[104-10227-10000.pdf — page 2]
# TOP SECRETUNCIASSIFIED when blank-TOP SECRET when attached to Top Secret Document-Automatically downgraded to SECRET when filled in form is detached from controlled document.## CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT|                          |                        || ------------------------ | ---------------------- || **DOCUMENT DESCRIPTION** | **REGISTRY**           || Source                   | CIA Control No.        || SR/CI/K                  | TS# 191722             || Doc. No.                 | Date Document Received || XAAZ-17241               | 15 JUN                 || Doc. Date                | 1979                   || 20 APR 1964              | Logged By              || Copy No.                 |                        || Repro 2                  |                        || Number of Pages          |                        || 38                       |                        || Number of Attachments    |                        |ATTENTION: This form will be placed on top of and attached to each Top Secret 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 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   | BEEN BY |            |      |           |             |      || ------------ | --------- | ---------- | ------- | ---------- | ---- | --------- | ----------- | ---- || Office       | Signature | Date       | Time    | Date       | Time | Signature | Office/Div. | Date || DDP(TSCO)    | B. Ligg   | 15 JUN     | 1070    | 15 JUN     | 1379 |           |             |      ||              |           | 1978       |         | 1979       |      |           |             |      || QCI/OLC      |           |            |         |            |      |           |             |      ||              |           |            |         |            |      |           |             |      || DDO/TSCO     | B. Ligg   | 19 JUN     |         | 19 JUN     |      |           |             |      || 10/15        |           | 1678       |         | 1379       |      |           |             |      ||              |           |            |         |            |      |           |             |      || D/DDO/TSCO   |           | 19 June 78 |         | 19 June 78 |      |           |             |      || AC/CI(Arhoy) |           |            |         |            |      |           |             |      || DDO/TSCO     | B. Ligg   | 20 JUN     |         | 20 JUN     |      |           |             |      ||              |           | 1978       |         | 1378       |      |           |             |      || QCI/OCS      |           |            |         |            |      |           |             |      ||              |           |            |         |            |      |           |             |      || DDO/TSCO     |           |            |         |            |      |           |             |      |NOTICE OF DETACHMENT: When this is emitted to Central Top Secret Control for r| TO             | DOWNGRADED || -------------- | ---------- || By (Signature) |            || OFFICE         | DATE       |FORM 26 USE PREVIOUS EDITIONS.6-64 (OP 1)When finished with these documents return them to DDO/TSCO as we are the control Office for these documents,TS# 191722TS# 191722ATS# 191722BTS# 191722C> [Figure] Table showing the latest version, lived in Nikol, entered "zero", Moved to Lening and then direct then director c cessively on Ul Pr. Maxima Gor (different ones, Father appointe missar of Shipt Commissar. Fam at Ul. Serafine year school No. Polyanka, Completed 6th with parents wheLATEST VERSIONLived in NikolEntered "zero"Moved to Lening and then direct then director c cessively on Ul Pr. Maxima Gor (different onesFather appointe missar of Shipt Commissar. Fam at Ul. Serafine year school No. Polyanka.Completed 6th with parents whe1927 to 1934Fall 19341935 to 19381938June 1941![TOP SECRET EYES ONLY] Top Secret and Eyes Only marked vertically on the right side of the sheet