hand receipt covering contents of components of …hand receipt, enter hand receipt annex number...

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TM 9-6695-307-14-HR HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF END ITEM (COEI), BASIC ISSUE ITEMS (BII), AND ADDITIONAL AUTHORIZATION LIST (AAL) FOR CALIBRATION SET, AN/GSM-705() NSN 6695-01-473-1473 (EIC: TDD) DISTRIBUTION STATEMENT A : Approved for public release; distribution is unlimited. HEADQUARTERS, DEPARTMENT OF THE ARMY 30 NOVEMBER 2007

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TM 9-6695-307-14-HR

HAND RECEIPTCOVERING

CONTENTS OF COMPONENTS OF END ITEM (COEI),

BASIC ISSUE ITEMS (BII),AND ADDITIONAL AUTHORIZATION

LIST (AAL)FOR

CALIBRATION SET,AN/GSM-705()

NSN 6695-01-473-1473 (EIC: TDD)

DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

HEADQUARTERS, DEPARTMENT OF THE ARMY 30 NOVEMBER 2007

TM 9-6695-307-14-HR

i/(ii blank)

HAND RECEIPT HEADQUARTERSTM 9-6695-307-14-HR DEPARTMENT OF THE ARMY

WASHINGTON, D.C., 30 NOVEMBER 2007

HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF END ITEM (COEI),

BASIC ISSUE ITEMS (BII), AND ADDITIONAL AUTHORIZATION LIST (AAL)

FOR

CALIBRATION SET, AN/GSM-705() NSN 6695-01-473-1473 (EIC: TDD)

DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

REPORTING ERRORS AND RECOMMENDING IMPROVEMENTS

You can improve this manual. If you find any mistakes or if you know of a way to improve these procedures, please let us know. Mail your letter or DA Form 2028 (Recommended Changes to Publications and Blank Forms) located in the back of the manual, directly to: Commander, U.S. Army Aviation and Missile Command, ATTN: AMSAM-MMC-MA-NP, Redstone Arsenal, AL 35898-5000. A reply will be furnished to you. You may also provide DA Form 2028 information to AMCOM via email, fax, or the World Wide Web. Our fax number is: DSN 788-6546 or Commercial 256-842-6546. Our email address is: [email protected]. Instructions for sending an electronic 2028 may be found at the back of this manual immediately preceding the hard copy 2028. For the World Wide Web, use https://amcom2028.redstone.army.mil.

TABLE OF CONTENTS

PageSection I. Introduction .................................................................................................................... 1-1

Section II. Hand Receipt .................................................................................................................. 2-1

TM 9-6695-307-14-HR

1-1

Section I. INTRODUCTION

1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt) which lists the contents of Components of End Item (COEI), Basic Issue Items (BII), and Additional Authorization List (AAL) items related to the Calibration Set, AN/GSM-705().

2. GENERAL.a. Section II is the overprinted DA Form 2O62 that lists the line item entry for system/end item and the contents of COE1, Bll, and AAL extracted from TM 9-6695-239-14. The listings consist of exactly the same items and are in the same sequence as those listings in TM 9-6695-239-14. b. The overprinted DA Form 2062 will eliminate manual preparation of the form and will assist organizations in inventorying and accounting for property as required by AR 710-2.c. Local reproduction of the overprinted DA Form 2062 is authorized. However, organizations will comply with local policies in the reproduction of DA Form 2062 by office copying equipment, field printing plant, or duplicating plant facilities.

3. EXPLANATION OF BLOCKS AND COLUMNS (DA FORM 2062). Refer to DA Pam 710-2-1, chapter 6, for additional information required to complete DA Form 2062.

a. From. Enter the organization, unit, section, or squad which issues the property.b. To. Enter the Unit Identifier Code (UIC) and the hand receipt file number of the unit/personnel receiving the property.c. Hand Receipt Number. Enter a locally designated number. Use it to post the location of property in the property book.d. End Item Stock Number. Contains the National Stock Number (NSN) of the end item covered by the hand receipt.e. End Item Description. Contains the end item short title.f. Publication Number. Contains the TM number of the technical manual containing the operator/crew instructions for the equipment.g. Publication Date. Date of the operator/crew technical manual.h. Quantity. Quantity of the end item covered by this hand receipt.i. Stock Number (Column a). NSN of the item described. Item without stock number should be requisitioned by Commercial and Government Entity Code (CAGEC) and part number with exception data in accordance with AR 710-2.j. Item Description (Column b). Describes the end item, including the make or model, and the serial/USA number, followed by item description of COEI, BII, and AAL items. In addition, it contains the five-digit CAGEC, Part Number (P/N), and Used On Code (UOC), if applicable.

