ROUTING AND TRANSMITTAL SLIP
Room 1201
REPOSITORY
COLLECTION
BOX No.
Reviewed by /
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SIGNATURE
INITIALS
DATE
INITIALS
DATE
VERSATION
INFORMATION
CATE
OPTIONAL FORM 43
AUGUST 1967
GSA FPMR {( 41CFR)
100°11.206
t GPO
1975.568R.90
$041-101-01
264-6 487
PHONE
23 Nov 76
GATE
Do NOT use this form as a RECORD of approvals, concurtences,
FCDNA/FCLS
FROM
REMARKS
COORDINATION
DaTe
INITIALS
ECIRCULA TT
ACTION
THITIALS
disapprovals, clearances, and similar actions
Richland, Washington 99352
2Math Building,
T Fo
Dr. Richard O. Gilbert
Battelle Pacific Northwest Laboratory
Box 999
“
409803