[104-10438-10237.pdf — page 59]
UNCLASSIFIEDINTERNALUSE ONLYCONFIDENTIALSECRETROUTING AND RECORD SHEETSUBJECT: (Optional)FROM:SE/OSG5B4806TO: (Officer designation, room number, and building)|                   | DATE     |           | OFFICER'S INITIALS | COMMENTS (Number each comment to show from whom to whom. Draw a line across column after each comment.) || ----------------- | -------- | --------- | ------------------ | ------------------------------------------------------------------------------------------------------- || 1. SA/DO/O 2D0109 |          |           |                    | Sam This takes care of SE. Only ONE to go. Slep                                                         || 2. Mr. Halpern    |          |           |                    |                                                                                                         || 3.                |          |           |                    |                                                                                                         || 4.                |          |           |                    |                                                                                                         || 5.                |          |           |                    |                                                                                                         || 6.                |          |           |                    |                                                                                                         || 7.                |          |           |                    |                                                                                                         || 8.                |          |           |                    |                                                                                                         || 9.                |          |           |                    |                                                                                                         || 10.               |          |           |                    |                                                                                                         || 11.               |          |           |                    |                                                                                                         || 12.               |          |           |                    |                                                                                                         || 13.               |          |           |                    |                                                                                                         || 14.               |          |           |                    |                                                                                                         || 15.               |          |           |                    |                                                                                                         ||                   | RECEIVED | FORWARDED |                    |                                                                                                         |EXTENSION NO.1705DATE26 April 1977FORM 610 USE PREVIOUS EDITIONSSECRETCONFIDENTIALINTERNAL USE ONLYUNCLASSIFIED