SECRET (When Filled In)
VERIFIED RECORD OF OVERSEAS SERVICE
To: Office of Personnel; Statistical Reporting Branch; ROOM 192 Curie Hall
EMPLOYEE SERIAL NO. LAST FIRST MIDDLE OFFICE/COMPONENT
N0532 Woods James S. 56
INSTRUCTIONS
Use appropriate space below to report data on either PCS, TOY, or both. Insert appropriate code number in "CODE" column to indicate whether submission is for original data, correction, or cancellation (See note). Report dates by using the number for the month, last two digits of the year, and day.
PCS DATES OF SERVICE
TYPE OF DATA ARRIVAL DEPARTURE COUNTRY CODE
PCS (Original) 04 15 61 Japan 375
Correction
Cancellation
TOY DATES OF SERVICE
TYPE OF DATA DEPARTURE FROM ARRIVAL DEPARTURE FROM ARRIVAL CODE
TOY (Original) 27 30 61 04 07
Correction
Cancellation
SOURCE OF RECORD DOCUMENT
TRAVEL NUMBER REFERENCE
CABLE ENTRY STATUS AND LAND AND AIR MOVEMENT REPORT
OTHER (Specify)
DOCUMENT IDENTIFICATION NO. DOCUMENT IDENTIFIED
30 JAN 15 APR 1961
REMARKS
PREPARED BY PREPARER IDENTIFICATION ADMIN DATA VERIFIED CORRECT, BASED UPON SOURCE DOCUMENT(S) INDICATED
SIGNATURE DATE LOCATION
26 JUL 1961
SECRET (When Filled In)