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HEARNAP — Part 19
Page 517
517 / 919
Serial Removal Charge Out am ~~ _
4-23 fev. S-Td-A%) , [* :
INSTRUCTIONS: This form is to be removed from file by a Filing Unit employee only upon the retum of the item.
Subject ;
phew wou
_/
Type of Matt
- (7) Report
C7] Incoming letter
(} Outgoing letter
{} Memorandum
{7} Airtel
(_} Teletype
C] Enclosure (describe?
FXG . 2. , -- A
(_} Latetatory Work Sheet bg anys =
(1 Personnel Security Queationnaire (PSQ)
((} Loyalty Form
{_} Other (describe)
Removed by “ . Date of Removal
343 | HLp- 7
Reason for Removal
(] For copying (If for another agency, liat agency and date of request.}
[_] To send to
(CK) To attach to
{_} For office use
C] For change t@ another file
Complete File and Seria] Number at ot he Abs -
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