TM 9-6695-307-14-HR

1-2

For the AN/GSM-705 systems, there are no different models only variations of the components. The only two variations, a carry over from ARMY legacy hardware (971 Semi-trailer Vans), within the AN/GSM-705 systems are the components of the aircraft loading equipment needed for loading the AN/GSM-705 onto a C130, C141, or C5 aircraft with use of 40K-Loader. These variations have been given the following designations, Type 1 and Type 2 and will be shown in similar fashion as the UOC on hand receipts to the far right in column b, Item Description for that particular component. Refer to the figures in Appendix B of TM 9-2330-362-14 & P for these components.

k. (Column c). The Accounting Requirements Code (ARC) is provided here. One of the following ARCs will apply:

NOTEThe Accounting Requirements Code (ARC) refers to property accountability, not the Recoverability Code (RC). The ARC and the RC are listed in the Army Master Data File (AMDF).

(N) - Nonexpendable: Items not consumed in use, retaining their identity during use, and requiring that accountability be maintained throughout the life of the item.

(D) - Durable: Nonconsumable components of sets, kits, outfits, and assemblages; all tools in Federal Supply Codes (FSCs) 5110, 5120, 5130, 5133, 5136, 5140, 5180, 5220, and 5280; and any other nonconsumable with a price in excess of $50.00 not already N.

(X) - Expendable: Items, regardless of type classification or price and which are consumed in use. Includes all class 9 repair parts and items not consumed in use which cost $50.00 or less and not already N or D.

l. SEC (Column d). The Controlled Inventory Item Code (formerly SEC code) is entered here. This is a one-position code which indicates the security classification or pilferage controls required for storage or transportation of assets. Order of precedence for assignment of codes is classified, sensitive, pilferable, or unclassified, as applicable. Codes applicable to this hand receipt are as follows:

SECCODE CONTROLLED INVENTORY ITEM CODE

U UNCLASSIFIED PILFERABLE ITEMS.

M Hand tools and shop equipment.

J Pilferable item, due to its size, shape, utility, which does not fall under one of the above categories. Pilferage controls may be designated by the coding activity to items coded U (unclassified) by recoding the items to J.

TM 9-6695-307-14-HR

1-3/(1-4 blank)

m. UI (Column e). Unit of Issue. Refer to AR 708-1 and/or CDA Pam 18-1 (Catalog Data Activity) for explanation of abbreviations used in this column.n. QTY AUTH (Column f). The quantity authorized to be on hand, or part of the end item.o. Quantity (Column g). Actual quantity on hand. Subcolumns A through F are to be filled in by the receiving unit/personnel in accordance with DA Pam 710-2-1, chapter 6.p. Page ___ of ___ Pages. Contains page number and total number of pages for the COEI, BII, and AAL portions of the hand receipt. Hand receipt holder will initial each page number (only when two or more forms are involved). When hand receipt holders change, the old initials will be lined out, and the new hand receipt holder will initial each page.

4. AUTHORIZATION DOCUMENTS. a. Components of End Item (COEI) are authorized by the applicable Repair Parts and Special Tools List (RPSTL).

b. Basic Issue Items (BII) are authorized by the applicable operator's manual.

c. Additional Authorization List (AAL) items are authorized by the appropriate MTOE, TDA, CTA, or JTA authorization documents.

5. SPECIAL INFORMATION. Items coded (.) indicate information is not available.

HA

ND

RE

CE

IPT/A

NN

EX

NU

MB

ER

FR

OM

: TO

: H

AN

D R

EC

EIP

T N

UM

BE

R

For use of this form, see D

A P

AM

710-2-1 The proponent agency is O

DC

SLO

G.

END

ITEM STO

CK N

UM

BER

END

ITEM D

ESCR

IPTION

P

UB

LICA

TION

NU

MB

ER

P

UB

LICA

TION

DATE

Q

UAN

TITY FO

R

AN

NE

X/C

R

ON

LY 6695-01-473-1473

CA

LIBR

ATIO

N SET, A

N/G

SM-705

SN:

TM 9-6695-239-14

APR

-03

STO

CK

NU

MB

ER

ITE

M D

ISC

RIP

TION

*

SE

C

UI

QTY

AU

TH

g. Q

UAN

TITY

a.b.

c.d.

e.f.

