DESIGNATION OF BENEFICIARY - COLLINS, CHARLES P.

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
0001426155
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
2
Document Creation Date: 
June 22, 2015
Document Release Date: 
March 20, 2008
Sequence Number: 
Case Number: 
F-2007-01041
Publication Date: 
January 22, 1958
File: 
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PDF icon DOC_0001426155.pdf158.32 KB
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standard Form No. 54
September 1954
U. S.F iP 1 Commission
15. Chapter Zl
DESIGNATION OF BENEFICIARY
FEDERAL EMPLOYEES' GROUP LIFE
INSURANCE ACT OF 1954
INFORMATION CONCERNING THE INSURED:
COLLINS
I - `~ tom'.
Charles
Prescott
DEPARTMENT OR AGENCY IN WHICH EMPLOuED (If retired, so state and give "GSA" or "CSI" number)
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