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HEARNAP — Part 16
Page 475
475 / 934
INSTRUCTIONS: This form is to be re d from file by a Filing Unit employee only 2... return of the Item.
Subject }
(J inc omingetter
LD Outgoing letter eee
[7] Memorandum
[ Airte!
C3 Teletype
(J Enclosure (deacribe)
Cif dC has a Ley Me 4 ss Getwery
(7) Personnel Security Questionnaire (PSQ)
([) Loyalty Form
[Jj Other (describe)
Removed for Removed by
Dote of Removal
}.
Le ~ Plo
Reason for Removal
{([) For copying (If for another agency, hist agency and date of request.)
([j To send to OO
ee
(} To atlach te
[3 For office use «
([) For r change to ano her file
DB Other {Specify}
SPE ee Mn I CO FI le pe ek te ete
ae AAS mtn! TN gee TTS ery ws
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