FOR OFFICIAL USE ONLY 
HAVPERS 720 (Rev. R-56) 
r 
ADDITIONAL REMARKS 
UNITED STATES SHIP 
(Day) (Date) (Month) 
l Q~ 
APPROVED: 
EXAMINED: 
U.S.N. COMMANDING 
U.S.N. NAVIGATOR 
TO 8t FORWARDED TO THE BUREAU OF HAVAL PERSONNEL AT THE END OF EACH MONTH 
