-Appro -RERY
R0UjWd)Q1eflWWaWA9t1 gijj;1A
v '@078 01700210079-6
To.- @ame office sympbacsi)room number,
ulldini, Agencyl		Initials	Date
				
				
				
				
	on
f	File		Note and Return
	proval
p I	For Clearance		Per Conversation
	Requested
! R	For Correction		Prepare Reply
	
ir
late
u
l	For Your Information		See Me
	Mont
'	Investigate		Signature
	Ination
Coord
l	Justify		
REMARKS
00: 44, mj-@
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DO NOT use this form as a RECORD of approvals, concurrences, disposals,
clearances, and similar actions
FROM: (Name, org. symbol, A ency/Post) Room No.-Bldg.
11r- // Phone No.
ML
V1 Nease zUUJ/U!J/10: %Wi&AW91ft0Q7=FVW1'?0W0079-6
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U.S. G.P.O. 1977-241-530/3090 Prescribed
FPMR (41 A)GIS011-11.206