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  TM 5-3740-214-14-HR
HAND RECEIPT/ANNEX NO.
FROM:
TO:
For use of this form, see AR 735-35: the proponent agency is
ODCSLOG.
Fill in the following when this form is used as Hand Receipt Annex
Following last item, state in each balance column the type of action (e.g.
CATALOG No.
CURR OF ALW
ITEM
issue, turn-in, inventory, etc.) producing this balance, date of action, and
TM 5-3740-214
ULV Aerosol Generator
signature
BALANCE
STOCK NO
ITEM DESCRIPTION
T†
C†
(a
(t)
1
2
3
4
5
6
7
8
9
10
11
12
)
NSN 3640-01-
ULV AEROSOL GENERATOR
076-1341
Component of End Item (COEI)
1
Control Panel Assembly
1
(56215) (20091)
Flowmeter
1
(56215) (1004)
Hoses, Lines & Fittings (Wire &
1
Fluid Harness
†T - Total allowance for Hand Receipts. (a) Authorized per item for Hand Receipt Annexes.
NO. OF PAGES
†C - Current operating allowance for Hand Receipts. (t) Total authorized for hand Receipt Annexes.
DA Form 2062
1 JAN 80
6CURRENT AS OF 1 DECEMBER 1981
4
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