Sheet
of
LOSING HAND RECEIPT HOLDER (HRH)
GAINING HAND RECEIPT HOLDER (HRH)
FIPS EXCESS/TRANSFER
Name:
Name:
Date:
Off Sym:
HRH Number:
Off Sym:
HRH Number:
Reviewed By: (Name)
Room No:
Phone:
Room No:
Phone:
Signature:
Signature:
Signature:
REQUESTED ACTION
RETURN DATE
TRANSFER
Gaining Command:
Gaining UIC:
TRANSFER
Gaining PBO:
Ship to Address:
EXCESS
Received By:
Date:
ITEM
BAR TAG
COND.
SERIAL
ACQUI.
ACQUISITION
DOCUMENT
NOMENCLATURE
NO.
NUMBER
CODE
NUMBER
DATE
PRICE
NUMBER
PRINT/TYPE: NAME/OFFICE SYMBOL/VENDOR REMOVING OR RECEIVING PROPERTY:
SIGNATURE AND DATE:
ENG 4900-2R Received In Logistics For Processing:
LOSING PBO:
DATE:
Date:
Action Posted By:
Received By:
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