DA 3161 (MS Word) - REQUEST FOR …



REQUEST FOR ISSUE OR TURN-IN

(DA PAM 710-2-1) | |ISSUE |SHEET NO. |NO. SHEETS |3. REQUEST NO. |4. VOUCHER NO. | |

| | |TURN-IN |      |      |      |      |

|1. SEND TO:       |5. DATE MATERIEL REQUIRED |6. DODAAC |7. PRIORITY |8. ACCOUNTING/FUNDING DATA |

| |      |      |      |      |

|2. REQUEST FROM:       |9. END ITEM IDENT |9a. NAME/MANUFACTURER |9b. MODEL |9c. SERIAL NO. |

| |      |      |      |      |

|* CODE ISSUE TURN-IN |10. PUBLICATION |11. JOB ORDER NO. |

|I-Initial FWT-Fair Wear and Tear EX-Excess |      |      |

|R-Replacement RS-Report of Survey SC-Stmt of Charges | | |

|12. ITEM NO.|STOCK NO. |ITEM DESCRIPTION |UNIT OF |QUANTITY |CODE * |SUPPLY |UNIT PRICE |TOTAL COST |j. POSTED |

| | | |ISSUE | | |ACTION | | | |

|a |b |c |d |e |f |g |h |i |DATE |BY |

|      |      |THIS FORM PROVIDED BY |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

|      |      |      |      |      |      |      |      |      |      |      |

| |      |      | | | | | | | | |

| | | | | | | |SHEET TOTAL |      |GRAND TOTAL       |

|13. ISSUE/TURN-IN “QUANTITY”|DATE |BY |14. ISSUE QTY IN |DATE |BY |15. REC QTY IN |DATE |BY |

|COLM IS REQUESTED | | |“SUPPLY ACTION” | | |“SUPPLY ACTION” | | |

| | | |COLUMN | | |COLUMN | | |

|DA |FORM |3161 |REPLACES EDITION OF JUN 73 WHICH WILL BE USED UNTIL EXHAUSTED. | |

| |MAY 83 | | | |

|US GOVERNMENT PRINTING OFFICE: 1987 0 - 189-109 |

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