TO: (Forward direct to addressee listed in publication)
FROM: (Activity and location) (Include ZIP Code)
DATE
PART II -- REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER
DATE
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
TELEPHONE EXCHANGE/AUTOVON,
PLUS EXTENSION
SIGNATURE
USAPA V3.01
Commander, U.S. Army Aviation and Missile Command
ATTN: AMSAM-MMC-MA-NP
Redstone Arsenal, AL 35898
