TIME : DATE “ ^TIME-| SEEN ST NAME AND OFFICE SYMBOL idyd a- \ iriiftVVrirTt r; osity f ,-4Bf475 - un3~I377""™™_” NOTICE Or DETACHMENT: When this form is detached from Top Secret material it shall be completed in the expropriate spaces below and transmitted to Central Top Secret Control for record. THE TCI' SECRET MATERIAL DETACHED FROM THIS FORM WAS: BY {Signature) OOVHKiRAPtD ~ DESTROYED Tj ’ ————— ’ . ’ DISPATCHED (OUTSIDE CIA) TO