I-4-7-99.Exhibit - Routing and Transmittal Slip

Last Update: 9/13/05 (Transmittal I-4-15)

ROUTING AND TRANSMITTAL SLIP

Date:

TO: (NAME, Office symbol, room number, building, Agency/Post)

1.

Initials

Date

2.

     

3.

     

4.

     

5.

     

Action

File

Note and Return

Approval

For Clearance

Per Conversation

As Requested

For Correction

Prepare Reply

Circulate

For Your Information

See Me

Comment

Investigate

Signature

Coordination

Justify

Other

REMARKS

COURT CASE DUE: _____________

CLMT: _________________________________ SSN: ___________________________

TYPE:     NCC    REC    DEC    RMD    RA/OGC SUP REV       MISC SUP REV

FROM: (Name, org, symbol, Agency/Post)

Room No. — Bldg.

Phone No.