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OR hot Pat te ws CONTINIHING ANSWLES 10 one - GUL MIONS (how fom number ty which answer apply. esse the carbut pa pri 66 to Sept 57, Ar(ve NoM., Moab, Utah Gg an 9+ April 56 to | to April. sé Univ. of New "Mexico, Albqe, NM. July 2 to Sept. 5, Home, Pa. Sept 51 te@dsxeg\t52, Univ. "of Edinburgh, Scotland cen Feb. 47 to June 51, Univ. of New Mexico, Albuquerque, N.M. June LS to Feb L7, US Army, Alabama and Italy Jan 3 to June WS Home, Pa. | EST CAPY B ae ) “te yg arn . Re el nee en EET ied Stk eaten ee ent i ib byt a Cre 7 Jed tits ce ac habe oo geet preyiede ecg MPH ge dad bate: gondacted aol vie to tho Giys2 Borvice Comic eferree - nis Fey ay recult efchtct of F FBR ee ” . tte ey estigative fies, a To check arrest “frig FECES, TEQuest muet be sulmitted oe” , ol “the rb Ident! ification Division, we a aa EDERAL BORK AW Or ix VESTIGATION if ‘oad wo Service Commission. See Federal Personnel Manual Chapter +2 for details on use of this forro. 2. This form Is to be prepared in triplicate by the employing egency. Type all answers. fill in all 1 emma except 17 and 20. \ fs “No” or “None,” so state. ‘tems 1A, 2, 3, 4 and 10 can be obtained from the application. The appointee should be asked fo furnish information for items 1B and=- 5 thru 9. ftems 11 they 15 may be obtained from the agency copy of Standard Form 50 or other personnel records. In item 18 give name and full mailing address of the officiel in your department or agency to whom the _feports or levestigation should be sent. ff more space is needed for any item continue under item 19. a 4. The epeff>{2)0 LEK JELS« brigittd And the first carbon copy) the certification below tem 10. euhy soedy! ‘e454 9 Ser eRe” es CSS5 office of the United States Civil Service Commission Secret orcs oS CBEST COPY AVAILABLE B. Stenderd Form 87 (Fingerpgn6brted ris equa. | c Originghtaticfané £3 alti brosleroynsD made. include ivvestigative informetion about the Person received on voucher forms or otherwise. sath ttyl sutagyU 6. RETAIN THE ORIGINAL COPY OF STANDARD FORM BS (SIGNED BY THE APPOINTED) FOR-YOUR FILES. 1. This form must be submitted for each appointee to a norsenshtive position unless en exception has been — br u. §. cr If the answer, e° swt sacned