a. ROUTING AND TRANSMITTAL SLIP “WE thitials TO: (Name;office symbol, room number, uilding, Agency /Post) Date 1. 2. _ A ue 3. 4. 5. ction File 'Note and Return Approval | For Clearance As Requested | For Correction iPer Conversation Prepare Reply Circulate For Your Information See Me Comment Coordination Investigate Justify Signature REMARKS DO NOT use this form as a RECORD of approvals, concurrences, disposals clearances, and similar actions FROM: (Name, org. symbol, Agency/Post) 5041-102 0g WU. 5. Government Printing Office: 1979—-281-184/4 Room No.—Blidg. Phone No. OPTIONAL FORM 41 (Rev. 7-76) Prescribed by GSA FPMR (41 Crk) 101-11.206