[104-10227-10000.pdf — page 129]
# TOP SECRETUNCLASSIFIED when blank-TOP SECSET when attached to Top Secret Document-Automatically downgraded to SECRET when filled in fornt is detached from controled document.## CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENTDOCUMENT UESCRIPTIONSourceC/SRDoc. No. CSC1-3/781,491.Doc. Date 19 May 1964_Copy No. #Repro 2....Number of Pages 2Number of AttachmentsREGISTRYCIA Control No.TS# 191722C_Date Document Received15 JUN 1970Logged By![signature]ATTENTION: This form will be placed on tee of and attached to each Top Secret document received by the Central Intelligence Agency or classi fied Top Secret within the CIA and will reman attached to the document until such time as it is downgraded, destroyed, or transmitted outside of CIA. Access to Top Secret matter is limitent to Top Secret Control personnel and those individuals whose official duties relate to the matter Top Secret Control Officers who receive andior release the attached Top Secret material will sign this form and indicete 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 || DDP(TSCO)                         | ![signature]B. Bigg  | 15 JUN 1970 |         |             |      |           |             |      || DCTcome                           | ![signature]         |             |         |             |      |           |             |      || Food Bruckinridge Scott           |                      |             |         |             |      |           |             |      || DDO/TSCO                          | ![signature]B. L21gg | 19 JUN 976  |         | 19 JUN 1070 |      |           |             |      || Slypepte                          | ![signature]         | 19 gem 78   |         | 19 June 8   |      |           |             |      || ACC(MY)                           |                      |             |         |             |      |           |             |      || DDO/TSCO                          | ![signature]B. L21gg | 20 JUN 1978 |         | 20 JUN 1978 |      |           |             |      || DCI/OLO Breckinciye er Hakaielsen |                      |             |         |             |      |           |             |      || DDO/TSCO                          |                      |             |         |             |      |           |             |      |NOTICE OF DETACHMENT: When this form s detached from Top Secret material it shall be completed in the appropriate spaces below and trans mitted to Central Top Secret Control for recors.| DOWNGRADED     | DESTROYED                | DISPATCHED (OUTSIDE CIA) |      || -------------- | ------------------------ | ------------------------ | ---- || TO             | BY (Signature)           | TO                       |      || By (Signature) |                          | By (Signature)           |      || OFFICE         | WITNESSED BY (Signature) | OFFICE                   |      ||                | OFFICE                   |                          | DATE ||                | DATE                     |                          |      |FORM 26 USE PREVIOUS EDITIONS. (OP 1)TOP SECRETGROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADING AND DECLASSIFICATION(40)TOP SECRET