HUMAN RESOURCES ADVANCED LEADERS COURSE 42A€¦ · Page 19 Marriage Certificate Page 20 Assignment...
Transcript of HUMAN RESOURCES ADVANCED LEADERS COURSE 42A€¦ · Page 19 Marriage Certificate Page 20 Assignment...
HUMAN RESOURCES ADVANCED LEADERS COURSE
42ADetermine Entitlements to Military Pay
and Allowances
DTA
December 2019
Pages 1-2 Orders for Special Duty Assignment Pay
Page 3 Revocation Orders for SDAP
Pages 4 Orders for PCS HDP-L
Page 5 DD1351-2 HDP-L
Page 6 Deployment Orders
Pages 7-10 Orders/certificates for Flight Pay
Pages 11-12 Orders for Parachute Duty Assignment Pay
Pages 13-14 Orders for Demolition Duty Assignment Pay
Documents Associated with Pay and Allowances
DTA
Pages 13-14 Orders for Demolition Duty Assignment Pay
Page 15 DA Form 4187 (personnel Action) Authorizationfor Separate Rations.
Pages 16-17 DA Form 1475 (Basic allowance for SubsistenceCertificate)
Pages 18 DA Form 5960 (Authorization to start, Stop or ChangeBasic Allowance for Quarters & VHA)
Page 19 Marriage Certificate
Page 20 Assignment to Family Housing
Page 21 Termination of Family Housing
Page 22 DD Form 1561 (Statement to Substantiate Payment ofFamily Separation Allowance)
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DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 06-121 10 JUNE 20**
SPECIAL DUTY ASSIGNMENT designator is awarded orterminated as indicated terminate hazardous duty as indicated.
BROWN, CHRISTOPHER E. 999-33-8923, SPC, 23RD MED SPT BNFORT STEWART, GA 31314
ACTION: Award SD1AUTHORITY: AR 600-200EFFECTIVE DATE: 1 JUNE 20**
Drill Sergeant Pay
DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
ADDITIONAL Instruction: This order terminates any other Specialduty assignment designator that the member may have beenawarded.
1
DEPARTMENT OF THE ARMYHEADQUARTERS,23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 08-121 09 AUGUST 20**
BROWN, CHRISTOPHER E. 999-33-8923, SPC, 23RD MED SPT BNFORT STEWART, GA 31314
ACTION: TERMINATE SD1AUTHORITY: AR 600-200EFFECTIVE DATE: 10 JUNE 20**
Drill Sergeant Pay
SPECIAL DUTY ASSIGNMENT designator is awarded orterminated as indicated terminate hazardous duty as indicated
.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Drill Sergeant PayADDITIONAL Instruction: This order terminates any other Specialduty assignment designator that the member may have beenawarded.
2
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 08-129 12 AUGUST 20**
Following orders are change as indicated.
Pertaining to: BROWN, CHRISTOPHER E. 999-33-8923, SPC,23rd Med Spt Bn, FORT STEWART, GA 31314.
As reads: Terminate Drill Sergeants Pay (SD1)How Changed: REVOCATION
ACTION: REVOCATIONSo much of: Para 1, ORDER 08-121, Headquarters, 23rdArmored Division and Fort Stewart, GA dtd09 August 20**.
DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
How Changed: REVOCATIONAUTHORITY: DODFMR
3
Department of the Army50th Mechanized Infantry Division
Fort Stewart, Georgia 31314
Order # 67-32 1 June 20**
SNORK, JEFF SFC 111-10-4782HHC 1/50 INF Fort Stewart, Georgia 31314
YOU WILL PROCEED ON PERMANENT CHANGE OF STATION AS SHOWN. YOUWILL REPORT ON OR ABOUT 20 November 200**
ASSIGNED TO: UNITED STATES ARMY REPLACEMENT DETACHMENT (W1RB11)Yungson Korea 90001
ADDITIONAL INSTRUCUTIONS:
(A) OFFICIAL TRAVEL ARRANGMENTS PURCHASED THROUGH ACOMMERCIAL TRAVEL OFFICE NOT UNDER CONTRACT TO THEGOVENMENT WILL NOT BE REIMBURSABLE.
(B) YOU ARE AUTHORIZED SHIPMENT OF HOUSE HOLD GOODS ATGOVENMENT EXPENSE. NOT TO EXCEED AUTHORIZED WEIGHT
DTA
GOVENMENT EXPENSE. NOT TO EXCEED AUTHORIZED WEIGHTALLOWANCE.
(C) DEPENDANTS: (NO)(D) YOU WILL SUBMIT A TRAVEL VOUCHER FOR THIS TRAVEL TO THE
CUSTODIAN OF YOUR FINANCE RECORDS WITHIN 5 DAYS AFTERCOMPLETETION OF TRAVEL.
FOR ARMY USE:AUTH: EDAS CY DTD 20**120MDC: 4AE3 PERS CON NO: 6HXA000ENL/REENLB INDIC: NA ASGD TO MGT DSG:FOR THE COMMANDER: CON SPECIALTY: NONE
DISTRIBUTION:SFC SNORK (20) John J. Smith
PSB: EIB (1) PAB (1) JOHN J SMITHFOA (1) LTC, GS
ACoFS, G1/AG
4
15 Nov
16 Nov
16 Nov
15 Nov
16 Nov
AT
AD
MC
TRAVEL VOUCHER OR SUBVOUCHERRead Privacy Act Statement , Penalty Statement , and Instruct ions on back before complet ingform. Use typewriter, ink, or ball point pen. PRESS HARD. DO NOT use pencil. If morespace is needed, cont inue in remarks.
3. FOR D.O. USE ONLY
Electronic Fund Transfer (EFT)
1. PAYMENT
15. ITINERARY
14. HAVE HOUSEHOLD GOODS BEEN SHIPPED?(X one)
2. TYPE OF PAYMENT (X as applicable)
Member/Employee
a. DATE b. PLACE(Home, Of fice, Base, Act ivity, City and
State; City and Country, etc. )
FT STEWART GA PA
c.MEANS/MODE OFTRAVEL
d.REASON
FORSTOP
e.LODGING
COST
f.POC
MILES
ACCOMPANIED
b. RELATIONSHIP c. DATE OF BIRTHOR MARRIAGE
UNACCOMPANIED
8. DAYTIME TELEPHONE NUMBER &AREA CODE
DSN 317-72-2111
9. TRAVEL ORDER NUMBER67-32
12. DEPENDENT(S) (X and complete as applicable)
11. ORGANIZATION AND STATION2ID CAMP CASY KOREA
10. PREVIOUS GOVERNMENT PAYMENTS/ADVANCES
NONE
13. DEPENDENTS' ADDRESS ON RECEIPT OFORDERS (Include Zip Code)
7. ADDRESS.a. NUMBER AND STREETP.O. BOX 50101
b. CITYAPO
4. NAME (Last , First, Middle Init ial) (Print or type)
SNORK, JEFF5. GRADE
SFC/E-7
c. STATEAP
d. ZIP CODE96205
6. SSN111-10-4782
TDY
Other
d. COMPUTATIONS
a. D.O. VOUCHER NUMBER805221
c. PAID BYC DET176TH FINANCE BNCAMP HENRY KOREA
ADSN 5480
a. NAME (Last, First, Middle Init ial)
STUDENT NOTE:
b. SUBVOUCHER NUMBER
Dependent(s)
ARR
DEP
ARR
DEP
ARR
DEP
ARR
DEP
ARR
DEP
SAVANNAH AIRPORT, GA
SEOUL KOREA
CAMP CASEY KOREA
CP
GA
YES NO (Explain in Remarks)
DLA
PCS
11 Sep
Split Disbursement : Amt to Govt Tvl Charge Card $Payment by Check
DTA
17. DURATION OF TDY TRAVEL
18. REIMBURSABLE EXPENSES
28. AMOUNT PAID$232.04
19. GOVERNMENT/DEDUCTIBLE MEALS
(6) Reimbursable Expenses
(7) Total
(8) Less Advance
(9) Amount Ow ed
(10) Amount Due
Except ion to SF 1012 approved by GSA/IRMS 12-91.
21.a. APPROVING OFFICER SIGNATURE
(1) Per Diem
(2) Actual Expense Allow ance
(3) Mileage
(4) Dependent Travel
(5) DLA
a. DATE b. NATURE OF EXPENSE c. AMOUNT d. ALLOWED
b. DATE
a. DATE b. NO. OF MEALS
20.a. CLAIMANT SIGNATURE/ S /
b. DATE**1117
16. POC TRAVEL(X one) OWN/OPERATE PASSENGER
24. COMPUTED BYABC
23. COLLECTION DATA
25. AUDITED BYDEF
26. TRAVEL ORDERPOSTED BY
GHI
27. RECEIVED (Payee Signature and Date or Check No.)
22. ACCOUNTING CLASSIFICATION212*2010 01-401 1442 21P4 S99999 $232.04
$0.00$4.00$5.00
$378.00$4.00$5.00
PLANE TICKETPORTER TIPS (2 BAGS)TRAVELERS CHECKS
11 SEP15 NOV16 NOV
ARR
DEP
ARR
DEP
ARR
DEP
ARR
e. SUMMARY OF PAYMENT
DD FORM 1 351-2 , AUG 1997 (EG) PREVIOUS EDITIONS OF DD FORM 1351-2 AND 1351-1MAY BE USED UNTIL SUPPLY IS EXHAUSTED.
a. DATE b. NO. OF MEALS
12 HOURS OR LESS
MORE THAN 12 HOURSBUT 24 HOURS OR LESS
MORE THAN 24 HOURS
USAPAV1.00
5
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISION
FORT STEWART, GEORGIA 31314ORDERS 05-017 15 SEP 20**
DEPLOYMENT ASSINGMENT: You will proceed on or about 20 NOV20** to the designatedLocation indicted below. For a period of not less than 365 days.
