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HEARNAP — Part 21
Page 83
83 / 1025
INSTRUCTIONS: This form is to be removed from file by a Filing Unit employee only upon the return of the item
Serial Removal Charge Out nit
() Incoming letter
[Lj Outgoing letter
(CJ Memorandum
(7) Airtel
_] Teletype
{C} Enclosure (describe)
{1} Personnel Security Questionnaire (PSQ)
[_} Loyaity Form
(C} Other tdescribe}
Removed by Date of Removal
6-2
Reason for Removal
(1) For copying {if for another agency, list ageacy and date of request.)
[°C] To send to
{C} To attach to
C) For office use
CC For change to another file
(C] Other (Specify?
Complete File and Serial Number ~ | O * 8
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