◆ SpookStack

INSTRUCTIONS: This form is to be removed from file by a Filing Unit enployee onty a return of the item, © Subject ao Be Ah ptt . Type of Mail” Date of Mail [=] Reportf ; __—_ ee (7) Incoming ietter —_— —_— a a] Qutgvuing letter __ : —-_ {_} Memorandum aera ("} Airtet a {_) Teletype —_—_ | (7} Enclosure (describe) { | ———__ —= { [f1 Leeboratory Work Sheet / wots te Pf fF , oe é a ative rt ([} Personnel Security Questionnaire (PSQ) —————___—__________-+______- [7] Loyally Form — oO Other (describe! - Removed for Mr. Mrs. Miss : Room OD EEE Reoson for Removal {_] For copying Uf for another agency. list agency and date of request. ((} To send to ((] Te utiach to a (7) For office use ~ (C] For change to unother file a . foe ™ A oat , , fp Other (Specify? Ler fo Mt se gee ete ee é : . ~ y . ; § OO ee a el eee Complete File and Serial Number enna Raed cna,