SNORK JEFF T. 111-10-4782, SFC, 23RD MAINSPT BNFORT STEWART, GA 31314
DTA
All travel will be by government transportation. Commercial travel isnot authorized.You will report to the Theater Finance Office upon arrival to startyour entitlements.You will complete a travel voucher within five days of returning fromthis assignment.
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
MICHAEL C. COLTLTC, AGCADJUTANT GENERAL
Michael C. Colt
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
LOCATION: IRAQ
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DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 12-17 09 DEC 20**
You will perform or terminate hazardous duty as indicated.
DAVIDSON, PAUL E. 000-33-7777, SGT, 23RD MED SPT BNFORT STEWART, GA 31314
ACTION: PERFORMAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: Flight Pay (Crewmember)Additional pay code: 1Special qualification identifier awarded: NAEFFECTIVE DATE: 1 DEC 20**
DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE: 1 DEC 20**Date additional pay terminate: NAFormat: 332
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DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 06-121 12 JUNE 20**
You will perform or terminate hazardous duty as indicated.
DEREK, BO E. 999-33-8923, SPC, 23RD MED SPT BNFORT STEWART, GA 31314
ACTION: PERFORMAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: Flight Pay (Non-Crewmember)Additional pay code: 1Special qualification identifier awarded: NAEFFECTIVE DATE: 1 JUNE 20**
DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE: 1 JUNE 20**Date additional pay terminate: NAFormat: 332
8
DEPARTMENT OF THE ARMYHEADQUARTERS,23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 08-121 09 AUGUST 20**
You will perform or terminate hazardous duty as indicated.
DEREK,BO E. 999-33-8923, SPC, 23RD MED SPT BNFORT STEWART, GA 31314
ACTION: TERMINATEAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: Flight Pay (Non-Crewmember)Additional pay code: 1Special qualification identifier awarded: NAEFFECTIVE DATE: 31 JULY 20**
DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE: 31 JULY 20**Date additional pay terminate: NAFormat: 332
9
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
All personnel in an authorized flying status have qualified for flyingduty pay for the month of OCTOBER 20** except the following:
CERTIFICATE
DIAZ, CHRISTOPER E. 999-33-8923 (Non-Crewmember)
JONES, RANDY T. 999-87-9821 (Non-Crewmember)
AAA4C103.1313.0906.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
THOMAS L. TURNERCPT, INFAVIATION OFFICER
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
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DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISION
FORT STEWART, GEORGIA 31314
ORDERS 10-12 02 OCTOBER 20**
You will perform or terminate hazardous duty as indicated.
BOSTIC, PAUL D. 999-22-4423, PFC, 1/92ND MECH INFFORT STEWART, GA 31314
ACTION: PERFORMAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: PARACHUTEAdditional pay code: 1Special qualification identifier awarded: NAEFFECTIVE DATE: 2 October 20**
AAA4C103.1313.0906.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE: 2 October 20**Date additional pay terminate: NAFormat: 332
11
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISION
FORT STEWART, GEORGIA 31314
ORDERS 10-12 30 APR 20**
You will perform or terminate hazardous duty as indicated.
BOSTIC, PAUL D. 999-22-4423, PFC, 1/92ND MECH INFFORT STEWART, GA 31314
ACTION: TERMINATEAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: PARACHUTEAdditional pay code: 1Special qualification identifier awarded: NAEFFECTIVE DATE 1 MAY 20**
AAA4C103.1313.0906.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE 1 MAY 20**Date additional pay terminate: NAFormat: 332
12
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 03-141 21 MARCH 20**
You will perform or terminate hazardous duty as indicated.
MAXWELL, JAMES P. 999-59-2124, SSG, 1/93rd MECH INFFORT STEWART, GA 31314
ACTION: PERFORMAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: DEMOLITIONAdditional pay code: 0Special qualification identifier awarded: NAEFFECTIVE DATE: 19 MARCH 20**
AAA4C103.1313.0906.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
EFFECTIVE DATE: 19 MARCH 20**Date additional pay terminate: NAFormat: 332
13
DEPARTMENT OF THE ARMYHEADQUARTERS, 23RD ARMORED DIVISIONFORT STEWART, GEORGIA 31314
ORDERS 03-141 30 SEPTEMBER 20**
You will perform or terminate hazardous duty as indicated.
MAXWELL, JAMES P. 999-59-2124, SSG, 1/93rd MECH INFFORT STEWART, GA 31314
ACTION: TERMINATEAUTHORITY: DODFMR and AR 37-104-3TYPE DUTY: DEMOLITIONAdditional pay code: 0Special qualification identifier awarded: NAEFFECTIVE DATE: 1 SEPTEMBER 20**
AAA4C103.1313.0906.DTA
DISTRIBUTION:(1)-COMMANDER(5)-PSNCO(10)-SOLDIER
CHARLES K. KINGMAJ, AGCADJUTANT GENERAL
/S/
*** FOR INSTRUCTIONAL PURPOSE ONLY ***
Special qualification identifier awarded: NAEFFECTIVE DATE: 1 SEPTEMBER 20**Date additional pay terminate: NAFormat: 332
14
PERSONNELACTIONForuseof thisform, seeAR600-8-6andDAPAM600-8-21; theproponent agency isODCSPER.
Reassignment MarriedArmyCouplesReclassificationOfficer CandidateSchool
DATAREQUIREDBYTHEPRIVACYACTOF1974
SECTIONII -DUTYSTATUSCHANGE (AR600-8-6)
ServiceSchool (Enl only)
ROTCorReserveComponent DutyVolunteeringForOverseaService
SECTIONI -PERSONALIDENTIFICATION
7.Theabovesoldier'sdutystatus ischangedfrom
to
effective hours, 19
SECTIONIII -REQUESTFORPERSONNELACTION8.Irequest thefollowingaction:
PROCEDURE
AUTHORITY:PRINCIPALPURPOSE:
DISCLOSURE:
Title5, Section3012; Title10, USC, E.O. 9397.Usedbysoldier inaccordancewithDAPAM600-8-21whenrequestingapersonnelactiononhis/her ownbehalf (SectionIII).
Voluntary.Failuretoprovidesocial securitynumbermayresult inadelayorerror inprocessingof therequest forpersonnelaction.
ROUTINEUSES: Toinitiatetheprocessingof apersonnel actionbeingrequestedbythesoldier.
TYPEOFACTION TYPEOFACTION PROCEDURE
5.GRADEORRANK/PMOS/AOCE-6/SSG
6.SOCIALSECURITYNUMBER999-00-4135
4.NAME (Last,First, MI)PURDUE, CARLOS M.
2.TO (IncludeZIPCode)DAOFT. STEWART, GA 31314
3. FROM (IncludeZIPCode)COMMANDER212 SPR BNFT. STEWART, GA 31314
1. THRU (IncludeZIPCode)PAC1/22ND CAV SQNFT. STEWART, GA 31314
AAA4C103.1313.0906.DTA
Officer CandidateSchoolAsgmt of PerswithExceptionalFamilyMembersIdentif icationCardIdentif icationTagsSeparateRationsLeave-Excess/Advance/OutsideCONUSChangeof Name/SSN/DOBOther (Specify)
11.Icertify that thedutystatuschange (SectionII) or that therequest forpersonnel action (SectionIII) containedherein-
VolunteeringForOverseaServiceRangerTrainingReassignment ExtremeFamilyProblemsExchangeReassignment (Enl only)
AirborneTrainingSpecialForcesTraining/AssignmentOn-the-JobTraining (Enl only)
RetestinginArmyPersonnel Tests9.SIGNATUREOFSOLDIER (Whenrequired)
SECTIONIV-REMARKS (AppliestoSections II, III, andV) (Continueonseparatesheet)
SECTIONV-CERTIFICATION/APPROVAL/DISAPPROVAL
13. SIGNATURE
ISAPPROVED
RECOMMENDAPPROVAL
ISDISAPPROVED
RECOMMENDDISAPPROVAL
DAFORM4187, DEC82 MAYBEUSEDDAFORM 4187, OCT 93
HASBEENVERIFIED
USAPPCV3.00 COPY1
DUE TO MISSION REQUIREMENTS, COMMANDER HAS AUTHORIZED MESSING SEPERATELY.
