Name of Accusing Citizen: —__-___- Name of Accused Citizen: >= Mi Nature oF Accusation: (Please check all appropriate boxes) 1 Destruction or C1 Defacement of Computer Property Ci Thett or Ci Hoarding of Computer Property/Services Gi Injury or Ci Reckless Endangerment of Fellow Citizen(s) © Communist Activities G Wrongful Accusation of Treason Possession of Treasonous Items Possession or 1 Use of Unregistered Mutant Power Member of Secret Society Breach of Security Clearance Failure to Report Treason Failure to Report Failure to Report Treason © Failure to Obey an Order from The Computer © Failure to Obey an Order from a Citizen of Higher Security Clearance 1 Failure to Follow Correct Alpha Complex Procedures 1 Failure to Comply with Regulation 195.17/69a-128 Failure to Maintain Proper Hygienic Standards Cl Failure to Report to Detention or () Compulsory Morning Exercises 1 Putting Fizz-Wizz in a High Programmer's Shower Head C Bribery 1D Conspiracy 1D Counterfeiting 1D Forgery D Unsupervised Dueling Extortion 1 Kidnaping or a a a 1 Detention of Citizen Without Computer 1D Obstructing an IntSec or 1 Troubleshooter Mission 1D Falsitying Information 1D Resisting Hygienic Processing or Ci Medical Treatment 6 Leaving a Sector without a Sector Transfer or Other ‘Authorization I Tampering With a Food Vat © Treason by Thought ‘Treason by Word ‘reason by Deed 1 Other Treasonous Activity (Please Specify): PVT) a aT Termination Voucher Request Form 1 Please describe, in detail, the act of treason com- mitted. List all cizens involved. List any motives you think the accused may have had. List all opportunities. and situations which allowed the treasonous act to ‘occur List all citizens that you know that associated with the accused within the last 100 cycles. List the reasons why you think citizens commit treason. List the times that you thought about committing treason. List the citizens that you associate with that have committed treason. E Please Fill Qut The Back Page OF This Form. Thank You Far Your Cooperation. Witnesses to Treasonous Act: For Official Use Only Name: Titles/OFFices: ating 67167 tt. For Official Use Only 2 allele PostAccusalon Resuttant | |€) 2) EE Personnel Disposition aS) E/S}2] 15e32 ‘Accusing Citizen ‘Accused Citizen Investigating IntSec Offer ‘Sector IntSec Supervisor Did you notice if the accused or any of the witnesses were Link O-PRKS drinking the new Bouncy Bubble Beverage? Have you tried it HPO-MC-Sector Supervisor yourself? If so, what did you think of it? Form 397:3.0985-85-K/6 Filing Agent Date of Processing ImSec Approval ‘Sena yolow copy Deparment of Clone Acwation via Form Tanst Tube. Send pink copy 1 Ofice of Layaly Evaluation and Thought Conny. Prasent wht copy todo booting eer Congr © 887 Wes Ena Games. me Pert »12002-49 ‘Won Ena Games ne 251 Was! 2m Sot, New Yr, NY 001