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HEARNAP — Part 4
Page 216
216 / 672
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Type of Mal ‘ Date of Mail
oz) Repot
Cc Incoring Jetter
([} Outgoing letter
() Memorandum
(7) Airtel .
C7] Teletype
[C] Enclosure {deacribe)
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{_] Laboratory Work Sheet. __.
pm Personnel Security Questionnaire (PSQ)
oO Loyalty Form
co Other (describe)
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Reaton for Removal
(_) For copying {If for another agency, list agency and date of request.)
(-} Te send to
‘() Teetlach to. - + --
(C) For office use
(Cl) For change to another file
‘(Other (Specify? —_
Complete File ond Serial Number
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