[104-10227-10000.pdf — page 5]
# TOP SECRETUNCLASSIFIED when blank—TOP SECRET when attached to Top Secret Document—Automatically downgraded to SECRET when filled in form is detached from controled document.## CONTROL AND COVER SHEET FOR TOP SECRET DOCUMENT|                          |                        || ------------------------ | ---------------------- || **Source**               | REGISTRY               || DOCUMENT DESCRIPTION     | CIA Control No.        || C/SR                     | TS# 191722C            || Doc. No. CSC1-3/781.491. | Date Document Received || Doc. Date 19 May 1964    | 15 JUN 1970            || Copy No. # Repro 2       | Logged By              || Number of Pages 2        | ![signature]           || 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 classi tied 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 || DDP(TSCO)                          | ![signature]  B. Ligg          | 15 JUN 1970 | 15 JUN 1970 |           |             |      || DCI/OLO Scott Buckinridge          | ![signature] Scott Buckinridge |             |             |           |             |      || DDO/TSCO                           | ![signature] B. Ligg           | 19 JUN 978  | 19 JUN 1978 |           |             |      || Silipsh                            | ![signature]                   | 19 jun 78   | 19 JUN 78   |           |             |      || ALC(MY)                            |                                |             |             |           |             |      || DDO/TSCO                           | ![signature] B. Ligg           | 20 JUN 078  | 20 JUN 1970 |           |             |      || DCI/OLO Breckinridge or Sabristsen |                                |             |             |           |             |      || DDO/TSCO                           |                                |             |             |           |             |      |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 records.| DOWNGRADED     | DESTROYED                | DISPATCHED (OUTSIDE CIA) |      || -------------- | ------------------------ | ------------------------ | ---- || TO             | BY (Signature)           | TO                       |      || By (Signature) | WITNESSED BY (Signature) | BY (Signature)           |      || OFFICE         | DATE                     | OFFICE                   | DATE |FORM 26 USE PREVIOUS EDITIONS.6-64 (OP-1)TOP SECRETGROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLASSIFICATION(40)# TOP SECRET