[104-10175-10085.pdf — page 29]
# SECRETROUTING AND RECORD SHEET??INSTRUCTIONS: Officer designations (see separate sheet, should be used in the "To" column. Under each comment a line should be drawn across sheet and each comment numbered to correspond with the number is the "To" column. Each officer should initial heck cork insufficient) before further rating. This Record and Routing Sheet should be returned to Registry.FROM:FSTACCESSION NODATE RECEIVED IN S. A.| TO  | ROOM NO. | DATE RECEIVED | DATE FORWARDED | OFFICER'S INITIALS | COMMENTS                                                                                                                                                                                  || --- | -------- | ------------- | -------------- | ------------------ | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- || 1.  |          |               |                |                    |                                                                                                                                                                                           || 2.  |          |               |                |                    |                                                                                                                                                                                           || 3.  | CIC      |               | *8/11          |                    | ① par 4 basic er, no derog story information is Contained in MID files on this individual. The files are not made available to this office, but acre searched by responsible a individual || 4.  | Paxton   |               | *0/12          | P.P                |                                                                                                                                                                                           || 5.  | IDA      |               |                |                    |                                                                                                                                                                                           || 6.  |          |               |                |                    |                                                                                                                                                                                           || 7.  |          |               |                |                    |                                                                                                                                                                                           || 8.  |          |               |                |                    |                                                                                                                                                                                           || 9.  |          |               |                |                    |                                                                                                                                                                                           || 10. |          |               |                |                    |                                                                                                                                                                                           || 11. |          |               |                |                    |                                                                                                                                                                                           || 12. |          |               |                |                    |                                                                                                                                                                                           || 13. |          |               |                |                    |                                                                                                                                                                                           || 14. |          |               |                |                    |                                                                                                                                                                                           || 15. |          |               |                |                    |                                                                                                                                                                                           |FORM NO. 51-10RFP MAR201 30999SECRET