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104-10310-10177 JFK Assassination Records Archives 1 (1/12/1976)

handle is hein.jfk/jfkarch18932 and id is 1 raw text is: 1O4.iO31O~1O177


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UN'1ASSIFIED   when btank-TOP   SECRE    hen  attached to fop Secrst Document-Autc  cally   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.
 Review     Staff/Elder                                                A
 ,DOC. NO.                                                                               DATE DOCUMENT  RECEIVED
 DOC. DATE             74
 OPY  NO.LOGGED BY
 NUMBER OF PAGES      7                                                                               e
 NUMBER OF ATTACHMENTS


 ATTENTION:   This form will be placed on top of and attached to each Top Secret document received by the Central Intellitence 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 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
   OFFICE              SIGNATURE            DATE   TIME    DATE   TIME           SIGNATURE           OFFICE/DIV.    DATE


 SA/DDO

 Mr.   Waller



































 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                       DI SPATCHED   (OUTSIDE CIA)
TO                                        By  (Signature)                          TO


BY (Signature)                            WITNESSED  BY (Signature)                BY  (Signature)


OFFICE                    DATE            OFCE                      DATE           OFFICE                    DATE


FORm 2    s   aoevious cooTions.
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TOP   SECRET

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