13-00000
CONFIDENTIAL
*(When Filled In)*
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REQUEST FOR DISSEMINATION CHANGE OR CABLE REFERENCE SERVICE
TO: CABLE SECRETARIAT BRANCH, OC CABLE REFERENCE SECTION IA-53 HQS. EXT. 6159, TUBE ES-6 CT-7
FROM: NAME OF REQUESTER M D Felton DIVISION/BRANCH HT-1 D DOLPIC
DATE 9 Aug 76 EXTENSION 1649
□ It is requested that the dissemination of
_________________________
IN/DIR. NUMBER
_________________________
STATION NUMBER
be changed as indicated.
□ ADD: _________________________
□ Recall copies from: _________________________
□ Change action from: _________________________ To: _________________________
Authorized by: _________________________
NAME (type or print)
In coordination with: _________________________
NAME (type or print)
□ Please furnish one copy of the cable described. I have ☒ have no ☐ made inquiry of the CS Records control system.
IN/DIR NUMBER 2740
STATION NUMBER Rome 5861
DATE May 18
SUBJECT RAY
SIGNATURE
M D Felton
FORM 1604 USE PREVIOUS EDITIONS
CONFIDENTIAL
E-2, IMPDET. CL BY 007622 (47)
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*Stamp on right margin:*
AUG 9 10:16 AM 1976