AB

CD

EF

CO

MPO

NE

NT

S OF E

ND

ITE

M (C

OE

I)

Generator M

ounting Kit (Installed on M

1088Al) w

ith hand crank EA

1

5935-01-092-3451 G

enerator Pigtail Connection (Installed on 15 K

W G

enerator) (81349) MIL-C

-22992

XU

EA1

Chair (1N

125) 363891 EA

6

Smoke D

etector SA68C

EA

2

5999-01-381-8660 D

ual Mount ESD

(62576) 14260 EA

5

6230-00-137-6394 Light, Em

ergency X

USE

2

Monitor M

ount Assem

bly (18876) 13603152 EA

5

Patch Panel Assem

bly (18876) 13602389 EA

5

Uninterrupted Pow

er Supply (18876) 13603214 EA

6

Waste B

asket (1N125) 15000

EA5

Power Supply, Lam

bda (18876) 13603199 EA

1

Line Conditioner, Triplite (18876) 13603131

EA1

10 Base- T H

ub (18876) 13603277 EA

2

100 Base- T H

ub (18876) 13603278 EA

1

Converter, M

edia 10baseFL to 10 base T (18876) 13603130 EA

1

6625-01-497-7844 Fiber H

ub, Ethernet 8-port (18876) 13603137 EA

1

Production Control (18876) 13603305

EA1

GPS A

ntenna Cable A

ssembly (18876) 13603219

EA1

GPS PV

C Extension A

dapter (18876) EA

1

* WH

EN U

SED AS A:

HA

ND

RE

CE

IPT, enter H

and Receipt A

nnex Num

ber H

AND

REC

EIPT FOR

QU

ARTER

S FUR

NITU

RE, enter C

ondition Codes

HAN

D R

ECEIPT AN

NEX

/CO

MPO

NEN

TS REC

EIPT, enter Accounting Requirem

ents Code (AR

C).

PAG

E 1 O

F 5 PAG

ES

DA

FOR

M 2062, JA

N 82

US

AP

PC

V1.10

TM 9-6695-307-14-HR Section II. HAND RECEIPT

2-1

CU

RR

EN

T AS

OF 01 A

PR

IL 2003

TM 9-6695-307-14-HR

STOC

K NU

MBER

ITE

M D

ES

CR

IPTIO

N

*SEC

UI

QTY

AUTH

g. Q

UAN

TITY

a.b.

c.d.

e.f.

AB

CD

EF

5895-01-443-5081 Interface U

nit, Autom

atic Data Processing

NU

EA1

6665-01-493-8499 R

emote O

xygen Sensor Assem

bly, Tox Guard II W

/Calibration K

it EA

1

6645-00-410-2395 C

lock, Panel X

UEA

1

Temperature/H

umidity M

eter (3A054) 3993-K

61 EA

1

4940-01-462-9767 U

ltrasonic Leak Detector K

it (0VJ05) TM

ULD

-300 SE

1

Key C

abinet, High Security, 30 keys

EA2

Refrigerator (18876) 914951

EA1

Clam

ping Kit, 52 pieces

EA1

Nitrogen B

ottle (18876) 13608990 EA

2

Pressure Distribution A

ssembly (18876) 13602392

EA1

Scale Support Mount B

lock (18876) 13602382 EA

1

Spring Scale Support Assem

bly (18876) 13602380 EA

1

Torque Plate Assem

bly (18876) 13602487 EA

1

UD

M-2 Storage B

ox (18876) 13610863 EA

1

BA

SIC ISSU

E IT

EM

S (BII)

NO

TE

: There are 2 types of A

ircraft Loading E

quipment, T

ype 1 and Type 2. R

efer to figures in A

ppendix B of T

M 9-2330-362-14&

P.

2590-00-856-1952 Shoe, V

ehicle Support X

UEA

2

2610-00-269-7383 Inner Tuber: Tire (Spare Tire)

XU

EA1

2640-00-810-5861 V

alve Core: Inner Tube (Spare Tire)

XU

EA1

2530-00-026-0265 W

heel Rim

(Spare Tire) X

UEA

1

2510-01-031-4455 A

dapter, Loading Jack Used w

ith Type 1 and Type 2 X

UEA

2

2540-00-892-6243 Ladder, G

enerator (located in storage box) w/hand rail

XU

EA1

Ladder, Boarding w

/ rails (18876) 13602441 X

UEA

2

5935-00-224-5260 R

od, Ground 6 feet long

XU

EA1

Reverse of D

A Form

2062 PA

GE 2 O

F 5 PAG

ES

2-2

CU

RR

EN

T AS

OF 01 A

PR

IL 2003

TM 9-6695-307-14-HR

STOC

K NU

MBER

ITE

M D

ES

CR

IPTIO

N

*SEC

UI

QTY

AUTH

g. Q

UAN

TITY

a.b.

c.d.

e.f.

