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garigGh Removes &! G-21 (Rey. 2-31-65) INSTRUCTIONS: This farm is to be removed from file by a Filing Unit employce only upon the return of the ‘item. Date of Mail § ” 2 | ([) Outgoing letter | Ce (C? Memorandum ee — Co Airtel eee (CL) Teletype C. Enclosure (describe? a) Personnel Security Questionnaire (PSQ) — (P Leynlty Form canna ([} Other (describe) SSS | | if tani et Se _ eg BELT SLPLIE- | | !Removed for Removed by mee for Removal C1'F or -opving (If for another agency, list agency and date of request. » CT Te send to [2 To attach to ([} For office use LO For'change to another file : : ” + Bee REL OE: SON Soerneanew pee ae aoe < VIEpH SCE SEs