ENG FORM 6034, APR 2009 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of

CIVIL PROPERTY AUTHORIZATION DOCUMENT (CPAD) INITIATION For use of this form, see ER 700-1-1; the proponent agency is CELA-SMD

DATE SIGNED (YYYYMMDD) PREPARER SIGNATURE

BAR CODE

1. DISTRICT/LAB/DIVISION 2. DATE (YYYYMMDD)

3. UIC/DODAAC 4. CPAD DOCUMENT NUMBER

LIN/FSC NOMENCLATURE/MODEL/SN ACQUISITION COST

ACQUISITION DATE (YYYYMMDD) RICC CIC REQ AUTH ON

HAND UIC/HRA PROJECT

DATE SIGNED (YYYYMMDD) APPROVING AUTHORITY SIGNATURE

Page of ENG FORM 6034C, APR 2009 PREVIOUS EDITIONS ARE OBSOLETE.

CIVIL PROPERTY AUTHORIZATION DOCUMENT (CPAD) INITIATION (Continuation) For use of this form, see ER 700-1-1; the proponent agency is CELA-SMD

DATE SIGNED (YYYYMMDD) PREPARER SIGNATURE

BAR CODE LIN/FSC NOMENCLATURE/MODEL/SN ACQUISITION COST

ACQUISITION DATE (YYYYMMDD) RICC CIC REQ AUTH ON

HAND UIC/HRA PROJECT

DATE SIGNED (YYYYMMDD) APPROVING AUTHORITY SIGNATURE