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CIA

This document is a contract between the CIA and an individual for the submission of a medical report, outlining compensation and terms of service.

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-- ~ ... -~-=- _.. _ __ "':"":..;;;..:;·· ,- .. ·...-.-; ... " ---.. ..- ~-.- -· ~ • • ------------------ --- ----- --~-------------- II l.··, • ..;-' --1...' e .· ~..._- ... .:.:, .·.-.. :~. ~-·-.. 0 , •• l.: . ',. I • ..... , Dr.-~, -·----·~:-~·- ·. : :· -· ' >\\ ___ __ De:t-r · · · _ · ~- .,__ -·------- . TJ:.o U:.:i!..::1 =t:.~:l C:;;·.;~::.u~::. ::.: r:p~e::::tc:l b"'J ~~o Cc:1tr::.l !-::~:.·1li::===~ Agency, hcnby eontr.:.eto.with.you !or t.'le subminclon or a :r.oedieul l"<:p?rt, 1•. tne subject matter of which has or \rill be ml:.de known to you. under the. iollcn.?ins terms and concliti.oM: .·I; 1. Co:"!lpens::.tion. In !ull considera~on !or the submission of said r~t-ort, you '\:'~ill be paid u. $~u0 !-oe. Two hundred c!oll:&.rs (tZOO) o£ s=i::O !ec will be p!lid yeu upo~ t.'lo ~ccution of this contract by the Contr:&.ctin0 Officer. i Upon the uaticf.::tory completion z.nd cuin::Uosion oi oaid report you will ~eceive n ,.,::;i){l tl::lymcnt. i~o 4co--=~r.U income tGX will be 'ltA~\;;i.u. ~•-o•;l u.A" !e:e, bm; it will b3 your :nsponoibllity to report such income under e::i::tiil; C'cderal incomo tax laws &nd !ffl gula.tions. The Central Intelligence Agency llt:mda rei:.dy to asaiot yc.u aG to the method to be followed. in reporting tilia fee on your Federal income tax return in order to preoerve security. ··""·. :"';" 2. &.:ec:ution o! DocumP.nt::s. U, in e.e per!ormnnce o! se:-v!::es under ··_· · tl::is co:1treet. you as::sume ue cu.atody oi Government funds or tolke title of .. :;::.~:;.:;1 tu p..-operty cf nny ~.:.~c nZ.:.:coa~-cr en:! ,..-=.:;:-:-;-:-: ci=.::.t::, -::i:l:. property has in fact been purchased. with monies o£ the U.S. Govern:ncnt, . you hera~· recognize end 2ekn0wledge the existence o£ a truot relationship, ~: eiiher eJ..'";)ress or ecnotru...4:ive, and you agree to execute wha..+ever C.~nta ... . may be req.Ured by CIA to evidence thia relationship. )~ , ·';.~;~ · ~:~-;] ·_ ---~ . 1 3. Sbtus. You are not an employee of th~ United States Government<:':: under thia anraement and are not entitled to any benefits normally incident_.-·~ to an employee status. · · · . : ·· ·_·. · · _,_ . _ , . ~':~ ;..']:_"-I· ·. . ~ .. .' 4. ~~P ~~ ~~.:~~~: Secre!'_Y. YoU wllll><>. required to fo1'0vereecret and all i:lbrm~f:ion whi:h you m::ty obtain by rea.oon hereof (unless rele:ised . 1 in writing by CIA £:-om GUCh obliaation), '\.-"'ie The image displays a digital representation of a document. On the left side, a detailed illustration of a vault door with intricate mechanisms is visible, rendered in shades of blue and gray. To the right of the vault illustration, bold, white text reads "THE BLACK VAULT," set against a dark background with a blue glow. Below this title, white text provides context, explaining that the document originates from an online database of declassified government records, specifically the MKULTRA/Mind Control Collection, and offers a URL for access. There is no photographic content, handwritten annotations, official stamps, forms, diagrams, tables, or visual evidence of experimental procedures visible in this depiction of the document's header or introductory screen. . : ·· ·_·. · · _,_ . _ , . ~':~ ;..']:_"-I· ·. . ~ .. .' 4. ~~P ~~ ~~.:~~~: Secre!'_Y. YoU wllll><>. required to fo1'0vereecret and all i:lbrm~f:ion whi:h you m::ty obtain by rea.oon hereof (unless rele:ised . 1 in writing by CIA £:-om GUCh obliaation), '\.-"'ie rwll howlcdce that '-iol::l.