START SEPERATE RATION: 10 SEP **
10. DATE10 SEP **
12.COMMANDER/AUTHORIZEDREPRESENTATIVESTEVEN A. RHODES, CPT, IN,CDR
14. DATE10 SEP **
14
/s/
/s/
15
D
S
B
D
S
B
D
S
B
B
AE
ML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
TOTALDAYS
BASIC ALLOWANCE FOR SUBSISTENCE- CERTIFICATION
ORGANIZATION AND STATION
NAME, SOCIAL SECURITY NUMBER, RANK
SUPPLEMENTAL
PRORATED
FORMONTH
STATIONSYMBOL MPO NUMBER
DATE
23rd MP BN, FT STEWART, GA 31314x FEB
20**6348
2 MAR 20**
BONE, SHARON E.999-00-1212
X
X
X
X X
X
X
X
X
X
X 3
5
3
PRORATED
AAA4C103.1313.0906.DTA
D
S
D
S
B
I CERTIFY THAT PURSUANT TO CHAPTER 1, PART THREE, DEPARTMENT OF DEFENSEMILITARY PAY AND ALLOWANCES ENTITLEMENTS MANUAL, THE MEMBERS LISTEDABOVE ARE ENTITLED TO THE PAYMENT OF SUPPLEMENTAL AND OR PRORATEDSUBSISTENCE ALLOWANCE FOR MEALS ON DATES INDICATED.
DATE TYPED NAME & RANK OF APPROVINGAUTHORITY
SIGNATURE OF APPROVINGAUTHORITY
DD FORM 1475
2 MAR 20** MICHAEL D. FLANAGAN, CPT, MP/S/
16
D
S
B
D
S
B
D
S
B
B
AE
ML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
TOTALDAYS
BASIC ALLOWANCE FOR SUBSISTENCE- CERTIFICATION
ORGANIZATION AND STATION
NAME, SOCIAL SECURITY NUMBER, RANK
SUPPLEMENTAL
PRORATED
FORMONTH
STATIONSYMBOL MPO NUMBER
DATE
23rd MP BN, FT STEWART, GA 31314
x
JAN20**
63482 FEB 20**
SHORTT, GLENN E.999-00-0290
X
X
X
X X
X
X
X
X
X
X 5
6
4
X X
X
X
AAA4C103.1313.0906.DTA
D
S
D
S
B
I CERTIFY THAT PURSUANT TO CHAPTER 1, PART THREE, DEPARTMENT OF DEFENSEMILITARY PAY AND ALLOWANCES ENTITLEMENTS MANUAL, THE MEMBERS LISTEDABOVE ARE ENTITLED TO THE PAYMENT OF SUPPLEMENTAL AND OR PRORATEDSUBSISTENCE ALLOWANCE FOR MEALS ON DATES INDICATED.
DATE TYPED NAME & RANK OF APPROVINGAUTHORITY
SIGNATURE OF APPROVINGAUTHORITY
DD FORM 1475
2 FEB 20** MICHAEL D. FLANAGAN, CPT, MP/S/
17
NAME (Last, First, MI)
PRIVACYACT STATEMENT
AUTHORITY:
PRINCIPLEPURPOSE:
ROUTINEUSE:
DISCLOSUREISVOLUNTARY:
For useof this form, see37-104-3; theproponent agency isASA(FM)
AUTHORIZATIONTOSTART, STOP, ORCHANGEBASICALLOWANCEFORQUARTERS (BAQ),
AND/ORVARIABLEHOUSINGALLOWANCE (VHA)37USC403; PublicLaw 96-343; EO9397.
Tostart, adjust or terminatemilitarymember'sentitlement tobasic allowancefor quarters(BAQ) and/or variablehousingallowance (VHA).
Toadjust member'smilitary payrecord, informationmaybedisclosedtoArmycomponents, suchas USAFAC,majorcommands,andotherArmyinstallations;toother DODcomponents; other federal agenciessuchasIRS,Social SecurityAdministrationandVA, GAO, membersof Congress;Stateandlocalgovernment; USandStatecourts, andvariouslaw enforcement agencies.Social SecurityNumber(SSN)isusedforpositiveidentification.
Nondisclosuremay result innonpayment of BAQand/or VHA. Disclosureofyour SSNis voluntary.However, this formwillnot beprocessedwithout yourSSNbecausetheArmy identifiesyoufor pay purposesby your SSN.
MARTIAL/DEPENDENCYSTATUS
(3)
(4)
(MemberingradeE7and
(2)(1)
DUTYLOCATION (IncludeStation, Name, City,State, andZipCode)
(3)(2)
(4)
(1)
(5)
(6)
c.
a.
d.
b.(seeblocks (1), (2)& (4))
QUARTERSASSIGNMENT/AVAILABILITY
e. DEPENDENTCHILD(seeblocks (4), (5)& (6))
c.b.(seeblocks (1), (2)& (3))
d.
a.
DATE/ACTION(YYMMDD)
9.
GRADESOCIALSECURITYNUMBER
4.
WITHOUTDEPENDENTS
If youcheck "OTHER" above,prepareDDForm137toestablishdependency.
If childsupport receivedfromanother militerymember, complete(1),(2)&(3).
DEPENDENTS/SHARERS (Continueonbackif required)
BAQTYPE
WITHDEPENDENTS PARTIAL
TRANSIENT(seeblock (3))
ADEQUATE(seeblock (1))
INADEQUATE
NOTAVAILABLE
QUARTERSNO.
FAIRRENTALVALUE$
Spouse/FormerSpouseSSN
Child inCustodyof:
START
CORRECT
CANCEL
STOP
CHANGE
RECERTIFICATION
REPORT
DIVORCED(seeblocks (1), (2)& (3))
SINGLE MARRIED
LEGALLYSEPARATED(seeblocks (1), (2)& (3))
Member Spouse Former Spouse Other
Spouse/FormerSpouseDutyStation
Dateof Marriage,Divorce/Separation
7.
8.
10.
COMMANDERDETERMINATION
MEMBERELECTION
6.5.
1/16TH FAFT BRAGG NC 28307
2.301-30-1301
TYPEOFACTION
3.SSG
FROM: TO:
1.ROSE, PETE
**1215
AAA4C103.1313.0906.DTA
I certify ALLinformationregardingthisauthorizationis correct. I will immediatelynotify theFAO/HROof anychangesintheinformationabove,duetodivorce, marriage, death, livingingovernment quarters etc, whichcouldaffect byBAQor VHAentitlement.IMPORTANT: Makingafalsestatement orclaimagainst theUSGovernment ispunishablebycourts-martial.Thepenalty for willfully makingafalseclaimorafalsestatement inconnectionwithclaimsis amaximumfineof$10,000or imprisonment for 5years, or both.
DATE15.
/ S /
DATE13.
PETE ROSE
Landlord's NameandAddress:Rental/Residential Address:
(3)(2)
(4)
(2)
c.b.a.
(1)
(2)
(3)
MEMBER'SSIGNATURE
EXPENSES, IFAUTHORIZED, I AMREQUESTINGVHABASEDON
DEPENDENTS/SHARERS (Continueonbackif required)
CERTIFICATIONOFDEPENDENTSUPPORT
I certify that I provide,or amwill toprovideadequatesupport for theabovenameddependents.I amawarethat failuretosupport theabovenameddependentsmay result instoppingBAQandrecoupingBAQfor anyprior periods/nonsupport.
IAWserviceregulations, Icertify that thedependency statusof myprimarydependents, onwhosebehalf IamreceivingBAQ, has not changedsoastoaffect my entitlement theretofor theperiod
CERTIFYINGOFFICER'SSIGNATURE
Sharer/LeaseInformation
EffectiveDate: ExpirationDate: Landlord'sPhoneNo.
Numberof Sharers (show name(s)andaddressinblock 10.)
My permanent dutystation: My dependent'slocation: Bothmy permanent dutystationanddependent's location.
DOBOFCHILDREN
DependentMember
TOTALS
MonthlyExpenses:
Mortgage (PITI) or Rent
Insurance
Other
RELATIONSHIPCOMPLETECURRENTADDRESS (IncludeZIPCode)NAMEOFDEPENDENT/SHARER
10.
12.
11.
AddressInformation
ALIICIA ROSE 4040 SQUARE DR
FAYETTEVILLE, NC 28314
SPOUSE
16.
DEC**
(1)PO BOX 1010FAYETTEVILLE NC 28314
12DEC** 12NOV** 910-425-2500$500.00
$500.00 (1)4040 SQUARE DRFAYETTEVILLE NC 28314
14.
17DEC**
DAFORM5960, SEP90 REPLACESDAFORM 3298, JUL80ANDDAFORM 5545, JUL86 WHICHAREOBSOLETE USAPPC V2.00
18
MARRIAGE CERTIFICATESTATE OF GEORGIACOUNTY OF COBB
GROOM: PETE ROSE
BRIDE: ALIICIA H. MONTAGO
THE ABOVE NAMED INDIVIDUALS WERE MARRIED BY ME IN HOLY
AAA4C103.1313.0906.DTA19
MATRIMONY ON THE 15TH DAY OF DECEMBER 20**
Gerald L. PittmanGERALD PITTMAN
JUSTICE OF THE PEACE
FOR INSTRUCTIONAL PURPOSES ONLY
OFFICE SYMBOL ASSIGNMENT/TERMINATION TOFAMILY HOUSING
TO: SEE DISTRIBUTION FROM: HOUSING OFFICE DATE:FT STEWART GA
1. THE FOLLOWING INDIVIDUAL IS ASSIGNED/TERMINATED GOVERNMENT FAMILYQUARTERS:
2 OCT 20**
NAME: PAUL, RAYMOND J.RANK: SSGSSAN: 999-78-2453UNIT: 23RD MI BNASSIGNED: ADEQUATE FAMILY HOUSINGADDRESS: 1099 DRUM DR.
