NOTICE OF CHANGE IN HEALTH BENEFITS ENROLLMENT - CARANCI, JOHN C.

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
0001411687
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
2
Document Creation Date: 
June 22, 2015
Document Release Date: 
December 31, 2008
Sequence Number: 
Case Number: 
F-2007-00327
Publication Date: 
November 5, 1970
File: 
AttachmentSize
PDF icon DOC_0001411687.pdf153.48 KB
Body: 

U.S. Civil Service
Commission
NOTICE OF CHANGE IN HEALTH BENEFITS ENROLLMENT
Caranci, John
4. ADDRESS (INCLUDING ZIP CODE)
64 Eddy Street
Centerdale, Rhode Island 02911
APPROVED FOR
RELEASE^DATE:
10-Nov-2008
15 July 1970
ITEM WHICH IS CHECKED BELOW AFFECTS YOUR ENROLLMENT. READ THAT ITEM CAREFULLY AND FOLLOW ANY PERTINENT
DNS. KEEP THIS FORM UNLESS YOUR ENROLLMENT IS TERMINATED AND YOU APPLY FOR CONVERSION.
Part B.-TERMINATION