AB

CD

EF

5120-00-243-2419 H

andle: leveling jack D

MEA

2

5120-00-224-7330 Jack, H

ydraulic D

MEA

1

5120-00-293-1289 W

rench, Socket D

MEA

1

8105-01-171-4739 B

ag: Tiedown R

ings X

UEA

2

1670-01-092-9236 R

ing, Assem

bly Cargo

XU

EA30

Crank, H

and (18876) EA

2

2540-01-033-0703 C

hock, Wheel-Track

XU

EA2

2590-01-181-6331 B

race Jack (undercarriage between belly box and dolly) Type 1

XU

EA4

5120-01-185-0477 Jack Leveling Support (undercarriage betw

een belly box and dolly) Type 1 D

UEA

2

2590-01-207-6366 Shoe Loading Jack (undercarriage betw

een belly box and dolly) Type 1 X

UEA

2

2590-01-043-7892 Stand, Jack Leveling (undercarriage betw

een belly box and dolly) Type 2 X

UEA

2

2590-01-124-5063 U

pper Mount A

ssembly: Jack (undercarriage betw

een belly box and dolly) Type 2 X

UEA

2

2590-01-038-1507 Jack, Leveling Support (undercarriage betw

een belly box and dolly) Type 2 X

UEA

2

Spacer, Wood B

lock (18876) 13609878 EA

2

5820-01-263-1760 G

rounding Kit

XU

EA2

5995-01-376-7941 Pow

er Cable A

ssembly, Pigtail 25 feet

XU

EA1

5995-01-134-3159 Pow

er Cable A

ssembly, 50 foot

XU

EA2

2540-01-092-4056 Ladder, Folding 12 feet

XU

EA1

5120-00-138-3772 W

rench Jack Type 1D

UEA

2

5120-01-398-7886 Extension, Socket W

rench, 1/2 inch, Craftsm

an (0TA44) 9-44131

DM

EA1

5120-01-429-6379 U

niversal Joint, 1/2 inch, Craftsm

an (0TA44) 9-4425

DM

EA1

5120-01-398-9267 D

rive, 1/2 inch, 27 MM

socket 12 pt, Craftsm

an (0TA44) 9-44243 O

R D

rive, 1/2 inch, 1 3/16 inch socket 6 pt, C

raftsman (0TA

44) 9-44052 D

MEA

1

6240-00-155-8717 Lam

p Incandescent X

UEA

9

6240-00-019-0877 Lam

p Incandescent X

UEA

9

Reverse of D

A Form

2062 PA

GE 3 O

F 5 PAG

ES

2-3

CU

RR

EN

T AS

OF 01 A

PR

IL 2003

TM 9-6695-307-14-HR

STOC

K NU

MBER

ITE

M D

ES

CR

IPTIO

N

*SEC

UI

QTY

AUTH

g. Q

UAN

TITY

a.b.

c.d.

e.f.

AB

CD

EF

6240-00-617-0991 Lam

p Incandescent X

UEA

2

6240-00-044-6914 Lam

p Incandescent X

UEA

2

5180-01-042-3394 Tool K

it: Air C

raft Loading Com

posed of: Used w

ith Type 1 and Type 2 SE

Extension, Socket 5UP46

EA1

Handle, R

atchet 5UP56

EA1

Pliers 5WN

17 EA

1

Socket, ¾ Inch 5TZ51

EA1

Socket, 15/16 inch 5TZ55 EA

1

Socket, 1 1/8 inch 5TZ58 EA

1

Wrench, 1-11/16 inch 54L18-5

EA1

Tool Box 6C

326 EA

1

5305-00-724-7222 Screw

, Cap, H

exagon Head (96906) M

S35303-164 Type 1 X

UEA

4

Screw: Jack Type 1

EA4

5310-00-763-8920 N

ut, Plain, Hexagon Type 1

XU

EA4

Screwdriver, 24 inch long (39428) 5682A

47 EA

1

4940-01-320-7328 N

ozzel, Air (39428) 5536K

12 X

UEA

1

First Aid K

it 212330 EA

1

Level, 24 inch, Stanley 42-074 EA

1

4210-00-270-4512 Fire Extinguisher (99539) 5R

AC

02 X

JEA

2

5120-01-468-6124 W

rench, Torque, 1/2 inch drive, 20 to 150 ft-lbs. (53800) 9-44595 U

EA1

5340-01-463-5841 Padlock, Set (set of 5 each) (81346) A

STM F883

XU

EA1

9905-01-207-3508 Plate, Instruction

XU

EA2

Bar, B

reaker, 1/2 inch drive X 24 inch long (1EA

85) T20727 EA

1

Technical Manual: TM

9-2330-362-14&P (on C

D)

