Approved For ReW~Tl 9%-00789ROOMO
         AWNFRARWR UP
         SGIJ
         TO:                                 InitialsOate
         (Name,                                      
         off/ce                                      
         symbol,                                      
         room                                      
         number,                                      
         WWI                                      
         ge*lpk~                                      
         -                                      
         =y-A                                      
         2.                                      
         J~)-7-177:                                      
         -,S                                      
                                                

         3.                                      
                                                

         4.                                      
                                                

         5.                                      
                                                

          Action         File                   
                                        Note     
                                        and     
                                        Return     
                                                

         -Approval       For Clearance  Per     
                                        Conversation     
                                                

          As Requested   For Correction Prepare     
                                        Reply     
                                                

          Circulate      For Your Information See     
                                        Me      
                                                

          Comment        Investigate    Signature     
                                                

          Coordination   Justify       A-       
                                                

         

KtMAKK5
             DO NOT use3bla form as a RECORD of approvals, concurrences, disposals,
                       clearances, and similar actions
         --FROM: (Name, org. symbo-TAge IP Room No. Bldg.
         Phone No.
         Approved!SWWQJ~elease zuuutuoluo I M - r% L.' V -~'UR Wk[ F-O-WW-41 (R -0
         Prescribed by GSA
         U.S.G.R.O. 1992 312-070/40025 FPMR (41 CFR) I Q1 -11.206