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HEARNAP — Part 4
Page 211
211 / 672
a2) gRev, 2-15-65 ts a t-: a
INSTRUCTIONS: This form is to be removed from file by a Filing Unit «mployee only upen the return of the item.
Subject ~
Type of Mall . ; Dote of Moil
(") Rep
; ¥
oO Inconting letter
(_) Outgoing Ictter
(C) Memorandum
(2 Airtel ne
(1 Teletype ri : aa
(3 Enclosure (describe)
(i betoratory Work Sheet.
"‘(7] Personnel Security Questionnaire (PSQ) SS a
(] Loyalty Form
(C) Other (describe?
‘ge
Removed for . Gcte of Removal
Reason for Removal
(CO For copying (I¢ for another agency, list agency and date of request.)
(LD To send to
([) Toattachto.. .- -
( For office uee .
([) For change to another file ~~ a
; ;
(L] Other (Specify) ua . : "ss .
‘.
:
ate
. - QO -
Complete File and Seria! Number 7) =f =) ” 3
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