FT STEWART, GA 31314
ASSIGNMENT TO FAMILY HOUSINGATSG-TD-EFS
AAA4C103.1313.0906.DTA
2. EFFECTIVE DATE:
3. AUTHORITY: AR 210-50
4. THIS MOVE IS FOR THE CONVENIENCE OF: GOVERNMENT/ INDIVIDUAL/ COMMAND
5. THIS ACTION IS/ IS NOT TAKEN AS PART OF INTRAPOST MOVE.
FOR THECOMMANDER:
FLORENCE E LEGGETTC: FAM HSG MGT BR
/S/
DISTRIBUTION:INDIVIDUAL 05TRANSPORTATION 05FINANCE OFFICE 02UNIT 01FILE COPY 01
FT STEWART, GA 31314
8 OCTOBER 20**
** FOR INSTRUCTIONAL PURPOSE ONLY **
20
OFFICE SYMBOL ASSIGNMENT/TERMINATION TOFAMILY HOUSING
TO: SEE DISTRIBUTION FROM: HOUSING OFFICE DATE:FT STEWART GA
1. THE FOLLOWING INDIVIDUAL IS ASSIGNED/TERMINATED GOVERNMENT FAMILYQUARTERS:
22 OCT 20**
NAME: DOUGLAS, JAMES P.RANK: SFCSSAN: 999-72-3188UNIT: 23RD DIV BANDTERMINATION: ADEQUATE FAMILY HOUSINGADDRESS: 1097 DRUM DR.
FT STEWART, GA 31314
TERMINATION OF FAMILY HOUSINGATSG-TD-EFS
AAA4C103.1313.0906.DTA
2. EFFECTIVE DATE:
3. AUTHORITY: AR 210-50
4. THIS MOVE IS FOR THE CONVENIENCE OF: GOVERNMENT/ INDIVIDUAL/ COMMAND
5. THIS ACTION IS/ IS NOT TAKEN AS PART OF INTRAPOST MOVE.
FOR THECOMMANDER:
FLORENCE E LEGGETTC: FAM HSG MGT BR
/S/
DISTRIBUTION:INDIVIDUAL 05TRANSPORTATION 05FINANCE OFFICE 02UNIT 01FILE COPY 01
FT STEWART, GA 31314
29 OCTOBER 20**
** FOR INSTRUCTIONAL PURPOSE ONLY **
21
S T A T E M E N T T O S U B S T A N T I A T E P A Y M E N T O F F A M I L Y S E P A R A T I O N A L L O W A N C E
D A T A R E Q U IR E D B Y T H E P R I V A C Y A C T O F 1 9 7 4A U T H O R I T Y :P R I N C I P A L P U R P O S E :R O U T IN E U S E S :
D I S C L O S U R E :
T i t l e 3 7 , U . S . C o d e , S e c t i o n 4 2 7 .T o e v a l u a t e m e m b e r' s a p p l i c a t io n f o r F a m i ly S e p a r a t i o n A l l o w a n c e s .a . S e r v e s a s s u b s t a n t i a t i n g d o c u m e n t f o r F S A p a y m e n t s .b . P r o v i d e s a n a u d i t t r a i l f o r v a l i d a t in g p r o p r i e t y o f p a y m e n t s a n d t o a s s is t i n c o l l e c t i o n e r r o n e o u s p a y m e n t s .c . P r o v i d e s a r e c o r d in s e rv i c e m e m b e r ' s p e r s o n a l f in a n c ia l r e c o r d .d . P r o v i d e s i n f o r m a t io n f o r p r e p a r a t i o n o f r e q u i re d i n p u t t o t h e a u t o m a t e d p a y s y s t e m w h i c h m a i n t a i n s p a ya c c o u n t s f o r A r m y m e m b e r s .D i s c l o s u r e o f y o u r s o c i a l s e c u ri t y n u m b e r a n d o t h e r p e rs o n a l i n f o r m a t i o n i s v o lu n t a r y . H o w e v e r , i f r e q u e s t e di n f o r m a t i o n i s n o t p r o v id e d , m e m b e r m a y n o t b e c o n s id e r e d f o r F S A .
N A M E O F M EM B E RW I L L I A M S , R O N N I E
S O C I A L S E C U R I T Y N U M B E R6 6 6 - 5 5 - 4 4 3 3
G R A D ES G T
O R G A N IZ A T I O N / A C T I V I T YH H C T S B
P E R M A N EN T D U T Y S T A T I O N O F M E M B E R1 0 T H S F G M T P a g , I T A L Y
P A R T I - T O B E C O M PL E T ED B Y T H E M E M B E R ( C h e c k a p p l ic a b l e b l o c k (s ) )
T Y P E I T Y P E I IF S A - 1 F S A - R F S A - T F S A - S
T h e f o l l o w i n g in f o r m a t i o n i s f u r n i s h e d t o su b s t a n t i a t e m y e n t i t le m e n t t o f a m i ly s e p a ra t i o n a l l o w a n c e a s i n d i c a t e d a b o v e .A D D R E S S (e s ) O F D E PE N D E N T ( s ) ( A p p l i c a b l e t o a l l t y p e s o f A l l o w a n c e s ) ( C o n t i n u e o n re v e r se i f n e c e ss a r y )6 2 3 O A K S T . H I N E S V I L L E , G A 3 1 3 1 5
I F C L A I M I N G F S A T Y P E II F O R P A R E N T ( s ) , I C E R T IF Y T H A T :I m a i n t a i n a r e si d e n c e ( s ) f o r m y d e p e n d e n t ( s ) a n d h a v e a s s u m e d t h e l i a b i l i t y a n d r e s p o n s i b il i t i e s t h e r e o f , a t t h e a d d r e s s( e s )s h o w n a b o v e , w h e r e I w il l l ik e l y r e s i d e d u ri n g p e r i o d o f le a v e o r s u c h o t h e r t i m e s a s m y d u t y a s s ig n m e n t m i g h t p e r m i t .
I C E R T I F Y T O T H E F O L L O W I N G F A C T S ( A s a p p l i c a b l e )
I a m n o t d i v o r c e d o r l e g a l l y se p a r a t e d f r o m m y sp o u s e .M y d e p e n d e n t c h i ld ( c h i l d r e n ) a re n o t i n t h e l e g a l c u s t o d y o f a n o t h e r p e r s o n .M y d e p e n d e n t is n o t a m e m b e r o f t h e m il i t a r y s e r v ic e o n a c t i v e d u t y .M y s o l e d e p e n d e n t i s n o t i n a n i n s t i t u t io n f o r a k n o w n p e r i o d o f o v e r 1 y e a r o r a p e ri o d e x p e c t e d t o e x c e e d 1 y e a r .
I a g r e e t o n o t i f y m y c o m m a n d i n g o f f i c e r p r o m p t ly o f a n y c h a n g e i n d e p e n d e n c y s t a t u s i f m y s o l e d e p e n d e n t o r a ll o f m yd e p e n d e n t s m o v e t o t h e a r e a o f t h is s t a t i o n o r i f m y d e p e n d e n t ( s ) v i s i t a t t h i s s t a t i o n f o r m o r e t h a n t h r e e m o n t h s ( 3 0 d a y si n t h e c a se o f ( F A S - S ) ( F A S - T ) w h i l e I a m i n r e c e i p t o f f a m il y se p a ra t i o n a ll o w a n c e .
F U R N IS H T EM P O R A R Y D U T Y I N F O R M A T I O N B E L O W F O R F S A - R A N D F S A - TT E M P O R A R Y D U T Y S T A T I O N ( s )N A
I N C L U S I V E D A T E S ( F r o m / T o )N A
D A T E1 0 S E P * *
S I G N A T U R E O F M EM B E RRonnie Williams
AAA4C103.1313.0906.DTA22
1 0 S E P * *
P A R T I I - T O B E C O M P L E T E D B Y C E R T I F Y I N G O F FI C E R ( C h e c k a p p l ic a b l e b l o c k (s ) )
T Y P E I - FS A - 1 T h e a b o v e m e m b e r re p o r t e d t o 1 0 S F G M T P a g , I T A L Y( D u t y S t a t i o n )
o n 3 1 A U G * *( D a t e )
, a n d t r a n s p o r t a t i o n o f h i s d e p e n d e n t s i s n o t a u t h o r i z e d a t g o v e r n m e n t e x p e n s e t o t h is s t a t io n o r t o a p l a c e n e a rt h i s s t a t i o n . N o g o v e r n m e n t q u a rt e r s a r e a v a i l a b l e f o r a s s i g n m e n t t o t h e m e m b e r .
