SECRET
CLEARANCE SHEET FOR TERMINATION OF CONTRACT PERSONNEL
DATE: 22 March 1971
THIS FORM MUST BE SIGNED AND SUBMITTED IN DUPLICATE
PERSONAL DATA
NAME: KELSOAR, Cecil J.
LOCAL ADDRESS: 1076 Belafanta Drive, Burlingame, California 94010
DIVISION AND BRANCH OF ASSIGNMENT: DO Division
PLACE OF EMPLOYMENT: San Diego, California
STATION OR BASE: San Francisco Base
CONTRACT DATA
CONTRACT EFFECTIVE: 8/6/68
LAST CONTRACT LAST RENEWAL: Indefinite
DATE CONTRACT EXPIRES: 3/31/71
REASON FOR CONTRACT TERMINATION: Subjects retiring effective 31 March 1971.
CLEARANCES (INITIAL STAFF OR DIVISION CLEARANCES)
COMPONENT CLEARED BY DATE REMARKS
FINANCE Mr. Randall
LOGISTICS
PERSONNEL Mr. Latchford
REGISTRY Mrs. Monte
CONTRACT APPROVING OFFICER
Carroll L. Sawyer, C/DO/BO
SCHEDULE OF INTERVIEWING OFFICES
OFFICES MAY SUBSTITUTE INTERVIEWS WILL BE INDICATED
OFFICE DATE TIME SCHEDULE LOCATION INTERVIEWING OFFICIAL
CENTRAL STAFF CLEARED BY (signature)
DATE
OFFICE OF SECURITY PSD CLEARED BY (signature)
DATE
OFFICE OF PERSONNEL CPO CLEARED BY (signature)
DATE
APPROVED:
/s/ Dow H. Lutscher
Dow H. Lutscher
START OF DIVISION AND BRANCH OF ASSIGNMENT: DO Division
SIGNATURE OF STAFF OR DIVISION RESPONSIBLE OFFICER: Paul S. Latchford, C/DO/Personnel
DATE: 3/22/71
FORM 1689 SECRET