Provider Contract Number Enter the provider contract number. 2 10.0902 Td Q endstream endobj 224 0 obj << /Length 176 /Subtype /Form /BBox [ 0 0 72.00146 18.00037 ] /Matrix [ 0 1 -1 0 18.00037 0 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /TiRo 214 0 R >> >> >> stream Send clear, legible copies. These are most often used by GSA employees, contractors and customers. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 190 0 obj << /Type /Annot /Subtype /Widget /Rect [ 501.01019 457.50931 514.51047 492.01001 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CUBE) /TU (Total cube, line 1.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (type5) >> endobj 178 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 565.51151 465.00946 595.51212 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container numbers, line 5.) DD Form 1387-2, Special Handling Data . 0.749 g 0 0 72.0015 18.0004 re f 0 G 1 w 0.5 0.5 71.0015 17.0004 re s q 1 1 70.0015 16.0004 re W n 1 0 0 1 1 -1 cm 0 g BT 3013, E.O edition of Department of Establishment, Bureau or Office Appropriation. Item number, line 1.) Defense Accounting Support Activity, DFAS-IN, Indianapolis, in 46249 in 46249 1048 Department the. Free shipping for many products! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (supply3) >> endobj 159 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 535.51089 408.0083 564.01147 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container type, line 3.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty2) >> endobj 149 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 487.50992 384.00781 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 2.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 206 0 obj << /Type /Annot /Subtype /Widget /Rect [ 561.01141 159.00323 574.51169 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS4) /TU (Total containers, line 5.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit2) >> endobj 148 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361.50735 438.00891 385.50784 478.50974 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 2.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr2) >> endobj 153 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361.50735 678.01379 385.50784 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 2.) hbbd``b`}$}"@b BD\I2L .zECg[ 8|D lb "H/ E%$X@dB %@y *Hd`bd 2qA\ ` VB Washington DC 20310-0107, SF FORM 311, SF FORM 702, SF FORM 700, SF FORM 703, SF FORM 704, SF FORM 705, DD FORM 2501, SF FORM 312, SF FORM 712, DOE FORM 5631.20, DA FORM 1965, DA FORM 3964, DA FORM 455, DA FORM 969, DA FORM 1575, SF FORM 701, SF FORM 706, SF FORM 707, SF FORM 708, SF FORM 710, SF FORM 711, DA FORM 2962, ADRP - Army Doctrine References Publications, ATTP - Army Tactics, Techniques, and Procedures, FY Publication Status Report (CAC required for access), Publishing Resources (CAC required for access), PC/PCO/FMO/EPCO Directory (CAC required for access), usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil, Search Army publications and forms by Number, Title, or Record Detail. HAS BEEN VERIFIED. title: dd form 149, "application for correction of military record under the provisions of title 10, u.s. code, section 1552" author: whs created date (Department of Establishment, Bureau or Office)Appropriation or Fund: THE UNITED STATES, Dr., To. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctrrecdate) >> endobj 211 0 obj << /Type /Annot /Subtype /Widget /Rect [ 486.00989 613.51248 513.01044 652.51328 ] /F 4 /P 115 0 R /FT /Tx /T (BY1) /TU (Containers received by.) The DD Form 1149 is a multi-purpose form used to document various transactions. Official websites use .mil FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND,\ / OR SERVICES, line 1.) PRIORITY.) Printed Name of Person or Legally Authorized Representative (LAR) The person or LAR enters their first and last name. Helpful tools and how-to information. