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HEARNAP — Part 7
Page 619
619 / 896
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INSTRUCTIONS: This form is to be @... from file by a Filing Unit employee only ®.... return of the item. .
ee . . .
Type of Mail U . Dote of Mail
(_} Report
(Cl) Incoming letter
(L) Outgoing letter
[_) Memorandum ——- ror a>
L) Airtel eS
{—) Teletype wn
(CD Enclosure {describe}
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([] Laboratory Work Shcet
{_] Personne} Security Questionnaire (PSQ)
(_) Loyalty Form
7} Other (deecribe)
tat
Removed far Removed by Date of Removal
Wis , 3¥3 /-S- 76
Reason for Removol we °
(_) For copying (If for another agency, list agency end date of request.)
(_} To send bo
{_) To attach lo
() Fer office use
(_] For change to another file
(_) Other (Specify) Cowan ct.
conplen File ond Serial Number _7421S200-759
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