T Y P E I I - F S A - R T Y P E I I - F S A - TT h e a b o v e m e m b e r d e p a r t e d ( w a s d e t a c h e d ) f r o m F T S T E W A R T , G A
( L a s t p e r m a n e n t d u t y s t a t i o n )o n 1 0 A U G * *
( D a t e )w a s o n l e a v e e n r o u t e 1 0 - 2 8 A U G * *
( I n c l u si v e d a t e s c h a r g e a b l e a s le a v e )p r o c e e d t i m e 2 9 - 3 0 A U G * *
( I n c l u si v e d a t e s )a n d h e r e p o r t e d t o 1 0 T H S F G M T P a g , I T A L Y
( P e r m a n e n t d u t y s t a t i o n )o n 3 1 A U G * *
( D a t e ). T r a n s p o r t a t i o n o f h i s
d e p e n d e n t s i s n o t a u t h o r i z e d a t g o v e r n m e n t e x p e n s e t o t h is s t a t io n o r t o a p l a c e n e a r t h i s st a t i o n .T Y P E I I - F S A - T T h e a b o v e m e m b e r h a s b e e n o rd e r e d t o a n d h a s p e r f o r m e d t e m p o r a r y d u t y a t t h e l o c a t i o n ( s ) s h o w n b e l o w f o r a
c o n t i n u o u s p e r i o d o f m o r e t h a n 3 0 d a y s .L O C A T I O N I N C L U S I V E D A T E S O F T D Y / T ( F r o m / T o ) N O . D A Y S
N O T E : C o n t i n u e o n re v e r se i f n e c e ss a r y .
T Y P E I I - F S A - SM e m b e r w a s o n d u t y o n b o a r d sh i p u p o n d e p a r t u r e f r o m h o m e p o r t o n .
( D a t e )M e m b e r d i d n o t d e p a r t w i t h s h i p b u t r e p o r t e d o n b o a r d ( o r r e j o i n e d ) t h e sh i p a t
. ( L o c a t i o n )o n
N A M E O F S H I P L O C A T IO N O F H O M E P O R T
T r a v e l p e r f o r m e d u n d e r a u t h o r i t y o f O r d e r # 1 2 2 - 3 4 2 3 D I N F D IV F S G A D a t e d 2 9 M A Y * *
M e m b e r c l a i m i n g T y p e I I F S A , i s r e c e i v in g b a s i c a l l o w a n c e f o r q u a r t e rs a s a m e m b e r w i t h d e p e n d e n t s .
D A T E1 0 S E P * *
S I G N A T U R E O F C E R T I FY I N G O F F I C E R
D D F o r m 1 5 6 1 , A P R 7 7 ( E G ) P R E V I O U S E D I T IO N I S O B S O L E T E W H S / D IO R , O c t 9 8
/s/
Ronnie Williams
Page 24 DA 2142
Page 25 DA 7003
Page 26 Reserve Units and UIC’s
Page 27 Information Sheet
Page 28 Information Sheet
Page 29 DA Form 4187 (Name Change)
Page 30 DA Form 4187 (Reduction in Grade)
Page 31 DA Form 362 Report of Survey
DOCUMENTS ASSOCIATED WITHRESERVE PAY
AAA4C103.1313.0906.DTA
Page 31 DA Form 362 Report of Survey
Page 32 DA 7003
Page 33 SGLV-8286 (Servicemen’s Group Life InsuranceElection and Certificate)
Page 34 W-4 Form
Page 35 Drill Attendance Roster
Page 36 Reserve Orders (Long Tour)
Page 37 Reserve Orders (Short Tour)
23
PAY INQUIRYFor use of this form see AR 37-104-3; the proponent agency is USAFAC.
1.
SECTION I (To be completed by soldier)
SECTION II (To be completed by Unit Commander)
Supporting document(s) submitted or will be submit ted to f inance.
2. Local payment. Soldier has been counseled regarding impact on future pay. My recommendation is to approve/disapprove (cross out theappropriate word) the local payment.
3. Other (Specify)
BLOCK NUMBER
INQUIRY NO.01
DATE19 SEPT XX
NAME (Last, First, Middle)PARSNIP, REGINALD W.
SSN999-99-1000
GRADEE-7
UNIT1/15TH ARMOR FT. STEWART, GA 31313
x0011NATURE OF PAY INQUIRY (Be specif ic)
SOLDIER REQUESTS CASUAL PAYMENT DUE TO A FAMILY EMERGENCY.
SOLDIER IS REQUESTING FUNDS TO OFFSET UNEXPECTED EXPENSES.
DATE TL NUMBER
PHONE NUMBER
XXXXXX
AAA4C103.1313.0906.DTA
3. Other (Specify)
Signature of Unit Commander (or soldier as appropriate).
SECTION III (To be completed by Finance)
PROBLEMAllotment
Non-receipt Check
Entit lements
Non-receipt LES
Collection
Other (Specify)
Leave
INQUIRY ANALYSIS CAUSE
1.
3.
5.
7.
Non-receipt of document from Unit Commander.
Document received - Finance did not process.
Document received from Unit Commander on time
USAFACbut too late to be processed prior to JUMPS cutoff.
2.
4.
6.
8.
Late receipt of document from Unit Commander.
Document received and processed but rejected on DJUOL.
Problem with prior stat ion.
Other (Specify)
ACTION REQUIRED
DA Form 3684Other (Specify)
Local Payment INQUIRY EVALUATION
Valid Invalid
SIGNATURE OF PAY CLERK
DATE19 SEPT XX
DESCRIPTION OF CAUSE AND ACTION TAKEN.
PAID SOLDIER LOCAL PAYMENT IN THE AMOUNT OF ____________.
STUDENT NOTE: DOV # IS 600165
DATE APPROVED LOCAL PAYMENT PAID19 SEPT XX
DA FORM 21 42, APR 82 EDITION OF 1 APR 73 WILL BE USED UNTIL EXHAUSTED USAPPC V1.00PFR
LOCAL PAYMENT
SPC MARLBORO
BRUCE HEATH, CPT, AR, COMMANDING
24
1. TYPE OF PAYMENT (Check one)
PA (ADVANCE) PM (BONUS/RRB)
X PC (CASUAL) PQ (SEPARATE)
PJ (CONT/PAY) PQ (REENLIST)
PX (PARTIAL) OTHER (LISTTYPE)
PL (BONUS/SRB)
2. SOCIAL SECURITY NO
4. PERMANENT PARTY STATION ADDRESS
PAYMENT AUTHORIZATION(JUMPS)For use of this form see AR 37-014-3; the proponent agency is ASA (FM)
3. NAME (Last, First, Middle)
PAID BY
10. VOUCHER DATE (YYMMDD)
11. AGENCY CODE
5. SPECIAL PAYMENT INSTRUCTIONS
7. CHECK ADDRESS ( if applicable)
12. VOUCHER NUMBER
13. AMOUNT PAID
6. MEMBER CERTIFICATION (Check appropriate item)
I have received _______previous casual payments
during this reassignment, TDY, or authorized leave
under Order No.__________.To the best of my knowledge, all payments I have
received have been deducted from my pay account
and all leave I have taken has been posted against
my leave balance. I understand that the final payment
made to me on my separation form active service may
be adjusted by central site. This adjustment would be
based on a detailed computation of all valid transactions
999-99-1000 PARSNIP, REGINALD
HHC, 1/15th ARMOUR DIVFT STEWART GA 31313
23rd FBFT STEWART GA, 31413ADSN 6348
19 SEP **
**0922
ARMY
600500
$395.00 /I/
XX
AAA4C103.1313.0906.DTA
8. PCS ACTIONS
PAYMENT POSTED TO DA FORM 2356
MEMBER NOT IN POSSESSION OF PCS PACKAGE
17. PREPARED BY (Signature/Date) RECEIPT OF AMOUNT SHOWN PAID IS ACKNOWLEDGED
18. SIGNATURE OF PAYEE 19. DATE 20. APPROVED BY (Signature/Date)
16. PAYROLL NUMBER
15b NUMBER OF MONTHS REPAYMENT
15a NUMBER OF MONTHS ADVANCE
14 CLEAR ACCOUNT ID (Check one)
15. ADVANCE PAY CATEGORY (if applicable)
OFFICER ENLISTED
9. REMARKS
based on a detailed computation of all valid transactions
affecting my pay account. I have also been informed
that my final leave and earnings statement will show
any adjustments that are known on my computation date.
DA FORM 7003, JUL 91
x
LOCAL PYMT FOR EMERGENCYREASONS.
21*2010 01-1100 P1190.00 1199 S99999
/ S / /S/**0919 Reginald Parsnip FOR:Walter C. Cory,LTC, FC
19SEP**
For Instructional Purposes Only
25
RESERVE UNITS AND UIC'S
UNIT UIC
1ST BDE AEJAAA
4-77 MECH AEJMEA
4-2 ARMOR AEJDAA
4-3 ARMOR AEJEAA
2ND BDE SNAAAA
4-78 MECH SNAFEA
4-79 MECH SNAHBA
4-4 ARMOR SNABAE
1-23 ARMOR SNABBD
AAA4C103.1313.0906.DTA
FT. Stewart, GA site ID is “L5”.
