EP 1130-2-550
15 Nov 96
APPENDIX F
FOR ILLUSTRATION PURPOSES ONLY
(Local reproduction authorized - blank
masters available from local FMO)
CANCELLATION OF
CERTIFICATE OF AUTHORITY
TO ISSUE CITATIONS
________________________
DATE
The "Certificate of Authority to Issue Citations" issued to
________________________________ on _________________________,
(Name of Employee)
number: ______________, is hereby canceled.
______________________________________________________________
(Signature and Title of District Commander)
ENG Form 5036-1-R, Nov 92
F-1
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