◆ SpookStack

| Serial Removal Charge Out aa tf“ . ; i om, a os - - 4-2) (Rev. 2-11-85) - ( oot vo @ ‘INSTRUCTIONS: This fori is to be removed from file ‘by a Filing Unit employee only upon the return of the item. | Date of Mail a ". (7) incoming letter © [L] Outgoing letter (~j Memorandum C3 Airtel . (—) Teletype oO Enclosure {describe} set et tet Boe (DLS 26 shy Daborntery Work Sheet ; a. z (7) Personnel Security Questionnaire (PSQ) (C] Loyalty Form (() Other (describe) Removed for . a os - | Removed by : . Date of Removal Reason for Removal [7] For copying (If for enother agency, list agency and date of request.) ("j To send to Oo To attach to C3 For office uee - . oO For change to another file Other (Specify) “Complete File and Serial Number woe ewe ere e+