26
INFORMATION ON SOLDIERS IN THE 55TH INFANTRY DIVISION
NAME SSN GRADE UNIT INCENTIVE PAY
JONES, TIMOTHY 888-74-0102 E-1 4/2 ARMOR NONE
LEONARD, SAM 888-74-0110 E-2 HHC, 1ST BDE Para Req met
CARTER, LARRY 888-74-0117 E-3 4/77 MECH INF NONE
BUNDELL, RONALD 888-74-0124 E-4 4/79 MECH INF Para Req met
FLINT, BARNEY 888-72-1131 E-5 4/79 MECH INF Para Req met
JUNE, FRANK 888-74-1238 E-6 HHC, 2ND BDE NONE
RILEY, JOHN 888-67-1245 E-7 4/3 ARMOR NONE
LITTLE, CARL 888-69-1251 E-8 4/4 ARMOR Demo Req met
HARRIS CHARLIE 888-71-1359 E-3 HHC, 2ND BDE NONE
PERRON, DANIEL 888-73-2366 O-1 4/78 MECH INF NONE
AAA4C103.1313.0906.DTA
STONE, MICHAEL 888-70-2473 O-2 4/77 MECH INF NONE
27
INFORMATION ON FINANCE SPECIALIST COURSE, FINANCE SCHOOL, FORTJACKSON, SOUTH CAROLINA.
A. 1 DAY TRAVEL AUTHORIZED EACH WAY.
B. NO BAS AUTHORIZED.
INFORMATION ON WEEKEND DRILL PAY.
A. 0 TRAVEL DAYS AUTHORIZED.
B. RNA IS AUTHORIZED.
C. NO INCENTIVE PAY IS AUTHORIZED.
INFORMATION ON AIR ASSAULT COURSE, FORT CAMPBELL, KENTUCKY.
A. 2 TRAVEL DAYS AUTHORIZED EACH WAY.
B. NO BAS IS AUTHORIZED.
AAA4C103.1313.0906.DTA
C. INCENTIVE PAY AUTHORIZED - PARA, REQUIREMENTS MET.
D. 200 MILES ONE WAY
** ASSUME CERTIFICATE OF COMPLETION IS ATTACHED.
** NO C02 WILL BE INPUT ON ANY OF THE INPUTS.
** NO TRAVEL DAYS AUTHORIZED FOR DEPLOYMENTS FROM FTJACKSON.
28
PERSONNELACTIONForuseof thisform, seeAR600-8-6andDAPAM600-8-21; theproponent agency is ODCSPER.
Reassignment MarriedArmyCouplesReclassificationOfficer CandidateSchool
DATAREQUIREDBYTHEPRIVACYACTOF1974
SECTIONII -DUTYSTATUS CHANGE (AR600-8-6)
ServiceSchool (Enl only)
ROTCorReserveComponent DutyVolunteeringForOverseaService
SECTIONI -PERSONALIDENTIFICATION
7.Theabovesoldier'sdutystatus ischangedfrom
to
effective hours, 19
SECTIONIII -REQUESTFORPERSONNELACTION8.Irequest thefollowingaction:
PROCEDURE
AUTHORITY:PRINCIPALPURPOSE:
DISCLOSURE:
Title5, Section3012; Title10, USC, E.O. 9397.Usedbysoldier inaccordancewithDAPAM600-8-21whenrequestingapersonnel actiononhis/her ownbehalf (SectionIII).
Voluntary.Failuretoprovidesocial securitynumbermayresult inadelayorerror inprocessingof therequest forpersonnel action.
ROUTINEUSES: Toinitiatetheprocessingof apersonnel actionbeingrequestedbythesoldier.
TYPEOFACTION TYPEOFACTION PROCEDURE
5.GRADEORRANK/PMOS/AOCSFC / E-7
6.SOCIALSECURITYNUMBER888-67-1245
4.NAME (Last,First, MI)RILEY, JOHN
2.TO (IncludeZIPCode)DAO23RD FIN BNATTN: RESERVE PAYFT STEWART, GA 31314
3. FROM (IncludeZIPCode)COMMANDER4/3 ARMORHINESVILLE GA 31314
1. THRU (IncludeZIPCode)
AAA4C103.1313.0906.DTA
Officer CandidateSchoolAsgmt of PerswithExceptional FamilyMembersIdentif icationCardIdentif icationTagsSeparateRationsLeave-Excess/Advance/OutsideCONUSChangeof Name/SSN/DOBOther (Specify)
11.Icertify that theduty status change (SectionII) or that therequest forpersonnel action (SectionIII) containedherein-
VolunteeringForOverseaServiceRangerTrainingReassignment ExtremeFamily ProblemsExchangeReassignment (Enl only)
AirborneTrainingSpecial ForcesTraining/AssignmentOn-the-JobTraining (Enl only)
RetestinginArmyPersonnel Tests9.SIGNATUREOFSOLDIER (Whenrequired)
SECTIONIV-REMARKS (AppliestoSections II, III, andV) (Continueonseparatesheet)
SECTIONV-CERTIFICATION/APPROVAL/DISAPPROVAL
13. SIGNATURE
ISAPPROVED
RECOMMENDAPPROVAL
ISDISAPPROVED
RECOMMENDDISAPPROVAL
DAFORM4187, DEC82 MAYBEUSEDDAFORM 4187, OCT 93
HASBEENVERIFIED
USAPPCV3.00 COPY1
SOLDIER NAME IS INCORRECT ON HIS RECORDS. CHANGE TO JOHNNY RILEY.
10. DATE
12.COMMANDER/AUTHORIZEDREPRESENTATIVET. J. ROWE, CP T, FC, CDR
14. DATE24 SEP **
CHANGE NAME
JOHN RILEY23 MAY **
X
T. J. ROWE
29
PERSONNELACTIONForuseof thisform, seeAR600-8-6andDAPAM600-8-21; theproponent agency is ODCSPER.
Reassignment MarriedArmyCouplesReclassificationOfficer CandidateSchool
DATAREQUIREDBYTHEPRIVACYACTOF1974
SECTIONII -DUTYSTATUS CHANGE (AR600-8-6)
ServiceSchool (Enl only)
ROTCorReserveComponent DutyVolunteeringForOverseaService
SECTIONI -PERSONALIDENTIFICATION
7.Theabovesoldier'sdutystatus ischangedfrom
to
effective hours, 19
SECTIONIII -REQUESTFORPERSONNELACTION8.Irequest thefollowingaction:
PROCEDURE
AUTHORITY:PRINCIPALPURPOSE:
DISCLOSURE:
Title5, Section3012; Title10, USC, E.O. 9397.Usedbysoldier inaccordancewithDAPAM600-8-21whenrequestingapersonnel actiononhis/her ownbehalf (SectionIII).
Voluntary.Failuretoprovidesocial securitynumbermayresult inadelayorerror inprocessingof therequest forpersonnel action.
ROUTINEUSES: Toinitiatetheprocessingof apersonnel actionbeingrequestedbythesoldier.
TYPEOFACTION TYPEOFACTION PROCEDURE
5.GRADEORRANK/PMOS/AOCSPC / E-4
6.SOCIALSECURITYNUMBER888-74-0124
4.NAME (Last,First, MI)BUNDELL, RONALD
2.TO (IncludeZIPCode)DAO23RD FIN BNATTN: RESERVE PAYFT STEWART, GA 31314
3. FROM (IncludeZIPCode)COMMANDER4/79TH INFGARDEN CITY, GA 31418
1. THRU (IncludeZIPCode)
AAA4C103.1313.0906.DTA
Officer CandidateSchoolAsgmt of PerswithExceptional FamilyMembersIdentif icationCardIdentif icationTagsSeparateRationsLeave-Excess/Advance/OutsideCONUSChangeof Name/SSN/DOBOther (Specify)
11.Icertify that theduty status change (SectionII) or that therequest forpersonnel action (SectionIII) containedherein-
VolunteeringForOverseaServiceRangerTrainingReassignment ExtremeFamily ProblemsExchangeReassignment (Enl only)
AirborneTrainingSpecial ForcesTraining/AssignmentOn-the-JobTraining (Enl only)
RetestinginArmyPersonnel Tests9.SIGNATUREOFSOLDIER (Whenrequired)
SECTIONIV-REMARKS (AppliestoSections II, III, andV) (Continueonseparatesheet)
SECTIONV-CERTIFICATION/APPROVAL/DISAPPROVAL
13. SIGNATURE
ISAPPROVED
RECOMMENDAPPROVAL
ISDISAPPROVED
RECOMMENDDISAPPROVAL
DAFORM4187, DEC82 MAYBEUSEDDAFORM 4187, OCT 93
HASBEENVERIFIED
USAPPCV3.00 COPY1
THE ABOVE NAMED INDIVIDUAL IS REDUCED FROM THE GRADE OF E-4 TO E-3, EFFECTIVE1 SEP **.
10. DATEREDUCTION
12.COMMANDER/AUTHORIZEDREPRESENTATIVET. J. ROWE, CP T, FC, CDR
14. DATE2 SEP **
X
T. J. ROWE
30
STATEMENT OFCHARGES/CASHCOLLECTIONVOUCHER
VOUCHERNUMBER
STOCKNUMBERa.
ITEMDESCRIPTIONb.
QTYc.
UNITPRICEd.
TOTALCOSTe.
