[104-10194-10026.pdf — page 188]
ADMINISTRATIVEInternal Use Only.REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO.   NAME024345 PHILLIPS DAVID AINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHEP PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION. OR CANCELLATION (One only). REPORT DATES BY USINGTHE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58. REVISED.PCS DATES OF SERVICE|       | ARRIVAL O/S |       |       | DEPARTURE O'S |       |     | TYPE OF DATA     | CODE | O/P USE ONLY | COUNTRY | CODE  || ----- | ----------- | ----- | ----- | ------------- | ----- | --- | ---------------- | ---- | ------------ | ------- | ----- || MONTH | DAY         | YEAR  | MONTH | DAY           | YEAR  |     |                  |      |              |         |       || 25-26 | 27-28       | 29-30 | 31-32 | 33-34         | 35-35 |     | 1 - PCS (Basic)  |      |              |         |       ||       |             |       |       |               |       |     | 3 - CORRECTION   | 37   | 38 39        |         | 40-42 ||       |             |       |       |               |       |     | 5 - CANCELLATION |      |              |         |       |TOY DATES OF SERVICE|       | ARRIVAL O/S |       |       | DEPARTURE O'S |       |     | TYPE OF DATA     | CODE | O/P USE ONLY | AREA(S) | CODE || ----- | ----------- | ----- | ----- | ------------- | ----- | --- | ---------------- | ---- | ------------ | ------- | ---- || MONTH | DAY         | YEAR  | MONTH | DAY           | YEAR  |     |                  |      |              |         |      || 25-26 | 27-28       | 29-30 | 31-32 | 33-34         | 35-36 |     |                  |      |              |         |      || 11    | 03          | 74    | 11    | 15            | 74    |     | 2 - TDY (Basic)  |      |              |         |      ||       |             |       |       |               |       |     | 4 - CORRECTION   | 37   | 38 39        | EUR     | 801  ||       |             |       |       |               |       |     | 6 - CANCELLATION | 2    |              |         |      |OFFICE OF PERSONNEL USE ONLY - PUNCH AREATRAVEL VOUCHERCABLEOTHER (Specify)DOCUMENT IDENTIFICATION NO.REMARKSSOURCE DOCUMENT AND CERTIFICATIONDISPATCHDUTY STATUS OR TIME AND ATTENDANCE REPORTDOCUMENT DATE/PERIOD| PREPARED BY           |                                      | ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED || --------------------- | ------------------------------------ | -------------------------------------------------------------- || DCO                   | REPORT ANNOTATED ON CONTROL DOCUMENT |                                                                || C & L'DIVISION. CTBO. | DATE 2/14/75                         | SIGNATURE Donald W Black                                       || C & T DIVISION        |                                      |                                                                |THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only