EA1

AD

DIT

ION

AL

AU

TH

OR

IZED

LIST

(AA

L)

Reverse of D

A Form

2062 PA

GE 4 O

F 5 PAG

ES

2-4

CU

RR

EN

T AS

OF 01 A

PR

IL 2003

TM 9-6695-307-14-HR

STOC

K NU

MBER

ITE

M D

ES

CR

IPTIO

N

*SEC

UI

QTY

AUTH

g. Q

UAN

TITY

a.b.

c.d.

e.f.

AB

CD

EF

4520-01-177-6198 H

eater, Space P-15D (Inside H

eater Box C

AG

E: 18876 PN: 13602427)

EA2

Box, Pow

er Breakout (Inside B

elly Box) (18876) 13602496

EA1

5410-01-323-2454 M

odular Com

mand Post System

(MC

PS), Green O

R M

odular Com

mand Post System

(M

CPS), TA

N (N

SN 5410-01-334-7529) See TM

10-5410-229-13 & P for com

ponent inventory.

NU

EA1

Reverse of D

A Form

2062 PA

GE 5 O

F 5 PAG

ES

2-5

CU

RR

EN

T AS

OF 01 A

PR

IL 2003

By Order of the Secretary of the Army

GEORGE W. CASEY, JR. General, United States Army

Chief of StaffOfficial:

JOYCE E. MORROW Administrative Assistant to the

Secretary of the Army 0728408

DISTRIBUTION:

To be distributed in accordance with Initial Distribution Number (IDN) 362429, requirementsfor TM 9-6695-307-14-HR.

TM 9-6695-307-14-HR

These are the instructions for sending an electronic 2028The following format must be used if submitting an electronic 2028. The subject line must be exactly the same and all fields must be included; however only the following fields are mandatory: 1, 3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, and 27.

From: “Whomever” [email protected]: [email protected]

Subject: DA Form 20281 From: Joe Smith 2 Unit: home 3 Address: 4300 Park 4 City: Hometown 5 St: MO 6 Zip: 77777 7 Date Sent: 19--OCT--93 8 Pub no: 55--2840--229--239 Pub Title: TM 10 Publication Date: 04--JUL--8511 Change Number: 712 Submitter Rank: MSG13 Submitter FName: Joe14 Submitter MName: T15 Submitter LName: Smith 16 Submitter Phone: 123--123--123417 Problem: 1 18 Page: 2 19 Paragraph: 3 20 Line: 4 21 NSN: 5 22 Reference: 6 23 Figure: 7 24 Table: 8 25 Item: 9 26 Total: 123

27 Text:This is the text for the problem below line 27.

EXAMPLE

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use Part II (reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

8/30/02

TO: (Forward to proponent of publication or form)(Include ZIP Code)

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM--MMC--MA--NP

Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

MSG, Jane Q. Doe

1234 Any Street

Nowhere Town, AL 34565

PART 1 - ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER TM 9-1005-433-24

DATE16 Sep 2002

TITLE Organizational, Direct Support, And General Support Maintenance Manual for Machine Gun, .50 Caliber M3P and M3P Machine Gun Electrical Test Set Used On Avenger Air Defense Weapon System

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

1 WP0005PG 3

2 Test or Corrective Action column should identify a different WP number.

* Reference to line numbers within the paragraph or subparagraph.TYPED NAME, GRADE OR TITLE

MSG, Jane Q. Doe, SFC

TELEPHONE EXCHANGE/ AUTOVON, PLUS EXTENSION

788-1234

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

EXAMPLE

TO: (Forward direct to addressee listed in publication)

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MMC-MA-NP

Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code)

MSG, Jane Q. Doe

1234 Any Street

Nowhere Town, AL 34565

DATE

8/30/02

PART II - REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

PART III - REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications andblank forms. Additional blank sheets may be used if more space is needed.)

TYPED NAME, GRADE OR TITLE

MSG, Jane Q. Doe, SFCTELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION

788-1234SIGNATURE

USAPA V3.01

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

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, PLUS EXTENSION

SIGNATURE

USAPA V3.01

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

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, PLUS EXTENSION

SIGNATURE

USAPA V3.01

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

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, PLUS EXTENSION

SIGNATURE

USAPA V3.01

PIN: 084480-000

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