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HEARNAP — Part 9
Page 481
481 / 1139
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INSTRUCTIONS: This form is to be removed from file by a Filing Unit rmployce only upon the return of the item.
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Subject
Type of Mail Date of Mail
[J Report
{_] incoming letter
LJ Outgoing letter $$ Kr
LC) Memorandum
C2 Airtel —
CC} Teletype pee
[J Enclosure (describe) —
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batoratery Work Sheet
((} Personne! Security Questionnaire (PSQ)
CD Loyalty Form
[[} Other {describe}
Removed fer Removed by
Mr.
Mrs,
Dote of Removal
Room ; * CLLO
Reason for Removal
(CL) For copying {If for another agency, list agency and date of request.
[J To send to
(J Te attach to
C) For office use
(C) For change to another file
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Cporrer (Specify) é
Complete File and Serial Number
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