T82B 
PTme 45 
SLIP 
TO 
SUPPLY, RECLAMATION OR SALVAGE OFFICER 
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MEMO 
RECEIPT 
PROPERTY 
PROPERTY 
CLASS „ 
FROM 
ORGANIZATION, UNIT OR PROPERTY OFFICER 
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JM. 
ACCOUNT 
SYMBOL 
WORK 
ORDER NO. 
• ITEM 
NO. 
STOCK OR 
PART NO. 
NOMENCLATURE 
REMARKS 
UNIT 
QUANTITY 
UNIT 
COST 
TOTAL 
COST 
ACTION 
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pi 
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TURN-IN 
SLIP NO. 
LEGEND FOR REMARKS 
FWT.—Unserviceable, due to fair wear and tear. 
R/S.—Unserviceable, report of survey. 
S/C.—Unserviceable, statement of charges. 
SER.—Serviceable. 
Quantities shown in “Action’A^Jiurin have/6eeh\received. 
lAlX—19. 
(DAtE) 
STOREKEEPER 
I CERTIFY that the articles listed herein are turned in under the 
circumstances indicated in “Remarks” column. 
For the Commanding Officer: 
h^ririi T'iM 1 t A'• ■ Tr 
* ’ v* * 19 _ * " _ 
(DATE) 
ORGANIZATION SUPPLY OFFICER. 
Turn in of quantities shown in “Quantity” column is authored. 
^ 19 Vt Cte 
(fort\ii 
E BASE ACCOUNTABLE OFFICE! 
VOUCHER NO. 
16-44901-3 U. S. GOVERNMENT PRINTING OFFICE 
