444-$4 4 G&) 15. 4. 16. 5. 17. 6. 18. 7. 19. & 20. 9. 21. 10. 22. 11. 23. 12. 24. C-A E-N OUT-COUrIT G-N G-S I-N IC-N K-S WA Z-A ' Total Out-Counted: This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRI9R to the affected c