aP-A0165 ACKNOWLEDGEMENT OF RECEIPT OF "STANDARDS OF EMPLOYEE CONDUCT" CDFRN
DEC I3
U.S. DEPART) NT OF JUSTICE FEDERAL BUREAU OF PRISONS
A
1, I On6 ,0--) ,hereby acknowledge
(Employee's Name)
receipt of Program Statement #3420.11. I further acknowledge that my
conduct is governed by this policy and it is my responsibility to familiarize
myself with the provisions of this document.
Received
Date:
Institution: MOO- isislettp ( ark
SONY_TN_00020854
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