3-00000.
CONFIDENTIAL
*(When Filled In)*
REQUEST FOR DISSEMINATION CHANGE OR CABLE REFERENCE SERVICE
TO: CABLE SECRETARIAT BRANCH, OC CABLE REFERENCE SECTION IA-53 HQS. EXT. 6159, TUBE ES-6 ET-7
FROM: NAME OF REQUESTER
DATE
Mario D. Felton
13 Aug 78
DIVISION/BRANCH: HT-1
EXTENSION: 1644
□ 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) ___________________________ EXT. ___________
In coordination with:
NAME (type or print) ___________________________ EXT. ___________
☑ Please furnish one copy of the cable described. I have ☑ have not □ made inquiry of the CS Records control system.
IN/DIR NUMBER: IN 25866
STATION NUMBER: COPE 7485
DATE: June 68
SUBJECT: MHPASHA
SIGNATURE: Mario D. Felton
FORM 1604 USE PREVIOUS EDITIONS
CONFIDENTIAL
E-2, IMPDET CL BY: 007622 (47)