◆ SpookStack

Serial Romoaval Charge Out - — Ae2l {iteu, -2 Ff) @ — . INSTRI'CTIONS: Jhis form is to be remoued from file by o Filing Unit emplovce only upon the return of the item. Subject Type of Moil ; Date of Mail 2 {} Report ee : H (T] Incoming letter - {_} Outgoing letter en (3 Memorandum TEN (3 Airtet a (} Teletype en 7} Enctvusure (describe) ~- va Laboratory Worl: Sheet “| {-} Personnel Security Questionnaire (PSQ)} (7) Loyalty Form {_} Other {deacribe? ee Removed far Removed by Date of Removal Mre mA Mra. 1 Miss . : en 7 - : bad Reason for Removal {_} For copying (H for another agency, list agency and date of requeat.) CC} To send fo i (_} To nitach to fj] For office ure aE C7} For change to amother file ~ _-—--—. ; : wo ay! . : Cif oe (Specify? —— Sey Fe ee es een ee ___. ey ae we Pe ee -_—_—--— % : t; * 3 .