~n::l -' I or zucll cec:recy may £ubj:ct you to cri:r..ina.l prosecution u:£der t.'le !:zpic~ge i and ~aws, dated 25 June 1949, &B amended, ether applic~e la.wa :md rc SU• . . _ . ... --. -:. ._ .·. l~ona. ;..c . ... -.. .. .. · ~ · . ·t ; ·. • ·· - ~ < · ~ · . .. : .. . . - • .. ~. .• ..... ~ . . .. . ........ ~ . , = .. - , . :- ~ :- L :· 11 I 5. !n::t~. . -~:'t!er:~. l=,!;tr..:.cti.o:lQ recei,~t1 b~ you !re~ ~!r-. in 1:'·~-=::L~~. tr-l::rln~ o:- o~-:.orwise ::tre a. part o£ t.'UG c:o~t:-~t -a.'"ld aro incorpo:-.J.!:::::. h~:"ci::., pru·.rUiod _t.~at sach in::tr&~ctionu arc not iDconJ;itstent with Ole tern.:.s ;1c:r:ec~. 6. · Unn1!:..l]ori~«!_~om."'nitments.. No· promiat~ta or ccmm!tr:-m1:te per- t:-~,..:~~ t~ :..""~·-..: .:., ;:..:-•·-:.:.i,!·· .::~ c,r ..- .:~:::..:~·'"':; cti~~r \.:.: ~ tlto~-.~ e::~~-~o~. ..· r~ .. ~~-~!~'!'""),.;. :...-. .,,.::... ••: ~J. ~ ...... 4 ilu:·-!-::.;::;:.;.; or :J,;;./ a,;.:.:ac.;..l:..; ••: .:.l.t we%eto a;:...&..:.a.l ~ ... .,.i~~ oi :_:...:; Gove %J1Ine;lt. · .•. .. ·j • :" ! ' ......... · -. -- ... ----- ·=-·----~- .' I ------------..:....;· -- - • ........ ---· ..•... -~ ----.....--.....:...~.~·~--~---·--- II 0 I" _, ~.-....·... .. • ·, ··! .. . .... . , f -·· •t ~~· u.-;,u;£ t:.c~·:..:!l n:lt.i:;.: to:--=~: .:~-:-=>1 C:!.."., o.r u 1t:l f;e r~p:.>::;; i::o 0\!~t::::;l. w.:...:.~~­ ;.!·,.-r~r or:e~::-;. cn.~l!.o::. ~·c=::-.!.:l.~~c~:. of t:~c a~~:s.:£:m~~t v..~ n.;.:,~ ::~luc..-:,.:.. y·w..:~. !'!"Om the ohli~~ticnll of a~y t;;OCU11t)'- oeL~ )'0\r. uzy be ::·.!o1~ured t:> t:;.:_~~. ' I .. "i DY_ _______________________ __I i I; SpecW Contr3.:ti:1S Oflf.ccr I ·.-I• ·. . ---.. ~~----"-·---:----t------ .·. .. 'Vil'l'N.ESS: ! -· . .:_ ...... . _, -- ~ . -~ .. . -;,: ...... _ ... : . _ . . :- ,- _ 7 . _ .. · -..-• -~ :-·~ -;;.·.- .. -.~~- .... - .: ~ · ~ .~ ~ . ;· . . ·_: -~·· . ~ . .. . - .. , . _ . _ _.. • -~-- . This declassified CIA document is a typed contract. In the upper right corner, there is a handwritten circled number "379". There are no photographs, diagrams, stamps, or filled-in fields. The document is primarily composed of text detailing the terms and conditions of a contract for a medical report. There are no visible redactions or obscured content, and no visual evidence of experimental procedures, equipment, or facilities. ... : . _ . . :- ,- _ 7 . _ .. · -..-• -~ :-·~ -;;.·.- .. -.~~- .... - .: ~ · ~ .~ ~ . ;· . . ·_: -~·· . ~ . .. . - .. , . _ . _ _.. • -~-- . .·.: -'~~-·-. :<~/·. ::-; ; . ·· , : · • , . . ,, _ - . . _ . ... ~ .:" 1 ,· ... -;_· -. . ; . ~..: .. : . . :·· •;·: ·=:.' . ~-- .. ' !;_._.:,\ . . . " . '= : " " i ~ ~ • - - - - . · ~ · : - '" . ' \, . - . .- -~;"-o:·.~ -.... :r ·i. . '::· ·-··--· ; ., ;· ~ ~ . ... ;:.- ·: . :~ . .. : ~- . ; ·~·: -.... . . ~ . · ~ - . ~ . .~ · - ; . ·" . . ~ ' . . ~ . ;:. ! . ~ · . . . : · -_ . '_ ~ , - ~ - -- • ! ~ • ,;,.:-._:.e .... ·.:. .• ......... ~.· . . - -~- .. ~----:~ .. -.··.' . .·····. ··. ... ;-'""·. ·- .. _;~ ;- _, I ...·. •.. : ~;. ··. ~ ·: - . .. .,..._ ~_ ·. This page from a declassified CIA document appears to be a contract or agreement. It features a handwritten number "379" circled in the upper right corner and a handwritten note or signature on the left side, partially obscured by an ink smudge or stain. The document includes official headings such as "ACCEPTED," "WITNESS," and "APPROVED," which are typical of formal agreements. A stamp-like imprint reads "CENTRAL INTELLIGENCE AGENCY" with "BY" and "Special Contracting Officer" below it. There are also several horizontal lines representing fields for signatures or entries, some of which are partially filled in with handwriting or ink marks.

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