1.DATE30 SEP *
2.DOCUMENT/VOUCHERNUMBER
3.ORGANIZATIONCIF
4.STATION4-79MECH INF GARDEN CITY, GA 31418
5.DISBURSINGOFFICECOLLECTION 6.DISBURSINGSTATIONSYMBOLNUMBER
6348
7.ACCOUNTINGCLASSIFICATION
125-09236
4240-012580062
AMMO POUCHES
CHEMICAL BIOLOGICAL MASK FIELD M40
2
1
7.55
240.00
15.10
240.00
AAA4C103.1313.0906.DTA
11.DISBURSINGOFFICERORPAYROLLCERTIFYINGOFFICERTheamount enteredingrandtotal has been(FAO)check theappropriateactionbelow.
8.TYPEORACTION (Select one)
a.PAYROLLDEDUCTION b.CASHCOLLECTION
255.10
9.CERTIFICATIONOFRESPONSIBLEINDIVIDUALIcert ifythat mysignaturehereonconstitutesa.
b.c.
Anauthorizationtorecover theamount of theindebtedness throughpayroll deduction, if payroll deductionis checked. If cashcollectionischecked,Iamremittingdebt incash.Anaffirmationthat thearticles arenot nowinmypossession.Anagreement toturn-intotheappropriatesupplyofficerall articleslater recovered, it beingunderstoodthat theU.S.Governmentretains titletothearticleslistedhereon.
GRADE CHARGEh. SIGNATURE
10.ORGANIZATIONCOMMANDER
Thestatements hereonare completeandcorrect. All damaged property hasbeendisposedof inaccordancewithcurrent directives andthe charges havebeencomputedinaccordancewiththeprovisionsof AR735-5, Appendix B. a. Enteredontheappropriatepayrecordor payroll,or DDForm139
hasbeenpreparedandforwardedfor collect ion.
b. Remittedthroughcashcollection.
b.SIGNATUREBLOCK/SIGNATURE d.SIGNATUREBLOCK/SIGNATURE
USAPPCV1.00Previous editionmaybeused.DDFORM 362, JUL93
c.GRANDTOTAL
255.10
d.RANK/
SPC
e.NAME (LAST,First, MiddleInitial)BUNDELL, RONALD
f.SOCIALSECURITYNUMBER888-74-0124
g. CAUSEFOR
LOST
i.AMOUNT
255.10
a. DATE
30 MAY **
c.DATE
30 SEP *
RICHARD W. TOWNSEND
J.D. REED
J.D. REED53RD FAFT STEWART,GA
JOHN H. LEWIS
JOHN H. LEWISLTC, FCDAO
31
X
1. TYPE OF PAYMENT (Check one)
PA (ADVANCE) PM (BONUS/RRB)
PC (CASUAL) PQ (SEPARATE)
PJ (CONT/PAY) PQ (REENLIST)
PX (PARTIAL) OTHER (LISTTYPE)
PL (BONUS/SRB)
2. SOCIAL SECURITY NO
4. PERMANENT PARTY STATION ADDRESS
PAYMENT AUTHORIZATION (JUMPS)For use of this form see AR 37-014-3; the proponent agency is ASA (FM)
3. NAME (Last, First, Middle)
PAID BY
10. VOUCHER DATE (YYMMDD)
11. AGENCY CODE
5. SPECIAL PAYMENT INSTRUCTIONS
7. CHECK ADDRESS ( if applicable)
12. VOUCHER NUMBER
13. AMOUNT PAID
6. MEMBER CERTIFICATION (Check appropriate item)
I have received _______previous casual payments
during this reassignment, TDY, or authorized leave
under Order No.__________.To the best of my knowledge, all payments I have
received have been deducted from my pay account
and all leave I have taken has been posted against
my leave balance. I understand that the final payment
made to me on my separation form active service may
be adjusted by central site. This adjustment would be
based on a detailed computation of all valid transactions
888-74-0124 BUNDELL, RONALD
23RD FBFT STEWART GA, 31414
ADSN 634822 SEP **A CO 1-23RD ARMOR, FT STEWART GA 31414
**0922
ARMY
650123
$150.00
xx
ARMY RESERVISTINPUT REQUIRED FORRCIS
AAA4C103.1313.0906.DTA
8. PCS ACTIONS
PAYMENT POSTED TO DA FORM 2356
MEMBER NOT IN POSSESSION OF PCS PACKAGE
17. PREPARED BY (Signature/Date) RECEIPT OF AMOUNT SHOWN PAID IS ACKNOWLEDGED
18. SIGNATURE OF PAYEE 19. DATE 20. APPROVED BY (Signature/Date)
16. PAYROLL NUMBER
15b NUMBER OF MONTHS REPAYMENT
15a NUMBER OF MONTHS ADVANCE
14 CLEAR ACCOUNT ID (Check one)
15. ADVANCE PAY CATEGORY (if applicable)
OFFICER ENLISTED
9. REMARKS
based on a detailed computation of all valid transactions
affecting my pay account. I have also been informed
that my final leave and earnings statement will show
any adjustments that are known on my computation date.
DA FORM 7003, JUL 91
X
21*2010 01-1100 P1190.00 1199 S99999
JOE T. CLARKSPC, FINANCE SERVICES Ronald Bundell 21SEP ** Walter C. Cory 21 SEP **
Walter C. CoryLTC,FC,Finance Officer
Joe T. Clark 21 NOV **
32
Servicemembers'GroupLifeInsuranceElectionandCertificateUsethisformto: (checkall that apply)
Name, changeor updateyour beneficiaryReducetheamount of your insurancecoverageDeclineinsurancecoverage
Important: Thisformis for useby ActiveDutyandReservemembers. Thisformdoesnot applytoandcannot beusedfor anyother Government Life Insurance.
Last nameRILEY
First nameJOHN
Middlename Rank, title, or gradeSFC/E-7
Social SecurityNumber888-67-1245
Branchof Service(Donot abbreviate)ARMY
Current DutyLocation4/3 ARMOR , HINESVILLE GA 31314
Amount of Insurance
Bylaw, youareautomatically insuredfor $200,000. If youwant $200,000of insurance, skiptoBeneficiary(ies)andPayment Options. If youwant lessthan$200,000of insurance, pleasechecktheappropriateblockbelow andwritetheamount desiredandyour initials. Coverageis available inthefollowingamounts:$190,000, $180,000, $170,000, $160,000, $150,000, $140,000, $130,000, $120,000,$110,000, $100,000, $90,000, $80,000, $70,000, $60,000, $50,000,$40,000, $30,000, $20,000, $10,000. If youdonot want anyinsurance, checktheappropriateblockbelow andwrite(inyour ownhandwriting), "I donot wantinsuranceat thistime."
I want coverage intheamount of $ 150,000.00 Your init ials JR
(Write"I donot want insuranceat thistime.")Note: Reducedorrefusedinsurancecanberestoredonlybywrittenrequest withproof of goodhealthandcompliancewithotherrequirements.
Beneficiary(ies) andPayment OptionsI designatethefollowingbeneficiary(ies) toreceivepayment of my insuranceproceeds. I understandthat theprincipal beneficiary(ies) will receivepayment uponmydeath. If allprincipal beneficiariespredeceaseme, theinsurancewill bepaidtothecontingent beneficiary(ies).
CompleteName (first, middle, last) andAddressof eachbeneficiary
Social SecurityNumber
(if known)
Relationshiptoyou
Sharetoeachbenef iciary
(Use%, $amountsor fractions)
Payment Option(Lumpsumor 36equal monthly
payments)
Pleasereadtheinstructionsonthebackbeforecompletingthisform.
AAA4C103.1313.0906.DTA
payments)
Principal1.
BERNADETTE RILEY
2.887-34-1905 WIFE 1 LUMP SUM
Contingent1.
NONE
2.
3.
4.
I HAVEREADANDUNDERSTANDtheinstructionsonthefront andbackof thisform. I ALSOUNDERSTANDthat:Thisformcancelsanyprior beneficiaryor payment instructionsTheproceedswillbepaidtobeneficiariesasstatedin#6 ontheback of thisform,unlessotherwisestatedaboveIf I havelegal questionsabout thisform, I may consult withamilitary attorney at noexpensetomeI cannot havecombinedSGLI andVGLIcoveragesat thesametimefor morethan$200,000
SIGNHEREININK Date: 1 SEP**
(Yoursignature. Donot print.)Donot writeinspacebelow- For official useonly.
WITNESSEDANDRECEIVEDBY:
RUDY T. SMITH, ILT, AG
RANK, TITLE, ORGRADE
ASST ADJUTANT
ORGANIZATION
4-79 MECH INF
DATERECEIVED
1 SEP **
SGLV-8286, April 1996 (EG) SupersedesSGLV8286, March1994WhichWill Not BeUsed
LOCALREPRODUCTIONAUTHORIZED
MEMBER'S OFFICIAL PERSONNELFILE 1TOMEMBER(Certificateof Coverage) 2
UNIFORMEDSERVICESCOPY 3
JOHN RILEY
33
Form W-4 (1996) and inclides unearned income (e.g. interest Otherwise, you may find that you oweand dividends) and (2) and another person can additional tax at the end of the year.