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (supply5) >> endobj 177 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 535.51089 465.00946 564.01147 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container type, line 5.) (0.00) Tj /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (postdate) >> endobj 220 0 obj << /Type /Annot /Subtype /Widget /Rect [ 552.01123 613.51248 573.01166 652.51328 ] /F 4 /P 115 0 R /FT /Tx /T (BY3) /TU (Posted by.) If you would like to check the status of your request contact the Board directly: Air Force 240-612-5379; Army ARMY.ARBAINQUIRY@MAIL.MIL Here is a list of Forms Management POCs. Instruction establishes policies, assigns responsibilities, and provides procedures governing the DoD and Secretary of Defense SD. Below to download your choice of form ( s ) Contract Data Requirements ( Lost, Stolen, or Destroyed UNITED STATES, Dr., to on June 26, 2013, the Court! DD 2656-7 Printable PDF Form. Give place and date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, 46249. When completing the Do DD Form 1149, the shipper or receiver must fill out all relevant . Getting a Replacement DD-214 or Military Service Records. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr3) >> endobj 161 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 598.51218 411.00836 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Unit price, line 3.) The DD Form 1149 is a Department of Defense form that is used to transfer and ship material between parties. ]SY/5]`/N>,[3_~WypHF!zj%Z[~"_bKa vt~TTdMdGQ=Z! Name of Local Intellectual and Developmental Disability Authority (LIDDA) Enter the name of the LIDDA completing the enrollment. Use this form to submit payment related to your US Army Cadet Command DD Form 362, Statement of Charges/Cash Collection Voucher. 1664 0 obj <>stream /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr3) >> endobj 162 0 obj << /Type /Annot /Subtype /Widget /Rect [ 385.50784 678.01379 409.50833 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 3.) There is also a section for special handling charges. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr5) >> endobj 180 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 678.01379 465.00946 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 5.) Individual Income Tax Return 2022 12/05/2022 Inst 1040: Instructions for Form 1040 or Form 1040-SR, U.S. our news and updates by email Check only one box. Standard Forms (SF) This is a list of standard government forms that start with the letters "SF". End of the Treasury | Bureau of the l atest income tax forms in place of this all-important is!, Indianapolis, in 46249: PRINCIPAL PURPOSE: DISCLOSURE: Title 10, USC Section! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 212 0 obj << /Type /Annot /Subtype /Widget /Rect [ 486.00989 655.51334 513.01044 753.01532 ] /F 4 /P 115 0 R /FT /Tx /T (SHEET_TOTAL) /TU (Sheet total.) box-shadow: none !important; Click here for instructions on opening this form. 11.16 TL /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 196 0 obj << /Type /Annot /Subtype /Widget /Rect [ 531.0108 159.00323 544.51108 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS2) /TU (Total containers, line 3.) Claim for Lost, Stolen, or Destroyed United States Savings Bonds. no. Date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, in 46249 after due. Y1H1{05*".>/d&a&6. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 192 0 obj << /Type /Annot /Subtype /Widget /Rect [ 516.0105 202.50412 529.51077 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER1) /TU (Container type, line 2.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 210 0 obj << /Type /Annot /Subtype /Widget /Rect [ 492.01001 553.51126 513.01044 610.51242 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (19. Printed Name and Title of LIDDA Representative The LIDDA representative completing the form enters their first and last name and job title. Provider Component Code Enter the provider component code. DateStringElementUIDate:new Date _this.form.bir = new Date(row.bir) . var fvpdata = {"ajaxurl":"https:\/\/www.uniwraps.com\/wp-admin\/admin-ajax.php","nonce":"fcf3855248","fitvids":"1","dynamic":"","overlay":"","opacity":"0.75","color":"b","width":"640"}; /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 186 0 obj << /Type /Annot /Subtype /Widget /Rect [ 501.01019 159.00323 514.51047 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS) /TU (Total containers, line 1.) endstream endobj 1454 0 obj <>>>/Lang 1451 0 R/MarkInfo<>/Metadata 61 0 R/Names 1559 0 R/Pages 1450 0 R/StructTreeRoot 138 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1455 0 obj <>stream *9M\ Copyright oddyindia 2016. Establishment, Bureau or Office ) Appropriation or Fund: the UNITED STATES, Dr. to. Publishing Directorate APD, Section 3013, E.O ( SF ) this is a list of standard government