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
MOVED
RE
PRIVACY ACT MATERIAL