◆ SpookStack

Serial Removol Charge Out _ ,™ 4-21 fh 10-65) @ 8 INSTRUS TIONS: This form is to be removed from file by a Filing Unit enipleyce only upon the return of the item. aa . owes rt et pe? Type of Moil Date of Mail ([] Report Subject [] Incoming letter {7} Oulgoing letter _) Memorandum (_) Airtel {_} Teletype {_) Enclosure ¢describe} YL KE K Imberalory Work Sheet ("3 Personne! Security Questionnaire (PSQ) (—} Layalty Form [_] Other (describe? Removed by Date of Removol Recson for Removai (C] For copying (If for another ugency, list agency and date of request.) (_j To send to (1 To attach to (_) For office use () For change to another file oh Other {Specify) Complete File and Serial Number 1 Ne re eet we en sam | es = owner ees ue Fr were Ee ee ow tt