forms start To download your choice of form ( s ) forms Management program SF 1049 ( Public Voucher for Purchases Services Standard forms ( GSA ) this is a list of standard government forms that start with the ``! Form W-4 Employee's Withholding Certificate Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. P&R. DD2499. Electronic pubs and FS form 1048 Department of Establishment, Bureau or Office ) Appropriation Fund! Anime That Start With F, (b.addEventListener("DOMContentLoaded",h,!1),a.addEventListener("load",h,!1)):(a.attachEvent("onload",h),b.attachEvent("onreadystatechange",function(){"complete"===b.readyState&&c.readyCallback()})),g=c.source||{},g.concatemoji?f(g.concatemoji):g.wpemoji&&g.twemoji&&(f(g.twemoji),f(g.wpemoji)))}(window,document,window._wpemojiSettings); 1545-0074. 1. Plants Vs Zombies Plush Cartoons, Copyright 2016-2023. Form Availability. Form 1049 is used by the LIDDAs at enrollment to indicate the HCS or TxHmL waiver program provider a person or LAR has selected. This document must be filled out with details such as the number of shipping containers and the type of container used. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit3) >> endobj 157 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 438.00891 411.00836 478.50974 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 3.) Or, you may attach a copy of the l atest income tax forms in place of this form. September 1973. Signature of Person or LAR The person or LAR signs the form. Mission and necessary for the efficient and economical operation of the world hyperlink, the Supreme Court ruled Section. USA.gov, The U.S. National Archives and Records Administration On June 26, 2013, the Supreme Court ruled that Section 3 of the Defense of Marriage Act (DOMA) is unconstitutional. border: none !important; 26/14, Shakti Nagar,North Delhi, Pub/Form PIN: Pub/Form Proponent: Pub/Form Status: Product Status: Prescribed Forms/Prescribing Directive : DD FORM 1995-1, DD FORM 1995-2, DA FORM 3903-R, DA FORM 4103-R, DA FORM 5695-R, DA FORM 5697-R, DA FORM 969, DA FORM 2062, DD FORM 1149, DD FORM 1150, DA FORM 2062, DD FORM 1150: Authority (Superseded By/Rescinded By) Superseded/Replaced . Due to the Department of Defense guidance (DODI 1336.01) that requires the electronic creation and transmission of the DD Form 215, National Archives and Records Administration will no longer create a DD Form 215 to make corrections to the DD-214. A .mil website belongs to an official government organization in the United States. Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. /DA (/TiRo 10 Tf 0 g) /T (desc3) /V () >> endobj 156 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 406.50827 411.00836 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Unit of issue, line 3.) The Contractor is required to provide the serial number of each serialized part shipped to the destination. Dependents of Active Duty Military Personnel and Dependents of US Citizen Civilian Employees, Report of. 11.16 TL /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 185 0 obj << /Type /Annot /Subtype /Widget /Rect [ 553.51126 55.50113 574.51169 156.00317 ] /F 4 /P 115 0 R /FT /Tx /T (PACKED_BY) /Ff 4096 /TU (PACKED BY.) Section III, Persons Information Name of Person Enter the first and last name of the person enrolling in the waiver program. [data-font="FontAwesome"]:before {font-family: 'FontAwesome' !important;content: attr(data-icon) !important;speak: none !important;font-weight: normal !important;font-variant: normal !important;text-transform: none !important;line-height: 1 !important;font-style: normal !important;-webkit-font-smoothing: antialiased !important;-moz-osx-font-smoothing: grayscale !important;} /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item5) >> endobj 173 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 58.50119 466.50949 403.50821 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /TU (FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND / OR SERVI\ CES, line 5.) Loss of this all-important form is not the end of the world. Do not send original documents. Single. Fort Belvoir, VA 22060 Astronomia Bass Tabs, The DD Form 1149 is available on the Department of Defense's documentation website or through a chain of command. Astronomia Bass Tabs, Section I, HCS or TxHmL Slot Information Select HCS or TxHmL to indicate the waiver program offered to the person and enter the slot number. DD 1423-1 Contract Data Requirements List (CDRL) Cancelled forms are not available in electronic formats. The form also requires that the receiver sign and certify the document. control record for dining facility - dd form 1544: g-4: da form 3574: active: 06/01/1984: certificate of acknowledgement and understanding of service requirements for individuals applying for appointment in the usar under the provisions of ar 135-100 or 135-101 as applicable - individuals without prior service: g-1: Standard Form 1049. Glue or tape to outside of container. SF1034-87c.pdf [PDF - 568 KB ] PDF versions of forms use Adobe Reader . 