11.18 - dd form 577 appointment/ termination record ... 4000.5 pt 2.pdf8485 enclosure (1) 85 18....

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Enclosure (1) 83 dd 577 United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary. For detailed instructions, see page 144. 18. KSD: DD Form 577 Appointment/Termination Record-Authorized Signature Yes No N/A Comments A18. Does the Appointment/Termination Record identify the Appointing Authority’s printed name? B18. Does the Appointment/Termination Record identify the Appointing Authority’s title? C18. Does the Appointment/Termination Record identify the Appointing Authority’s DOD component/ Organization? D18. Does the Appointment/Termination Record have the date recorded? E18. Does the Appointment/Termination Record have the Appointing Authority’s signature recorded? F18. Does the Appointment/Termination Record identify the Appointee’s printed name? G18. Does the Appointment/Termination Record identify the Appointee’s social security number? H18. Does the Appointment/Termination Record identify the Appointee’s title? I18. Does the Appointment/Termination Record iden- tify the Appointee’s DOD component/organization? J18. Does the Appointment/Termination Record identify the Appointee’s address? K18. Does the Appointment/Termination Record identify the Appointee’s telephone number? L18. Does the Appointment/Termination Record identify the Appointment effective date? M18. Does the Appointment/Termination Record identify the position to which appointed? N18. Does the Appointment/Termination Record identify the Appointee’s responsibilities? O18. Does the Appointment/Termination Record identify the regulations the Appointee should abide to? 11.18 - DD Form 577 Appointment/ Termination Record-Authorized Signature

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Page 1: 11.18 - DD Form 577 Appointment/ Termination Record ... 4000.5 PT 2.pdf8485 Enclosure (1) 85 18. KSD: DD Form 577 Appointment/Termination Record-Authorized Signature Yes No N/A Comments

82 Enclosure (1)8383

dd 577

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary. For detailed instructions, see page 144.

18. KSD: DD Form 577 Appointment/Termination Record-Authorized Signature Yes No N/A Comments

A18. Does the Appointment/Termination Record identify the Appointing Authority’s printed name?B18. Does the Appointment/Termination Record identify the Appointing Authority’s title?C18. Does the Appointment/Termination Record identify the Appointing Authority’s DOD component/Organization?D18. Does the Appointment/Termination Record have the date recorded?E18. Does the Appointment/Termination Record have the Appointing Authority’s signature recorded?F18. Does the Appointment/Termination Record identify the Appointee’s printed name?G18. Does the Appointment/Termination Record identify the Appointee’s social security number?H18. Does the Appointment/Termination Record identify the Appointee’s title?I18. Does the Appointment/Termination Record iden-tify the Appointee’s DOD component/organization?J18. Does the Appointment/Termination Record identify the Appointee’s address?K18. Does the Appointment/Termination Record identify the Appointee’s telephone number?L18. Does the Appointment/Termination Record identify the Appointment effective date?M18. Does the Appointment/Termination Record identify the position to which appointed?N18. Does the Appointment/Termination Record identify the Appointee’s responsibilities?O18. Does the Appointment/Termination Record identify the regulations the Appointee should abide to?

11.18 - DD Form 577 Appointment/ Termination Record-Authorized Signature

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Enclosure (1)84 8585

18. KSD: DD Form 577 Appointment/Termination Record-Authorized Signature Yes No N/A Comments

P18. Did the Appointee print their name in the Appointment Acknowledge section?Q6. If applicable, is the Order Number provided?

R18. Was the date recorded upon the termination of the appointment?S18. Did the Appointee record his initials on the Appointment/Termination Record upon the termina-tion of the appointment?T18. Did the Appointing Authority print their name on the Appointment/Termination Record upon the termination of the appointment?U18. Did the Appointing Authority record their title on the Appointment/Termination Record upon the termination of the appointment?V18. Did the Appointing Authority record their signature on the Appointment/Termination Record upon the termination of the appointment?

DD Form 577 Appointment/Termination Record-Authorized Signature .... continued

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

dd 557

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dd 577

Example: DD Form 577 Appointment/Termination Record-Authorized Signature

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Enclosure (1)86 8787

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary.

19. KSD: Physical Inventory Certificate of Results Yes No N/A Comments

A13. Does certificate consist of current date?

B13. Is the dollar value prior to inventory provided?

C13. Is the net loss variance provided and accurately calculated?D13. Is the net gain variance provided and accurately calculated?E13. Has the percentage of administrative gains and losses been provided and accurately calculated?F13. Has an opinion been provided for gains and loss-es for which causative research was not conclusive?G13. Have corrective actions been identified that are appropriate based on results of causative research?H13. Does the certification contain the signature of the supply officer?

11.19 - Physical Inventory Certificate of Results

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

inventory certification

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inventory certification

Example: Physical Inventory Certificate of Results

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Enclosure (1)88 8989

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary.

