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ISSUE SLIP 
PAGE 
OF 
PAGES 
FROM 
TO 
BASE OR STATION ACCOUNTABLE OFFICER 
Qmmmmm mwmn avnout 
mmwn SECT I OH 
: .... 
ORGANIZATION OR UNIT ® 
DR. KLFMmm REfMQRl 
BALBOA. t 0.2. (SMS 
ISSUE SLIP NO. 
PROPERTY CLASS 
TYPE OF ISSUE 
INITIAL 
M) 
REPLACE¬ 
MENT 
MEMO 
RECEIPT 
ACCOUNT SYMBOL 
WORK ORDER NO. 
ITEM 
NO. 
STOCK OR 
PART NO. 
NOMENCLATURE 
AUTH. 
ALLOW. 
42 »C** 46 G 0 
Truck# l/4 ton, 4*4# 
OAR# >20747380# 
w/spare wheel# tire am 
tube and tools and equip- 
sent as listed in Si 1-1 
Can# safety# steel# 
gasoline# w/oap# 5 gal., 
o&p. 
//// I^st I tea //// 
ON HAND 
AND 
DUE IN 
UNIT 
QUANTITY 
REQUESTED 
1 
UNIT 
COST 
TOTAL 
COST 
ACTION 
AUTHORITY: 
ISSUANCE OF QUANTITY IN “QUANTITY REQUESTED” COLUMN IS AUTHORIZED. 
ITEMS MARKED “DU^ OUT” WILL BE ORDERED AND WHEN RECEIVED ORGANI¬ 
ZATION WILL BE NOTIFIED. 
FOR THE COMMANDING OFFICER: 
10 Feb. 43 IF. .IFXXB'K XT 'x? 7 ? . .. 
(DATE) (ORGANIZATION SUPPLY OFFICER) 
(DATE) (FOR THE BASE OR STATION ACCOUNTABLE OFFICER) 
QUANTITIES SHOWN IN “ACTION” COLUMN HAVE BEEN RECEIVED: 
QUANTITIES SHOWN IN "ACTION” COLUMN HAVE BEEN ISSUED: 
(date) f (Authorized representative) 
(DATE) (STOREKEEPER) 
VOUCHER NO. 43-22926 r—Ah 
WD 
1 MAR 47 
/ 
