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TO: (Forward direct to addressee listed in publication)
FROM: (Activity and location) (Include ZIP Code)
DATE
8/30/02
Commander, U.S. Army Aviation and Missile Command
MSG, Jane Q. Doe
ATTN: AMSAM--MMC--MA--NP
1234 Any Street
Redstone Arsenal, 35898
Nowhere Town, AL 34565
PART II -- REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER
DATE
TITLE
TOTAL NO.
PAGE
COLM
LINE
NATIONAL STOCK
REFERENCE
FIGURE
ITEM
OF MAJOR
RECOMMENDED ACTION
ITEMS
NO.
NO.
NO.
NUMBER
NO.
NO.
NO.
SUPPORTED
PART III -- REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and
blank forms. Additional blank sheets may be used if more space is needed.)
TYPED NAME, GRADE OR TITLE
TELEPHONE EXCHANGE/AUTOVON,
SIGNATURE
PLUS EXTENSION
788--1234
MSG, Jane Q. Doe, SFC
USAPA V3.01

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