Doc 0000148380

--- \B r} I~ j .l, ~~ -- , ... ,·(.:, ' .. · .· :..--~ •. . ; ; ...... '::: ..~ ....... /1, ;.. /.7 ,. ~ ! C::J ~·lNG '· ACTIO'! c:::J - ------------1 CA~OING ~ INrORMATION c:=:J CI~CULATION [=:J INITIALING ..... .... c:=l c=J ~- CLASSIFICATION RETURN ·c=J· c:::J COO~DI'IATION SIGNATURE c:::J c::J EDITING TYPING I I l;j •· - ·-.....· - - · - · ~ , · ' - " · " --~-- .... ~ ' • C.I ." ·.· ...... ~- .... _ _.. ·... ...r 'n-\-c""" I o-- ~-~ ' .lJL....._,__c:S.ti . \ -~ ,. '. •. ~C-A-.~ ~~~..:··~--- G- •"'-!;·.~. -. . . ·. • . . . ,. -~ ·•. ·':' ~ ! :.__.. • .\ * . -~~ .. ~~--~ ~'t)~ -~- , ~--· t- Q...J. Q..~ .Q......o.•. ...._..-..... \ s. ''-- - . , \ . ~ (\ • Ll"' ' I • o . • • ~ ~ _Q_~ \~ uo.-c\. -- ~ ~. rORM '10. 69 I 1 ~ov ~" _..I - -- .. ....._•,r .....: ••• __. ,_ ·~ _,.·.·.:~ -·• .• ·----··. .· =···-·· -·.: •• • .. ·;·. •. :. ... • ~···.:· •·. -···.· 'ft·.· -,..;.· .... ------- -- - --. ·_ .- .. _ . ,.. .. . ,. . .... .•• , r.. ,-.., SS ROUTING SLIP ." .... . - .. _:.. ... .. •-; .. f.i?·ir=~··· ·.;.:.:~- ~·.--.~~/~ ~~~ ....... ~--~ ....... ·,.~-~,.-. !"" .. ..!"~~ I· FILIN:i ' , . ). ACTION . INFORM!\TION I CARDING RETURN CIRCULATION. CQO;:IDINATION TYP~· EDITING COHMENTS ·I 1/r . i I ,. \ I i • \ •·· 1--. .... ,\, _,.. -.,;•: ... ..., ... '"· . I • -----·---·- ··•··d· ......... ....... ;,.. ···-- : • ·' ......, . :.: .-.~-.:;.•.~ ."''\1 ~-~~ ...· ·: •• t ...... . ·. ·' The image displays a dark background with a stylized, glowing title "THE BLACK VAULT" in white. To the left, a graphic represents a vault door with intricate mechanical details, glowing with a blue light. The right side features text: "This document was obtained from The Black Vault, an online database of declassified government documents. This particular record is housed in the MKULTRA/Mind Control Collection, a compilation of more than 20,000 pages declassified by the Central Intelligence Agency (CIA). The entire collection is free to download and online at: http://mkultra.theblackvault.com". There are no photographs, handwritten annotations, official stamps, forms, diagrams, tables, or visible evidence of experimental procedures. The visual elements serve to frame the textual information, suggesting the origin and nature of the document. The page contains a "SS RO'NG SLIP" form with several checkboxes that appear to be related to action sorting or handling procedures. There is handwritten commentary below the form, questioning the effectiveness of a "gimmick" and using an example of delegates at a conference. The form also includes fields for "FORM NO." and a date, with "69" and "1 NOV 54" visible. Other visual elements include a large redacted area on the left side of the document and numerous small, scattered ink marks and smudges throughout the page, along with "A/B; I, 64," written in handwriting. The visually present content on this page includes a "SS ROUTING SLIP" form with checkboxes and spaces for handwritten entries. There is a handwritten annotation "13" in the upper left corner and a handwritten question "Additional study?" followed by "Any reme?" and "Co Refüruito.". Below the "COMMENTS" section, there is more handwritten text that appears to be a continuation of comments. The document also features lines of text that seem to be pre-printed form fields, with some checkboxes marked. There are no photographs, diagrams, or evidence of experimental procedures visible.