20. Annual Physical Inventory Results Yes No N/A Comments

A14. Has the AAC and unit roll up UIC been pro-vided ?B14. Is the date of inventory completion provided?

C14. Is the dollar value prior to inventory provided?

D14. Has the specific gain/loss item been identified by listing the TAMCN, NSN, Nomenclature and Docu-ment Number?E14. Has the type of adjustment (gain/loss) been properly identified by the DIC Code?F14. Have the reported quantity, quantity per inven-tory, and discrepancy (gain/loss) been accurately identified?G14. Have the unit price and extended price of the in-dividual items gained or lost been provided/accurately calculated?

11.20 - Annual Physical Inventory Results

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

inventory results

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inventory results

Example: Annual Physical Inventory Results/Spreadsheet

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Enclosure (1)90 9191

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary.

21. Commander’s Annual Physical Inventory Certification Yes No N/A Comments

A15. Does certification consist of current date?

B15. Has the date of inventory completion been identified?C15. Does the certification state that all discrepancies have been reviewed and gain and loss transactions have been approved?D15. Does the certification state that the com-mander has reviewed internal controls and directed appropriate corrective actions to be taken?E15. Does the certification state that the inventory results and endorsement will be maintained for two years?F15. Does the certification contain the signature of the Commander?

11.21 - Commander’s Annual Physical Inventory Certification

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

commander’s certification

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commander’s certification

Example: Commander’s Annual Physical Inventory Certification

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Enclosure (1)92 9393

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary.

22. KSD: NAVMC 11869: Notice of Delegation of Authority Yes No N/A Comments

A16. Does the notice contain the current date?

B16. Has the name of the unit and the installation where the unit is located been identified?C16. Has the need to request, receive and turn in supplies been complete as yes or no for each autho-rized representative listed?D16. Has the signature and initials been provided for each authorized representative listed?E16. Has the appropriate box “Delegates to” or “Withdraws from” been checked and the specific class of supplies been identified?F16. Has the UIC and DoDAAC been identified?

G16. Has the responsible officer been identified along with his rank/grade and telephone no. and has the expiration date of card been identified?H16. Does the certification contain the signature of the responsible officer?

11.22 - NAVMC 11869: Notice of Delegation of Authority

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

navmc 11869

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navmc 11869

Example: NAVMC 11869: Notice of Delegation of Authority

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Enclosure (1)94 9595

United States Marine Corps (USMC) Key Supporting Documentation (KSD) Checklist

Please check whether the following elements are adequately addressed in the Key Supporting Documentation (KSD) and make comments, if necessary.

18. KSD: WAWF Receiving/Acceptance Report Yes No N/A CommentsA22. Is the Contract number recorded on the report and does it agree to the SF26 contract number?B22. Is the Issue Date recorded on the report?

C22. Is the shipment number and shipment date re-corded on the report?D22. Is the Freight on Board type (Shipping Point or Destination) recorded on the report?E22. Is the dollar amount/total dollar amount record-ed on the report?F22. Is the Prime Contractor information including Cage Code and Name recorded on the report?G22. Is the Ship To information including DODAAC and Name recorded on the report?H22. Is the Administered By information including Code and Name recorded on the report?I22. Is the Payment Official information including DODAAC and Name recorded on the report?J22. Is the Stock Number and Stock Type recorded on the report?K22. Is the Quantity Shipped recorded on the report?

L22. Is the item Description recorded on the report?

M22. Is the Initiator information including Name, Phone Number and Email recorded on the report?N22. Is the Initiator Date of Action and Action re-corded on the report?O22. Is the Acceptor information including Name, Phone Number and Email recorded on the report?P22. Is the Acceptor Date of Action and Action re-corded on the report?

11.23 - WAWF Receiving/Acceptance Report

wawf

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wawf

WAWF Receiving/Acceptance Report .... continued

Preparer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

Reviewer Title: ___________________________________Printed Name: ___________________________________

Signature: ___________________________________ Date: __________

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Enclosure (1)96 9797

Example: WAWF Receiving/Acceptance Report

page 1

wawf

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wawf

Example: WAWF Receiving/Acceptance Report

page 2

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Enclosure (1)98 9999

Example: WAWF Receiving/Acceptance Report

page 3

wawf

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appendix a

Appendix A - List of Acronyms / Abbreviations

List of Acronyms / Abbreviations

AAC Activity Address CodeACO Administrative Contracting OfficerACRN Accounting Classification Reference NumberAO Accountable OfficerB/L Bill of LadingCMR Consolidated Memorandum of ReceiptCO Commanding OfficerCON CODE Condition CodeCQA Contract Quality AssuranceCUTOFF-DT Cutoff DateDIST DistributionDOC IDENT Document IdentifierDOD Department of DefenseDODAAD Department of Defense Activity Address DirectoryDoN Department of the NavyE&C Existence and CompletenessFIAR Financial Improvement and Audit ReadinessFIP Financial Improvement PlanFOB Freight on BoardFSC Federal Supply ClassificationGBL Government Bill of LadingISS IssuedKSD Key Supporting DocumentationLOA Letter of AuthorizationLOC CODE Location CodeLOT NO Lot NumberMAL Mechanized Allowance ListME Military EquipmentMIPR Military Interdepartmental Purchase RequestMIRR Material Inspection and Receiving ReportNMFC National Motor Freight Classification Commodity NumberNO CONT Number of ContainersNSN National Stock NumberOC Operation Code

