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Serial Removet Charge Out Fed 7 B21 Gee, PLEAS} INSTRUCTIONS: This form is to be removed from file by a Filing Unit employce onty upon the return of the item. Subject Type of Moil , {_} Report Ho an (] Incoming letter [7] Outgoing tetter (_} Memorandum {Lj Airtel ("3 Teletype (_] Enclosnre tdescribe} we on fo ° Laboratory Wort. Sheet {} Personne] Security Questionnaire (PSQ) (7) Loyalty Fors (} Other (deacribe? Removed for Removed by A} itr. fo} Mrs, fj Miss Reuson for Removal (_} Fer copying (If for another agency, list agency and date of request.) 7] Te send to {J To attach to 1} For office use {7} For change to another Tite — _ Date of ‘Moil } eS — a ee Date of Removal Way = Mo Sue ore OO at fe rh Olker (Specify) ee by Complete File ond Serial Number ia