Ord a

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ROUTING AND TRANSMi, «AL SLIP
TO:

(Name, office symbol, room number,
uilding, Agency/ Post)

1,

Date

initials

Date

Dr.
Weems
a

2.
3,
4
5.
ton
Approval

File

Note and Returm

For Clearance

Per Conversation

As Requested

For Correction

Prepare Reply

Circulate

For Your Information

See Me

Comment

investigate

Signature

Coordination

Justify

REMARKS

Per our conversation.

this fairly soon.

We need to discuss

DO NOT ute this form as a RECORD of approvals, concurrences, disposals,
clearances, and similar actions
FROM: (Name, org. symbol, Agency/Post)

L.

Room No.—Bldg.

Joe Deal
Phone No.

004

A

[2

5041-102
YU.S. G.P.O.

1977-241-530/3090

OPTIONAL FORM 41 (Rev. 7-76)

Prescribed by GSA
FPMR (41 CFR) 101-11.206

-

O

i. 8

Select target paragraph3