[104-10438-10237.pdf — page 71]
UNCLASSIFIEDINTERNALUSE ONLYCONFIDENTIALSECRETROUTING AND RECORD SHEETSUBJECT: (Optional)FROM:C/AF/PLSTO: (Officer designation, room number, andbuilding)EXTENSION NO.DATE132621 April 1977|                    |     DATE | OFFICER'S INITIALS | COMMENTS (Number each comment to show from whom to whom. Draw a line across column after each comment.) || ------------------ | -------: | :----------------: | :-----------------------------------------------------------------------------------------------------: ||                    | RECEIVED |     FORWARDED      |                                                                                                         || 1.                 |          |                    |                                                                                                         || SA/DDO/O           |          |                    |                                                                                                         || 2.                 |          |                    |                                                                                                         || Attn: Mr. Shepanek |          |                    |                                                                                                         || 3.                 |          |                    |                                                                                                         || 4.                 |          |                    |                                                                                                         || 5.                 |          |                    |                                                                                                         || 6.                 |          |                    |                                                                                                         || 7.                 |          |                    |                                                                                                         || 8.                 |          |                    |                                                                                                         || 9.                 |          |                    |                                                                                                         || 10.                |          |                    |                                                                                                         || 11.                |          |                    |                                                                                                         || 12.                |          |                    |                                                                                                         || 13.                |          |                    |                                                                                                         || 14.                |          |                    |                                                                                                         || 15.                |          |                    |                                                                                                         |FORM3-62610 USED PREVIOUSEDITIONSSECRETCONFIDENTIALINTERNALUSE ONLYUNCLASSIFIED