TM-9-2350-314-10-HR Hand Receipt for M109A6 Paladin Howitzer Download
Page 22 of 32
TO (Forward direct to addressee listed in publication) U.S. Army TACOM Life Cycle Management Command ATTN: AMSTA-LCL-IM/TECH PUBS 6501 E. 11 Mile Road, Warren, MI 48397-5000 FROM (Activity and location) (Include ZIP Code) Your Address DATE Date you filled out this form PART II – REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS PUBLICATION/FORM NUMBER TM Number DATE DD MMMM YYYY TITLE TM Title PAGE NO. COLM NO. LINE NO. NATIONAL STOCK NUMBER REFERENCE NO. FIGURE NO. ITEM NO. TOTAL NO. OF MAJOR ITEMS SUPPORTED 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 Your Name TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION Your Phone Number SIGNATURE Your Signature APD V4.00 S S A A M M P P L L E E