<br />\,-:{-~.: '"
<br />.. "',','
<br />, ... ~. . .:: '",
<br />
<br /><1.
<br />" ,0-:..
<br />'<{~",~ --:"'..
<br />.'.\~...:,' :.
<br />
<br />. ,,'~ .
<br />
<br />L:':_;i.~:,).:j;:::
<br />gf
<br />,....... . .,
<br />',c;i;
<br />
<br />'J
<br />
<br />.;.'
<br />
<br />
<br />; '.J, ..;.~
<br />
<br />. ~ .'
<br />
<br />....:.-.
<br />
<br />,::
<br />
<br />'r-"
<br />,.. .....
<br />:..:';....j
<br />
<br />"<.~
<br />
<br />..' .....
<br />
<br />
<br />'.
<br />
<br />"'..
<br />
<br />~ .,
<br />
<br />'., '
<br />
<br />
<br />, .
<br />
<br />.....,
<br />
<br />DatJo
<br />4-
<br />
<br />POUTING AND TRANSMITTAL IP
<br />
<br />.,
<br />
<br /> -. . OWl 83
<br />10: f,Name. office symbol, room number, Inltl.... D.te
<br /> "lIdins. As.ney / Post)
<br />1. ~1~ ?,...~
<br /> (J
<br />2-
<br />2.
<br />...
<br />IJ.
<br />,_"f.:!iO~ - File Note end Relum
<br /> ~pprevel For Clearance P!r Convemetion
<br />-111;; Rnquc.led For Corrtlct:on Pt.pare Reply
<br />--C-.------
<br />. _ _ lreul.le For Your Il1fomlation S.c M.
<br /> !:;ommen! ~~~~stig~.te -1-1 Slllnolu,.
<br />ICoordln.lion J!!.'lify Ir
<br />
<br />,
<br />'-'1
<br />
<br />.,
<br />
<br />REMARKS
<br />J~~~~~~
<br />~~~~~I Z~~~
<br />~~~~~
<br />~ J..---.'~ k /787
<br />~ ~fi-'-~ ~b~{~
<br />3(, 6) ~ .L:,->-)".1 -r.L....... 'cJ -tL... ~
<br />v~.........J<>--t. J ~ 'lJ""'-f2.. e.. t~ ZB) --1..
<br />~~H..J~~~
<br />~~ U;f;j1-tL. ~~ w-L-4
<br />
<br />& NOT U08 this form ea e RECORD of eppl'OY8ia, cone" ce., eia,
<br />clearances, and .Imlla, actlonl
<br />
<br />__FRO~.. 0"'. . mbo/, Aseney/Posl)
<br />
<br />
<br />tt ~AA.JA
<br />
<br />:-'J
<br />
<br />
<br />Room No.-Bldg.
<br />
<br />
<br />Phon. No.
<br />
<br />1I0U-102
<br />
<br />OPTIONAL FORM 41 (Rev. 7-76)
<br />......".... by GSA
<br />FPMR (41 Cf'R) 101-11.201
<br />
<br />..,
<br />
<br />..,-..'
<br />
<br />-.- -'.~\<>.7.-L;.~.::,~;:!.;./~.;;.
<br />
<br />.......
<br />
<br />.'
<br />.. .
<br />
<br />.......
<br />
<br />...
<br />
<br />.... .-....
<br />
<br />
<br />. ,. ..-'
<br />
<br />:.,.;.
<br />
<br />.?;'?;'.:)~;:!;~>2;::.;:'::
<br />
<br />...
<br />...
<br />'.:.,', '~.. /~ ..,~:
<br />..
<br />
<br />. '.: .:' . :..:.~.: :~~.':: :~.~} ~-; .:~:>:.::.:
<br />.. .,
<br />
<br />...,-:.
<br />
<br />. ,~.
<br />
<br />.....,
<br />
<br />
<br />'.
<br />
<br />
<br />". "':~'
<br />"
<br />
<br />. .. .~
<br />
<br />.:..,"r ,.:.:..:-....;.:: .
<br />'.. , . ; ..,'..:....'.:....:::.-.........;,:.>::.
<br />: ..;....:)....~.-;:,:..":.:...- . .... .... ,....
<br />
<br />.' .~ (};i<~:.~:.:..:.:~:;<:~/?...~~:..~~ , . ' .:.:
<br />
<br />'.
<br />
<br />"."'.
<br />
|