U.S.Fish and Wildlife Service           263 FW 2, Exhibit 2,
                                        Revocation of Collection Officer Certification
FWM#:         222 (new)
Date:             October 12, 1995
Series:           Finance
Part 263:       Debt Recovery
Originating Office:  Division of Finance  

                                                                                SAMPLE
REVOCATION OF COLLECTION OFFICER DESIGNATION CERTIFICATION
 
 
Your designation as Collection Officer is hereby revoked effective this date. This revocation does not relieve you of your personal financial liability to the Federal Government.
 
 
 

Certification:___________________________________     ___________
                                Regional Finance Officer                            Date
 
 
 

This confirms that I have received this official notification of my revocation as Collection Officer.
 
 
 

                                                                                            ___________________________________
                                                                                                                Collection Officer

                                                                                            ___________________________________
                                                                                                                          Date
 
 

Original - Regional Finance Officer
          cc - Collection Officer


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