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104-10103-10096 JFK Assassination Records Archives 1 (6/7/1976)

handle is hein.jfk/jfkarch10039 and id is 1 raw text is: 1104-11 - UNCLASStFIED when blanik-TOP .ET when attached to Top Secret Document- omatically downgraded or declassi- fied when filled in form is detached from controlled document. CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT DOCUMENT DESCRIPTION REGISTRY SOURCE CIA CONTROL NO. os subcomitt apo~ .~ Ts 185246/A DOC. NO. DATE DOCUMENT RECEIVED DOC. DATE COPY NO. oa LOGGED BY NUMBER OF PAGES NUMBER OF ATTACH' NTS ATTENTION: This for will be placed on top of and attached to each Top Secret document received by the Central Intelligence Agency or classified Top Secre 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 matter is limited to Top Secret Control personnel and those individuals whose official duties relate to the matter. Top Secret Control Officers who receive and/or release the attached Top Secret material will sign this form and indicate period of custody in the left-hand columns provided. Each individual who sees the Top Secret document will sign and indicate the date of handling in the right-hand columns. REFERRED TO RECEIVED RELEASED SEEN BY OFF ICE SIGNATURE DATE TIME DATE TIME SIGNATURE OFFICE/DIV. DATE _ _ _ _ _ _ ____ 2L, u Rep odUc NOTICE OF DETACHMENT When this form is detached from Top Secret material it shall be completed in the appropriate spaCes below and transmitted' to Central Top Secret Control for record. -DOWNGRADED DESTROYED DISPATCHED (OUTSIDE CIA) TO By (Signature) TO BY (Sinature) WITNESSED BY (Signature) BY (Signature) oIDATEE DATE OFFICE DATE F06. PR[Iu 9 0ITI1CNS. 26'.,stP - o . TOP SECRET *10096\ 10F Ut11:1 11 E ( (I *1 II) (40

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