◆ SpookStack

_ Serial Removal Charge Out —~ o™ . a ter) Glow. Mef1-6 54 , a INSTRUCTIONS: This form is to be removed from file by a Filing Unit employee only upon the return of the item. Subject " OT Fhe ney : : Type of Moll - ; : (7) Incoming fetter . - [_] Outgoing letter eee ~ (CO Memorandum Airtel . Cc} Teletype SSS (_) Enclosure (describe) be fe fore @ (_) leerboratory Work Sheet Ty re 4 ; (C] Personnel Security Questionnaire (PSQ) [[] Loyalty Form ——————— (C) Othee (deecribe) Removed for. Removed by . Dote of Removal ([) Mr. Cs ities : sek 3Y8 1-46-76 C_} Room Reason for Removal . CJ For copying (if for another agency, list agency and date of request.) CI To send to (} To attach to {—} For office use (_) For change to another file (C) Other (Specify? : a “ Caen oe i é :