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Date
ROUTING AND TRANSMITTAL SLIP 6 [: 4 / i/

 

initials Date

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,

5.
Action File Note and Return
Approval For Clearance Per Conversation
As Requested For Correction Prepare Reply
Circulate Ld For Your Information See Me
Comment Investigate Signature
Coordination Justify

REMARKS

my Rh 7 -f

DO NOT use this form as a RECORD of approvals, concurrences, disposals,
clearances, and similar actions

 

 

 

FROM: (Name, org. symbol, Agency/Post) Room No Bldg.
Jet Pune — Phone No.
5041-1087 #U.S.GPO:1985-0-491-247/20041 OPTIONAL Fe FORM 41 (Rev. 7-76)

&
FPMR (41 dra) 101- 11.206