[104-10225-10006.pdf — page 195]
ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting Branch| SERIAL NO. | LAST   | NAME   || ---------- | ------ | ------ || 1-6        |        |        || 036130     | Flores | Daniel |INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "COOR" COLLIMN TO DESIGNATE WHETHER SUAMISSION IS OF DASIC DATA, CORRECTION, OR CANCELLATION (One enty?. REPORT CATES BY USING THE NUMBER FOR THE MONTH, AND LAST TRO DIGITS ONLY FOR YEAR. REFER TO ort no. 38. REVISED.FCS DATES OF SERVICE|         | ARRIVAL 0/5 |         | DEPARTURE O/S |       |       | TYPE OF DATA    |     | COUNTRY    |         || ------- | ----------- | ------- | ------------- | ----- | ----- | --------------- | :-: | ---------- | :-----: ||         | MONTH       | DAY     | MONTH         | DAY   | YEAR  |                 |     |            |         ||         | 25-26       | 27-28   | 31-32         | 33-34 | 35-36 |                 |     |            |         ||         |             |         |               |       |       | 1. PCS (Basic)  |     |            |         ||         |             |         |               |       |       | 3. CORRECTION   |     |            |         ||         |             |         |               |       |       | 6. CANCELLATION |     |            |         || O/P USE |             |         |               |       |       |                 |     |            |         || ONLY    |             |         |               |       |       |                 |     |            |         || 38 39   |             |         |               |       |       |                 |     |            |         ||         | **021**     | **578** |               |       |       | **1**           |     | **Mexico** | **450** |TOY DATES OF SERVICE|          | ARRIVAL 0/8 |       | DEPARTURE O'S |       |       | TYPE OF DATA    |     | AREA(S) |     || -------- | ----------- | ----- | ------------- | ----- | ----- | --------------- | :-: | ------- | :-: ||          | MONTH       | DAY   | MONTH         | DAY   | YEAR  |                 |     |         |     ||          | 25-26       | 27-28 | 31-32         | 33-34 | 35-36 |                 |     |         |     ||          |             |       |               |       |       | 2. TOY (Basic)  |     |         |     ||          |             |       |               |       |       | 4. CORRECTION   |     |         |     ||          |             |       |               |       |       | 6. CANCELLATION |     |         |     || O/P USE  |             |       |               |       |       |                 |     |         |     || ONLY     |             |       |               |       |       |                 |     |         |     || 37 38 39 |             |       |               |       |       |                 |     |         |     |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHERDISPATCHCABLEDUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO.IN 0326885.DOCUMENT DATE PERIOD2/15/78REMARKSPREPARED BYREPORT ANNOTATED ON CONTROL DOCUMENTABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITEDDATE2/23/78SIGNATURETHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only