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Enclosure (1)100 101101

List of Acronyms / Abbreviations

OUSD Office of the Under Secretary of DefenseOUSD (AT&L) Office of the Under Secretary of Defense for Acquisitions, Technology and LogisticsPCO Procuring Cract OfontficerQTY QuantityRIC Routing Identifier CodeRO Responsible OfficerSCAC Standard Carrier Alpha CodeSecDef Secretary of DefenseSF Standard FormSTK LEV Stock LevelTAC Transportation Account CodeTAMCN Table of Authorize Materiel Control NumberTCN Tracking Control NumberTCO Terminating Contracting OfficerT/E RQMT Table of Equipment RequirementTIC Type Inventory CodeTPC Type Pack CodeUI Unit of IssueUIC Unique Identifier CodeUP Unit PackUSMC United States Marine CorpsWT Weight

appendix a

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appendix b

Appendix B - KSD Completion InstructionsInstructions: Award/Contract SF26

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Enclosure (1)102 103103

Instructions: Military Interdepartmental Purchase Request (MIPR) DD Form 448

page 1

appendix b

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appendix b

Instructions: Military Interdepartmental Purchase Request (MIPR) DD Form 448

page 2

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Enclosure (1)104 105105

Instructions: Military Interdepartmental Purchase Request (MIPR) DD Form 448

page 3

appendix b

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 1

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Enclosure (1)106 107107

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 2

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 3

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Enclosure (1)108 109109

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 4

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 5

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Enclosure (1)110 111111

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 6

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 7

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Enclosure (1)112 113113

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 8

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 9

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Enclosure (1)114 115115

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 10

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 11

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Enclosure (1)116 117117

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 12

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 13

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Enclosure (1)118 119119

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 14

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appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 15

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Enclosure (1)120 121121

appendix b

Instructions: U.S Government Bill of Lading (GBL) SF 1103

page 16

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 1

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 2

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 3

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 4

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 5

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 6

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 7

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appendix b

Instructions: Material Inspection and Receiving Report (MIRR) DD Form 250

page 8

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appendix b

Instructions: Issue Release/Receipt Document DD Form 1348

page 1

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appendix b

Instructions: Issue Release/Receipt Document DD Form 1348

page 2

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appendix b

Instructions: Issue Release/Receipt Document DD Form 1348

page 3

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Enclosure (1)132 133133

appendix b

Instructions: Issue Release/Receipt Document DD Form 1348

page 4

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appendix b

Instructions: Requisition and Invoice/Shipping Document DD Form 1149

page 1

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appendix b

Instructions: Requisition and Invoice/Shipping Document DD Form 1149

page 2

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appendix b

Instructions: Requisition and Invoice/Shipping Document DD Form 1149

page 3

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Enclosure (1)136 137137

Instructions: Requisition and Invoice/Shipping Document DD Form 1149

page 4

appendix b

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appendix b

Instructions: DOD Property in the Custody of Contractors DD Form 1662

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Enclosure (1)138 139139

appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 1

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appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 2

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Enclosure (1)140 141141

appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 3

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appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 4

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Enclosure (1)142 143143

appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 5

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appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 6

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Enclosure (1)144 145145

appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 7

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appendix b

Instructions: Consolidated Memorandum of Receipt (CMR)

page 8

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Instructions: DD Form 577 Appointment/Termination Record-Authorized Signature

appendix b

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appendix c

Appendix C - Tier 2 KSDs

The following are examples of alternative supporting documentation that may fulfill financial statement assertions:

• Contract modifications, or change orders• Approved work order• Approved last invoice • Signed lease for leased property• Transfer letter and documents for transferred assets• DoD Property in the Custody of Contractors (DD Form 1662)• Selected Acquisition Report (SAR)• Valuation Data Report with Program Listing• Budget Item Justification Sheet (Exhibit P-40, DD Form 2454, Exhibit R-2)• Production Schedule (Exhibit P-21, DD Form 2445)• Cost Analysis Worksheet (P-5)• Budget Procurement History and Planning (Exhibit P-5a, DD Form 2446)• Procurement Program (Exhibit P-1)• Appropriation Bill Report• Extracts from Accounting Systems Supporting Data

Tier 2 KSDs are expected to be maintained just as Tier 1 KSDs to support a Financial statement audit.

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For more information, visit: il.usmc.mil/ORG/IL/LP/LPC2/Pages/default.aspx

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