AOTE: Thle form will be used only for tranamitting UNCLASSIFIED teporta and records

that dp not require additional actions to be indicated on the form It can not be used to
requre official actiona to be taken on material attached for tranamiesion aa no command
Hae and officiel agnature can be applied

TRANSMITTAL SLIP

FROM:

Hqs 4520th USAF Hosp, Nellis AFB, Nev

TO:

U.&8. Public Health Service
Camp Mercury, Nevada

SUBJECT OR TITLE:

OF FICE OF ORIGIN:

DATE DISPATCHED:

BA

3 Dec 58

tranemitting

=

DATE OF REPORT

Dp 481-3 - Clinical Record ATTACHMENTS!

TiM@ & CATE CLEARED STAT SV5

Sensei

am

1 Incl

DD 481-3 -

ATC roam 85
APR §7

ACA

(Continue on reveree a/de)

BEST COPY AVAILABLE

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RE
PRIVACY ACT MATERIAL

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