Form Hud-21023 - Facsimile Message Routing Form - U.s. Department Of Housing And Urban Development

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Facsimile Message
U.S. Department of Housing
Control No.(Operator use only)
and Urban Development
Routing Form
Office of Administration
Note: Use black ink only
1. Sender's Correspondence Code
2. Name of Originator (or person most familiar with material)
3. Phone Number
4. Room No.
5. Authorizing Official (signature)
(printed or typed name)
X
6. Distribution (Please check the appropriate box(es)
All Secretary's Representatives
All State Offices
All Area Offices
Individual HUD Field Office
Non-HUD
To:
_____________________________________________
FAX. No.
____________________________
(Recipient's Name)
_____________________________________________
Tele. No.
____________________________
(Recipient's Office - City & State)
From: _____________________________________________
FAX. No.
____________________________
Number of pages (including this cover page) _____________
Subject/Remarks (if any)
form HUD-21023 (10/2000)

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