401627

MEO

ROUTE SLIP

Form ERDA-93 (1-75) ERDAM0240
TO (Namo and unil)

Seo me about this.

For concurrence,

Note and retura,

Forstgnature,

INtTI

REMARKS

IHg TIALS

REMARKS

For actlon,
—:

For Information,

bd. BURR

BER
TO (Narno and unit}

TO (Namo an

FROM (Name and unit)

REMARKS

REMARKS

YP GRKON
OFA
PHONE HO.

USE OTKER SIDE FOR ADOITIONAL REMARKS

cit 1G—B814a5-1

Geo

Select target paragraph3