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104-10103-10089 JFK Assassination Records Archives 1 (6/10/1976)

handle is hein.jfk/jfkarch10036 and id is 1 raw text is: 1104-i13~O


TOP  SECRET_______


N    $5FIED   heblank-TO S  T r when 'attached to Top Secret   Dowssi
ed v  n fill in form' is 'detached 'from  controlled document.

               SCONTROL 9AND COVER SHEET FOR TOP SECRET DOCUME  NT1


    DOCUMENT  DESCR IPT ION'.?                                                                REG ISiY



oc.  No.                                                                           DAE  DOCUMENT RECE IVE   i
DOC. DATE '                                                                                         .
COPY NDO.                                                                      '¾, LOGGED BY y
NUMBER OF. PAGES
NUMBER OF ATTA              b t


ATTENTION:  Thisform will be placed on t6p of and 'attached to each Top Secret document, received by theCentral¾IntelltgenceA g
or classified Top .Secret within the CIA and will remain attached to the documnt ::until su  time  i.downgraded 'destro
transmitted outside 'of CIA. Access to Top Secret matter is limited to Top Secret Control peroitel and toseididualswhosafi
duties relate to the matter. Top Secret Control Oficers who receive and/orrelee  e attache  Top Secet     i will  n'flf
and indicate period of custody in the left-hand columns provided. Each individua who sees the Top Secret document  ill 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         OFFICE/DIV,   DATE

 D/10                                   oJ        19?



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 NOTICE OF DETACHMENT:   When  this 'form is detached from Top Secret material it shall be completed In the. appropriate spaces belota
 and transmitted to Central Top Secret. !Contro for record.

              DOWNGRADED                          7. :DESTROYED'     .             DISPATCHED   (OUTSIDE CIA)
TO                                         (Signature)                        TO


B Y (S ig n ature)                      WITNESSED BY (Signature)              BY,{Signature)


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