DEAR MRS. DOE:

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-00679A000100010122-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: July 12, 2000
• Sequence Number: 122
• Content Type: LETTER

Attachment 3
Approved For ReleaO/08/16: CIA-RDP80-00679A000 00f-im&l'e personnel)
CERTRA-L~ IN0 A Y
Yl i On 25, D. C.
Mrs. Jane Doe
117 Tema Street, N. W',
Wa+shin jtora 12, D. C.
Deer Mrs. Doe
A review of the medical history inforn&tion submitted by you
reveals that, for proper medical evaluation, it will be necessary
for you to undergo a pre-employment physic ,1 ezaminatiou.
TINTL
No reimbur$nt for travel or incidental ex
e
p
nses incurr
by you for this purpose will be made.
(2 )For this visit you are authorized to travel from your present
residence to Washington, D. C. and return at . government expense. You
will also be paid a per diem allowance in lieu of subsistence during
the time you are in a travel statue. First class travel is authorized.
if you so choose, travel is authorized by privately-owned automobile
for which you will be reimbursed at the rate of seven cents per mile,
the total not to exceed the cost of travel by common carrier. Please
retain all receipts for travel and transportation expenditures.
Sinncerely$
Chief, Personnel Division
(1) As appropriate per respective Personnel Division
(Overt or Covert).
(2) As appropriate.
(Reference Item 7 c, Form 37-1.63, dated Feb. 1953)
Approved For Release 2000/08/16 : CIA-RDP80-00679A000100010122-1