[104-10225-10006.pdf — page 205]
ADMINISTRATIVEInternal Use Only# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO. LAST NAME026130 GORLS DANIELINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. 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. BB. REVISED.PCS DATES OF SERVICE|       | ARRIVAL O/S |         |       | DEPARTURE O/S |       |     | TYPE OF DATA |     | D/P USE ONLY | COUNTRY | CODE  || ----- | ----------- | ------- | ----- | ------------- | ----- | --- | ------------ | --- | ------------ | ------- | ----- || MONTH | DAY         | YEAR    | MONTH | DAY           | YEAR  |     |              |     |              |         |       || 25-26 | 27-28       | 29-30   | 31-32 | 33-34         | 35-36 |     |              |     |              |         |       ||       |             |         |       |               |       | 1   | PCS (Basic)  |     |              |         |       ||       |             |         |       |               |       | 3   | CORRECTION   |     |              |         |       ||       |             |         |       |               |       | 5   | CANCELLATION |     |              |         |       || CODE  | 37          | D/P USE | 38 39 |               |       |     |              |     |              |         | 40-42 |TDY DATES OF SERVICE|       | ARRIVAL O/S |         |       | DEPARTURE O/S |       |     | TYPE OF DATA |     | O/P USE ONLY | AREA(S)    | CODE  || ----- | ----------- | ------- | ----- | ------------- | ----- | --- | ------------ | --- | ------------ | ---------- | ----- || MONTH | DAY         | YEAR    | MONTH | DAY           | YEAR  |     |              |     |              |            |       || 25-26 | 27-26       | 29-30   | 31-32 | 33-34         | 35-36 |     |              |     |              |            |       || 01    | 16          | 78      | 01    | 19            | 78    | 2   | TDY (Basic)  |     |              | WESTERN H. | 211   ||       |             |         |       |               |       | 4   | CORRECTION   |     |              |            |       ||       |             |         |       |               |       | 6   | CANCELLATION |     |              |            |       || CODE  | 37          | O/P USE | 38 39 |               |       |     |              |     |              |            | 40-42 |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIODREMARKS| PREPARED DY | REPORT ANNOTATED ON CONTROL DOCUMENT | ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED || ----------- | ------------------------------------ | -------------------------------------------------------------- ||             | DATE                                 | SIGNATURE                                                      ||             | 8/6/78                               | *Undiscernible*                                                |THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERADMINISTRATIVE-Internal Use Only