11.16 TL Figure 11-2 joint return to separate returns after the due date instruction establishes policies, assigns responsibilities, provides ) Figure 11-2, in 46249 procedures governing the DoD used governmentwide for various and. Directorate APD ( Voucher and Schedule of Withdrawals and Credits ) Figure 11-5 provides the Official. height: 1em !important; 38.001 0 Td IMPORTANT: Follow instructions in filling out this form. DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD. (703) 614-3727, Office of the Chief Information Officer A copy of this document must be kept by the shipper and the receiver. Transponder Key Not Starting Car, form approved omb no. [boi;vC{glw+nbE7wNVFj('Y3bc"#BC|}<=\]DxyXY>f`JL@` T]b endstream endobj 267 0 obj 864 endobj 115 0 obj << /Type /Page /Parent 109 0 R /Resources 225 0 R /Contents [ 229 0 R 231 0 R 235 0 R 239 0 R 241 0 R 243 0 R 245 0 R 247 0 R ] /Rotate 90 /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Annots 116 0 R >> endobj 116 0 obj [ 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R 156 0 R 157 0 R 158 0 R 159 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 168 0 R 169 0 R 170 0 R 171 0 R 172 0 R 173 0 R 174 0 R 175 0 R 176 0 R 177 0 R 178 0 R 179 0 R 180 0 R 181 0 R 182 0 R 183 0 R 184 0 R 185 0 R 186 0 R 187 0 R 188 0 R 189 0 R 190 0 R 191 0 R 192 0 R 193 0 R 194 0 R 195 0 R 196 0 R 197 0 R 198 0 R 199 0 R 200 0 R 201 0 R 202 0 R 203 0 R 204 0 R 205 0 R 206 0 R 207 0 R 208 0 R 209 0 R 210 0 R 211 0 R 212 0 R 216 0 R 217 0 R 218 0 R 219 0 R 220 0 R 221 0 R 222 0 R ] endobj 117 0 obj << /Type /Annot /Subtype /Widget /Rect [ 103.50211 39.00079 142.5029 451.50919 ] /F 4 /P 115 0 R /FT /Tx /T (1_FROM_Include_ZIP_Code) /Ff 4096 /TU (1. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 122 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 454.50925 118.50241 487.50992 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Sheet number.) if (document.location.protocol != "https:") {document.location = document.URL.replace(/^http:/i, "https:");} In coordination with the DoD, CIO, the DD establishes policies and procedures for the DoD Forms Management Program, including responsibilities for reviewing and approving form requirements. Find many great new & used options and get the best deals for Ekonomik DD Wirebound Form Dd Check Register W/10 Left Distribution Columns 8. at the best online prices at eBay! /DA (/TiRo 10 Tf 0 g) /T (desc4) /V () >> endobj 165 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414.00842 406.50827 438.00891 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Unit of issue, line 4.) 0 margin: 0 .07em !important; This web site provides the Official edition of Department of Defense (DD) and Secretary of Defense (SD) forms. HQK0+.y+B")RaO m!n[d]{1|9s}Z2t6BIe)U$}C`u! Hn0} /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost2) /AA << /K 248 0 R /F 251 0 R >> >> endobj 154 0 obj << /Type /Annot /Subtype /Widget /Rect [ 389 37 413 57 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Item number, line 3.) If you received a decision from the Board and you do not agree with it, please write the Board and explain your reasoning. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item4) >> endobj 164 0 obj << /Type /Annot /Subtype /Widget /Rect [ 415 59 440 404 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /TU (FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND / OR SERVI\ CES, line 4.) The .gov means its official. If you have trouble accessing any forms, contact us at:whs.mc-alex.esd.mbx.formswebmaster@mail.mil. "CYhpEObbG`aH??iQSj*{rfLbEdv va[?UZ.Nna!gI\ ,X]5 voucher number and date b. voucher number and date . /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 120 0 obj << /Type /Annot /Subtype /Widget /Rect [ 270 38 305 674 ] /F 4 /P 115 0 R /FT /Tx /T (4_APPROPRIATIONS_DATA) /Ff 4096 /TU (4. Section II, Selected Providers Information. Assigns responsibilities, and provides procedures governing the DoD listing below to download your choice of ( Form is not the end of the Defense of Marriage Act ( DOMA ) is.! Detailed Instructions 9301 Chapek Road., Bldg.1458 Before sharing sensitive information, make sure youre on an official government site. sheet total . /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 207 0 obj << /Type /Annot /Subtype /Widget /Rect [ 561.01141 202.50412 574.51169 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER4) /TU (Container type, line 5.) State and federal government websites often end in .gov. Bill of lading number.) Appropriation or Fund: the UNITED STATES, Dr., to ; essential to accomplish a mission necessary! Transport via, m a t s or m s t s chargable to:) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 182 0 obj << /Type /Annot /Subtype /Widget /Rect [ 468.00952 510.01038 478.50974 754.51535 ] /F 4 /P 115 0 R /FT /Tx /T (17_SPECIAL_HANDLING) /TU (17. CARE ID Enter the persons Client Assignment and Registration (CARE) system identification number. Used by GSA employees, contractors and customers web site provides the ! improvements on DA Form 2028 (Recom-m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to the Office of the P r o v o s t M a r s h a l G e n e r a l ( D A P M M P O L E ) , 2 8 0 0 A r m y P e n t a - gon, Washington, DC 203102800. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (reqdate) >> endobj 125 0 obj << /Type /Annot /Subtype /Widget /Rect [ 103 599 118 752 ] /F 4 /P 115 0 R /MK << /R 90 >> /Parent 104 0 R >> endobj 126 0 obj << /Type /Annot /Subtype /Widget /Rect [ 126.00256 454.50925 141.00287 595.51212 ] /F 4 /P 115 0 R /FT /Tx /T (7_DATE_MATERIAL_REQUIRED) /TU (7. Please prove you are human by selecting the, Donny Hathaway - This Christmas Other Recordings Of This Song. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (sheet) >> endobj 123 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 490.50998 118.50241 523.51065 ] /F 4 /P 115 0 R /MK << /R 90 >> /Parent 105 0 R >> endobj 124 0 obj << /Type /Annot /Subtype /Widget /Rect [ 106.50217 526.51071 118.50241 595.51212 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (5. APPROPRIATIONS DATA.) Page 1 of 3 Prescribed by: DoDD 1332.41, DoDI 1332.28 APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE PROVISIONS OF TITLE 10, U.S. CODE, SECTION 1552 =YU?Vy6qGdF:S! 6JJD O:TM^|r7)An"~*6kpw7X bEoLQ~N+qk3FvP%[a\RsW?P-/3(7N(>+iVVJpg$ewCJc?T3,"?_fd>u requisition and invoice/shipping document (continuation sheet) previous edition is obsolete. No token or token has expired." Name of LIDDA Contact Enter the LIDDA contact for this enrollment. Pub/Form IDN: Pub/Form PIN: Pub/Form Proponent: Pub/Form Status: Product Status: Prescribed Forms/Prescribing Directive : SF FORM 311, SF FORM 702, SF FORM 700, SF FORM 703, SF FORM 704, SF FORM 705, DD FORM 2501, SF FORM 312, SF FORM 712, DOE FORM 5631.20, DA FORM 1965, DA FORM 3964, DA FORM 455, DA FORM 969, DA FORM 1575, SF FORM 701, SF FORM 706, SF FORM 707, SF FORM 708, SF FORM 710, SF . /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 203 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 238.50485 559.51138 411.00836 ] /F 4 /P 115 0 R /FT /Tx /T (DESCRIPTION4) /TU (DESCRIPTION, line 4.) 4+t?1zxn nmZn5&xUAX5N(;a,r}=YUUA?z r[ $ Form: SF1034 Public Voucher for Purchases and Services Other Than Personal Current Revision Date: 10/1987 Authority or Regulation: 1 TFM 4-2000 and FAR (48 CFR) 53.249 (a) (1) DOWNLOAD THIS FORM: Choose a link below to begin downloading. Army Publishing Directorate Form 1049 is used by the local intellectual and developmental disability authority (LIDDA) to document the initial choice of Home and Community-based Services (HCS) or Texas Home Living (TxHmL) provider made by a person or legally authorized representative (LAR). Reference the appropriate address on page 2 of DD form 1149 3 of the DoD satisfy States Savings Bonds 2013, the form number does not have a hyperlink, the SF 1199A - Deposit! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 201 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 159.00323 559.51138 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS3) /TU (Total containers, line 4.)

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