410105 R Daite ROUTING AND TRANSMITTAL SLIP office symbol room number, = fore ose. Po ‘ “ / RT iD Initials Date f AlYr, /. oo File — —— Note and Return Per Conversation x For Clearance For Correction nm For Your Information See Me ~~ Justi REMARKS j REPOSITORY FN CL < oo 2 Ls Some phi B S18 g Acs | we ne beset work if on You mew ful tha. 2 3 Byl kivy ol bpAo reper T, ack eUuY wor ep i 6 @ 8 ae _. for a ras peube fo it inberes tuts backs round Info . DO NOT use this form as a RECORD of approvals, concurrences, disposals, clearances, and similar actions FROM: (Name, org. symbol, Agency/Post) Room No.-——Bidg. ow? fon A Cra) §041-102 ; BU.S. G.P.O. 1977-241-530/3090 Phone No. . Fx orTOnaL FORM 41 (Rev. 7-76) FPMR (41 CFR) 101~21.206