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HEARNAP — Part 5
Page 237
237 / 905
erial Remove arge Uu oN -
te 2D CRiev. 29) b-65)
INSTRUCTIONS: This form is in be remoucd from file by a Filing Unit rnplayce only upon the return of the item. way
Type of Moll Date of Mail
) Report :
(Ct Incoming letter
(_} Outgoing letter
(CC) Memorandum
C7} Airtel
CC] Teletype
([} Enclosure (describe?
. a ™ .
(C) Laboratory Work Sheet
TC) Personnel Security Questionnaire (P3Q)
(C) Loyally Form
(CJ Other (describe)
Removed for Date of Removal
“y ~f/D
{3
Reason for Removat
(7) For copying (If for another agency, list agency and date of request.)
a
(L) To send to
C) To attach to
(") For office use
CC] For change to another file
C] Other (Specify? Coss Hw.
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