◆ SpookStack

PO te he TE ey A ti tM ey a Serial Removal Charge Out oe ‘@® . 4-2) (Rev. 2-11-65) G3 ie fad INSTRUCTIONS: is to be removed from file by a Filing Unit employee only upon the return of the item. Dote of Mail (_] incoming letter ()} Outgoing letter (_} Memorandum {} Airtel ee 1 ([} Teletype oe { (J Enclosure (describe) - . 4 Were re Z Li 2 go | firererator Work Sheet . , 4 oa 04 : (~) Personne) Security Questionnaire (PSQ) ______. ee (2) Loyalty Form | (1) Other (describe) a Removed for Mr. 5, Miss gc. Date of Removal WA 26 Reason for Removal (7) For copying (If for another agency, list agency and date of request.) (() To send to {) Te attach to (J For office use (CO For change to another file f Other (Spdfi LZ ett — Complaie File and Serial Number ~ LT A? ” oe Ha2~