[104-10227-10000.pdf — page 4]
TOP SECRETUNCLASSIFIED when blank--TOP SECRET when attached to Top Secret Document--Automatically downgraded to SECRET when filed in form is detached from controlled document.# CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENTDOCUMENT DESCRIPTION REGISTRY| Source                |              | CIA Control No.        || --------------------- | ------------ | ---------------------- || Doc. No.              | SR/CI/K      | TS# 191722B            || Doc. Date             | ΧΛΑΖ-17241/2 |                        ||                       | 19 MAY 1964  | Date Document Received || Copy Na.              | #Repro 2     | 15 JUN 1970            || Number of Pages       | 22           | Logged By              || Number of Attachments |              | B                      |ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intelligence Agency or classihed Top Secret within the CIA and will remain attached in the document until such time se it is downgraded, destroyed, or transmitted outsideof CIA Access to Top Secret matter is limited to Top Secret Control personnel and those individuals whose official Juties relate to the matier. TopSecret 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.| REFEPRED TO                |             | RECEIVED    |      | RELEASED    |      | SEEN BY   |             || -------------------------- | ----------- | ----------- | ---- | ----------- | ---- | --------- | ----------- || Office                     | Signature   | Date        | Time | Date        | Time | Signature | Office/Div. || DDP(TSCO)                  | B. Ligg     | 15 JUN 1970 | 9:15 |             |      |           |             || DCT/OLC                    | Korden      | 15 June     |      |             |      |           |             || Scott Blickenridge         |             |             |      |             |      |           |             || DDO/TSCO                   | B. Ligg     | 19 JUN 1978 |      | 19 JUN 1978 |      |           |             || Theparel                   | Mr. Shepard | 19 jun 75   |      | 19 june 75  |      |           |             || SCI/OCC (May)              |             |             |      |             |      |           |             || DDO/TSCO                   | B. Ligg     | 20 JUN 1978 |      | 23 JUN 1978 |      |           |             || DCT/OCC                    |             |             |      |             |      |           |             || Breckinridge or Gabrielson |             |             |      |             |      |           |             || DDO/SCO                    |             |             |      |             |      |           |             |NOTICE OF DETACHMENT: When this form is detached from Top Secret material it shall be completed in the appropriate spaces below and trans- mitted to Central Top Secret Control for record.| DOWNGRADED     |      | DESTROYED                |      | DISPATCHED (OUTSIDE CIA) |      || -------------- | ---- | ------------------------ | ---- | ------------------------ | ---- || TO             |      | BY (Signature)           |      | TO                       |      || By (Signature) |      | WITNESSED BY (Signature) |      | BY (Signature)           |      || OFFICE         | DATE | OFFICE                   | DATE | OFFICE                   | DATE |FORM 26 USE PREVIOUS EDITIONS. (OP 1)TOP SECRETGROUP I EXCLUDED FROM AUTOMATIC DOWNGRADING AND DE CLASSIFICATION(40)