[104-10291-10013.pdf — page 239]
# SECRETCLEARANCE SHEET FOR TERMINATION OF CONTRACT PERSONNELTHIS PORN WIST DE SIGNED AND SUHMITTED IN DUPLICATEPERSONAL DATA|                                             |                              || ------------------------------------------- | ---------------------------- || DATE                                        | 22 March 1971                || NAME (Lest. First, Middle sue of pseudonym) |                              || KLOBUKAR, Cecil J.                          |                              || OFFICE AND PRANCH OF ASSIGNMENT             | DO Division                  || LOCAL ADDRESS                               | PERMANENT ADDRESS            || 1807 Bebastian Drive                        | San Diego, California        || Burlingane, California 94010                | POSITION OR FUNCTIONAL TITLE || PERMANENT STATION OR RES                    | dops Officer                 || San Francisco Base                          |                              |CONTRACT DATA|                         |                             |                       |                              || ----------------------- | --------------------------- | --------------------- | ---------------------------- || DATE CONTRACT EFFECTIVE | LATE CONTRACT LAST RENEWED. | DATE CONTRACT EXPIRES | DATE OF CONTRACT TERMINATION || 8/4/68                  |                             | Indefinite            | 3/31/71                      |REASON FOR CONTRACT TERMIΦΑΤΙΩΝSubject is retiring effective 31 March 1971.INTERNAL STAFF OR DIVISION CLEARANCES (Add or delete as applicable)| COMPONENT | CLESED BY     | DATE | REMARKS || --------- | ------------- | ---- | ------- || FINANCE   | Mr. Randall   |      |         || LOGISTICS |               |      |         || PERSONNEL | Ur. Latchford |      |         || Registry  | Ws.. mets     |      |         |CONTRACT APPROVING OFFICERCLEARED BY (Signature)Carroll L. Hauver, C/DO/80SCHEDULE OF INTERVIEWING OFFICES(OFFICES NOT REQUIRING INTERVIEW WILL SO INDICATE)| OFFICE                  | DATE | TIMI | SCHEDULE | LOCATION | INTERVIEWING OFFICIAL | CLEARED BY (Signature) || ----------------------- | ---- | ---- | -------- | -------- | --------------------- | ---------------------- || CENTRAL COVER STAFF     |      |      |          |          |                       | DATE                   || OFFICE OF SECURITY PSD  |      |      |          |          |                       | CLEARED BY (Signature) || OFFICE OF PERSONNEL CPU |      |      |          |          |                       | DATE                   ||                         |      |      |          |          |                       | CLEARED BY (Signature) ||                         |      |      |          |          |                       | DATE                   |TEMARKS (Please instial)APPROVED:/s/ Dow IH. LuotscherCal Coor|                                            |                                                    |      |     || ------------------------------------------ | -------------------------------------------------- | ---- | --- || STAFF OR DIVISION AND BRANCH OF ASSIGNMENT | SIGNATURE OF STAFF OR DIVISION RESPONSIBLE OFFICER | DATE |     || DO Division                                | Paul 8. Latchford, C/DO/Personnel                  |      | (9) |SECRETFORM 16893-67USE PREVIOUS EDITIONS