CONTROL, LOG

OR FILE NO.

DATE
REC'D

DA FORM 455, JUL 1962

C
L
A
S

NO.
OF
CYS

DESCRIPTION (Type, File Reference, Unclassified Subject or

Short Title, No. of Pages, Copy Numbers, etc.)

REPLACES EDITION OF 1 JAN 57, WHICH IS OBSOLETE.

ORIGINATING
AGENCY

DATE OF
DOCUMENT

ROUTED
REMARKS (Disposition, Dest'n Cert
TO
No. and Date, Custodian Signature, etc.)

MAIL AND DOCUMENT REGISTER

PAGE NO.

For use of this form, see AR 380-5; the proponent agency

is Office of the Assistant Chief of Staff for Intelligence.

APD LC v2.20