Want More Money In Your Paycheck? claim you as a dependent on their tax return. Two Earners/Two Jobs: If you have a workingIf you expect to be able to take the earned Basic instructions: If you are not exempt, spouse or more than one job, figure the total
complete the Personal Allowances Worksheet number of allowances you are entitled toclaimincome credit for 1996 and a child lives with Additional worksheets are on page 2 so you on all jobs using worksheets from only oneyou, you may be able to have part of the credit can adjust your withholding allowances based W-4. This total should be divided among alladded to your take-home pay. For details, get on itemized deductions, adjustments to jobs. Your withholding will usually be mostForm W-5 from your employer. income, or two-earner/two-job situations. accurate when all allowances are claimed on
Complete all worksheets that apply to your the W-4 filed for the highest paying joband zero allowances are claimedfor the others.Purpose. Complete Form W-4 so that your situation. The worksheets will help you figure Check your withholding. After your W-4employer can withhold the correct amount of the number of withholding allowances you are takes effect, use Pub. 919, Is My WithholdingFederal Income tax from your pay. Because entitled to claim. However, you may claim Correct for 1996?, to see how the dollaryour tax situation may change, you may want fewer allowances than this. amount you are having withheld compares toto refigure your withholding each year. Head of Household: Generally, you may claim your estimated total annual tax. Get Pub. 919Exemption from Withholding. Read line 7 of head of household filing status on your tax especially if you used the Two Earner/Two Jobthe certificate below to see if you can claim return only if you are unmarried and pay more Worksheet and your earnings exceed $150,000exempt status. If wxempt only complete lines than 50% of the costs of keeping up a home (Single) or $200,00 (Married). To order Pub.1,2,3,4,7 and sign the form to validate it. for yourself and your dependent(s) or other 919, call 1-800-829-3575. Check yourNo Federal income tax will be withheld from qualifying individuals. telephone directory for the IRS assistanceyour pay. Your exemption expires February 18, Nonwage income: If you have a large amount number for further help.1997. of nonwage income, such as interest or Sign This Form:W-4 is not consideredNote: You cannot claim exemption from dividends, you should consider making valid unless you sign it.
withholding if your income exceeds $550.00 estimated tax payments using Form 1040ES.
Personal Allowances Worksheet
A Enter ‘1’ for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . . . . . A _________
+ You are single and have only one job; or
B Enter ‘1’ if: + You are married, have only one job, and your spouse does not work; or . . . B _________
+ Your wages from a second job or your spouse’s wages (or the total of both ) are $1,000 or less
C Enter ‘1’ for your spouse. But, you may choose to enter -0- if you are married and have either a working spouse ormore than one job (this may help you avoid having too little tax withheld.) . . . . . . . . . . . . . . . . . . . C _________
D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . D _________
E Enter ‘1’ if you file as head of household on your tax return (see conditions under Head of Household above) . . . . E _________
F Enter ‘1’ if you have at least$1,500 of child or dependent care expenses for which you plan to claim a credit . . . . . F _________
G Add lines A through F and enter total hereNote: This amount may be different from the number of exemptions you claim on your return. G _________
+ If you plan to itemize or claim adjustments to income and want to reduce your withholding , see the Deductionsand Adjustments Worksheet on page 2.
For accuracy,do all + If you are single and have more than one job, and your combined earning from all jobs exceed $30,000 OR ifworksheets you are married and have a working spouse or more than one job, and the combined earnings from all jobs exceedthat apply. $50,000, see the Two Earner/Two Job Worksheet on page 2 if you want to avoid having too little tax withheld.
+ If neither of the above situations applies, stop here and enter the number from line G on line 5 of Form W-4 below.
AAA4C103.1313.0906.DTA
+ If neither of the above situations applies, stop here and enter the number from line G on line 5 of Form W-4 below.
--------------------------------------Cut here and give the certificate to your employer. Keep the top portion for youe records.-----------------------------------------------
Form W-4 Employee’s Withholding Allowance Certificate OMB. No. 1515-0010
Department of the Treasury 20**Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see reverse.
1 Type or print your first name and middle initial Last Name 2 Your social security number
Home address (number and street or rural route)3 Single X Married Married, but withhold at higher Single rate
4-77 MECH INF Note:If married but legally separated or spouse is nonresident alien check Single Box.
City or town state, and ZIP code 4 If your last name differs from that on your social security card checkHINESVILLE, GA 31314 here and call 1-800-772-1213 for a new card . . . . . . .
5 Total number of allowances you are claiming(from line G above or from the worksheets on page 2 if they apply . . 5 3
6 Additional amount, if any you want withheld from each paycheck . . . . . . . . . . . . . 6 $ 0
7 I claim exemption from withholding for 1997 and I certify that I meet BOTH of the following conditions for exemption:
+ Last year I had a right to a refund of ALL Federal income tax withheld because I had NO tax liability; AND
+ This year I expect a refund of ALL Federal income tax withheld because I have NO tax liability.
If you meet both conditions, enter ‘EXEMPT’ here . . . . . . . . 7
Under penalties of perjury, I certify that I am entitled to the number of withholding allowances claimed on this certificate or entitled to claim exemptstatus.
Employee’s signature 8
Employer’s name and address (Employer: Complete 8 and 10 only if sending to the IRS) 9 Office code 10 Employer identificationnumber
(optional)
RILEY,JOHN
888 741245
Daniel Perron date 1 Sep 20**
13
STUDENT NOTE: I ONLY WANT TO CHANGE MY FEDERAL TAXES
34
The following soldier attended a weekend drill. Certificate of completion is attached.
Perron, Daniel 888-73-2366 01 **0910 thru **0916
Period attended: **0910 0700 AM to 14:30 PM**0915 0700 AM to 1000 AM**0916 0700 AM to 1000 AM
Joseph Winter
Joseph WinterCPT, INFCommanding
Drill Attendance Roster
AAA4C103.1313.0906.DTA
STUDENT NOTE:APC: 113588
35
DEPARTMENT OF THE ARMY55TH MECHANIZED INFANTRY DIVISION
CLAXTON, GEORGIA 30417
ORDER 043-022 10 APRIL 20**
BUNDELL, RONALD 888-74-0124 PFCHHC 2ND BDE GARDEN CITY, GEORGIA 31418
YOU ARE ORDER TO ACTIVE DUTY TRAINING [ADT] FOR THE PERIOD INDICATED.
PERIOD (TDY): 01 SEPTEMBER 20** TO 23 OCTOBER 20**REPORT TO: FINANCE SCHOOL, FORT JACKSON SCREPORTING TIME/DATE: NLT 1500HRS 01 SEPTEMBER 20**PURPOSE: DEPLOYMENT TO KS
ADDITIONAL INSTRUCTIONS:(A) DD FORM 1351-2 MUST BE SUBMITTED WITHIN 5 DAYS AFTER PERFORMANCE OF
DUTY.(B) YOU ARE RESPONSIBLE TO REPORT TO YOUR NEXT DUTY STATION IN
SATIFACTORY CONDITION AND BE ABLE TO PASS THE AFPT.
FOR ARMY USE:HOR: SAME AS SNLACCT CLASS: 21*2070 24-2356 P4F3111 S14040APC:E1E201PEBD: **0601
AAA4C103.1313.0906.DTA
DISTRIBUTION:3 - INDIVIDUAL6 - FINANCE UNIT ADMINISTRATOR1 - AC/S COMPTROLLER-BUDGET1 - IM, ASB
/S/FOR THE COMMANDERCHARLES J. DUETMAJ, AG, USAR
CHIEF, ADMIN SERVICES BRANCH
***********************************************FOR TRAINING PURPOSES ONLY***********************************************
36
DEPARTMENT OF THE ARMY55TH MECHANIZED INFANTRY DIVISION
CLAXTON, GEORGIA 30417
ORDER 043-018 21 AUGUST 20**
LEONARD, SAMUEL 888-74-0110HHC, 1ST BDE HINESVILLE, GEORGIA 31314
YOU ARE ORDER TO ACTIVE DUTY TRAINING [ADT] FOR THE PERIODINDICATED.
PERIOD (TDY): 01 SEPTEMBER 20** TO 18 SEPTEMBER 20**REPORT TO: AIR ASSAULT SCHOOL, FORT CAMPBELL KYREPORTING TIME/DATE: NLT 1500HRS 01 SEPTEMBER 20**PURPOSE: AIR ASSALT COURSE
ADDITIONAL INSTRUCTIONS:
(A) DD FORM 1351-2 MUST BE SUBMITTED WITHIN 5 DAYS AFTERPERFORMANCE OF DUTY.(B) YOU ARE RESPONSIBLE TO REPORT TO YOUR NEXT DUTY STATION INSATIFACTORY CONDITION AND BE ABLE TO PASS THE AFPT.
AAA4C103.1313.0906.DTA
FOR ARMY USE:HOR: SAME AS SNLACCT CLASS: 21*2070 24-2356 P4F3111 S14040APC:E1E201PEBD: **0601DISTRIBUTION:3 - INDIVIDUAL6 - FINANCE UNIT ADMINISTRATOR1 - AC/S COMPTROLLER-BUDGET1 - IM, ASB
/S/FOR THE COMMANDERCHARLES J. DUETMAJ, AG, USARCHIEF, ADMIN SERVICES BRANCH
37