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HEARNAP — Part 19
Page 233
233 / 919
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Tc
Serial Removal Charge Out
4-21 (Rev. 2-11-65) fy ih. GS
INSTRUCTIONS: 7
is to be removed from file by a Filing Unit employee only upon the return of the item
“Date of Mail
} {J Report
{_) Incoming letter
CC) Outgoing letter
(C) Memorandum
(2) Airtel
{-} Teletype
me
a
TT
a LT
a 9 SP SS
st
{() Enclosure (describe?
Cj Personnel Security Questionnaire (PSQ) i
(Cj Loyalty Form oe
{_} Other (describe)
Rem Date of Removal
ved for Removed dy
tL 6 OE
Reason for Removal
[} For copying (If for another agency, list agency and date of request.)
(2 To send to
(} To attach to
(2 For office use
[J For change to another file
cfoner cify) Chie (a4 : —- ;
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