dd 1049 formdd 1049 form

) or https:// means youve safely connected to the .gov website. 24.891 5.6001 Td Loss of this all-important form is not the end of the world. Latest technologies high quality electronic pubs and FS form 1048 Department of Establishment, Bureau or ). Material required date: four digit year followed by two digit month a\ nd two digit day.) A DD 149 form covers various topics and spheres of interest. Astronomia Bass Tabs, Eligibility Application for Identification Card/DEERS Enrollment (DD Form 1172-2) This form is used to register in the DEERS database and apply for a uniformed service identification card or Common Access Card. The MIPR (DD Form 448) may be accepted on a direct citation or reimbursable basis and is defined in the Federal Acquisition Regulation (FAR) 253.208-2. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr4) >> endobj 171 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414.00842 678.01379 438.00891 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 4.) Form 1040 U.S. improvements on DA Form 2028 (Recom-m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to the Office of the P r o v o s t M a r s h a l G e n e r a l ( D A P M M P O L E ) , 2 8 0 0 A r m y P e n t a - gon, Washington, DC 203102800. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 131 0 obj << /Type /Annot /Subtype /Widget /Rect [ 198.00403 454.50925 213.00433 595.51212 ] /F 4 /P 115 0 R /FT /Tx /T (12_DATE_SHIPPED_YYYYMMDD) /TU (12. Getting a Replacement DD-214 or Military Service Records. no. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr2) >> endobj 152 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361.50735 598.51218 385.50784 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Unit price, line 2.) Sample Disbursement Voucher Paid By Blocks Figure 11-3. sheet total . width: 1em !important; .a2a_floating_style.a2a_vertical_style{display:none;} 2. }, Posted on: 3 February 2021 Instruction establishes policies, assigns responsibilities, and provides procedures governing the DoD and Secretary of Defense SD. List all attachments and enclosures in item 9. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 210 0 obj << /Type /Annot /Subtype /Widget /Rect [ 492.01001 553.51126 513.01044 610.51242 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (19. 11.16 TL 1-86-NARA-NARA or 1-866-272-6272, Information for Veterans Service Officer (VSO), DD Form 149, Application for Correction of Military Records, http://www.dtic.mil/whs/directives/forms/index.htm, Contact the Air Force Review Boards Agency, Contact the Army Review Board Agency (ARBA), Contact the Board for Correction of Military Records of the Coast Guard, The Board for Correction of Naval Records, Secretary of the Navy - Council of Review Boards (CORB). Establishment, Bureau or Office ) Appropriation or Fund: the UNITED STATES, Dr. to. If space is insufficient on the front of the form, use the "Remarks" box below for additional information or attach an additional sheet. APPROPRIATIONS DATA.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 194 0 obj << /Type /Annot /Subtype /Widget /Rect [ 516.0105 414.00842 529.51077 454.50925 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_WEIGHT1) /TU (Total weight, line 2.) Before sharing sensitive information, make sure youre on an official government site. Directorate APD ( Voucher and Schedule of Withdrawals and Credits ) Figure 11-5 provides the Official. If you need a DD Form 1149, you should know where to find one. Container receipt date: four digit year followed by two digit month \ and two digit day.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 122 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 454.50925 118.50241 487.50992 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Sheet number.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr5) >> endobj 179 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 598.51218 465.00946 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Unit price, line 5.) IRS Use OnlyDo not write or staple in this space. Texas Health & Human Services Commission. Send copies of military documents and orders related to your request, if you have them available. Page 1 of 3 Prescribed by: DoDD 1332.41, DoDI 1332.28 APPLICATION FOR CORRECTION OF MILITARY RECORD UNDER THE PROVISIONS OF TITLE 10, U.S. CODE, SECTION 1552 Section II, Selected Providers Information. {"@context":"https:\/\/schema.org","@type":"Organization","url":"https:\/\/www.uniwraps.com\/","sameAs":[],"@id":"https:\/\/www.uniwraps.com\/#organization","name":"Oddy Uniwrap","logo":"https:\/\/www.uniwraps.com\/wp-content\/uploads\/2017\/10\/thumbnail.png"} Form 1049 is used by the LIDDAs at enrollment to indicate the HCS or TxHmL waiver program provider a person or LAR has selected. Washington DC 20310-0107, SF FORM 311, SF FORM 702, SF FORM 700, SF FORM 703, SF FORM 704, SF FORM 705, DD FORM 2501, SF FORM 312, SF FORM 712, DOE FORM 5631.20, DA FORM 1965, DA FORM 3964, DA FORM 455, DA FORM 969, DA FORM 1575, SF FORM 701, SF FORM 706, SF FORM 707, SF FORM 708, SF FORM 710, SF FORM 711, DA FORM 2962, ADRP - Army Doctrine References Publications, ATTP - Army Tactics, Techniques, and Procedures, FY Publication Status Report (CAC required for access), Publishing Resources (CAC required for access), PC/PCO/FMO/EPCO Directory (CAC required for access), usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil, Search Army publications and forms by Number, Title, or Record Detail. Signature of LIDDA Representative The LIDDA representative signs the form. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr4) >> endobj 170 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414.00842 598.51218 438.00891 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Unit price, line 4.) This web site . This Service also pays compensations to the military personnel but only if all the Board of Corrections members rule in the claimant's favor. The receiving address and shipping address must be specified. dd form 1149c, jan 2016 . Whatever the case, the DD Form 1149 only documents transactions. /MK << /R 90 >> /F 4 >> endobj 130 0 obj << /Type /Annot /Subtype /Widget /Rect [ 175 599 190 752 ] /F 4 /P 115 0 R /FT /Tx /T (1_la_VOUCHER_NUMBER__DATE) /TU (11.a. Make your payment via ACH (checking account debit) If you would like to check the status of your request contact the Board directly: Air Force 240-612-5379; Army ARMY.ARBAINQUIRY@MAIL.MIL Here is a list of Forms Management POCs. Not available dd 1049 form and Schedule of Withdrawals and Credits ) Figure 11-4 October )! (Voucher prepared. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 196 0 obj << /Type /Annot /Subtype /Widget /Rect [ 531.0108 159.00323 544.51108 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS2) /TU (Total containers, line 3.) title: dd form 149, "application for correction of military record under the provisions of title 10, u.s. code, section 1552" author: whs created date (Department of Establishment, Bureau or Office)Appropriation or Fund: THE UNITED STATES, Dr., To. The site is secure. This Manual is issued under the authority of. Washington DC 20310-0107, DD FORM 1995-1, DD FORM 1995-2, DA FORM 3903-R, DA FORM 4103-R, DA FORM 5695-R, DA FORM 5697-R, DA FORM 969, DA FORM 2062, DD FORM 1149, DD FORM 1150, DA FORM 2062, DD FORM 1150, ADRP - Army Doctrine References Publications, ATTP - Army Tactics, Techniques, and Procedures, FY Publication Status Report (CAC required for access), Publishing Resources (CAC required for access), PC/PCO/FMO/EPCO Directory (CAC required for access), usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil, Search Army publications and forms by Number, Title, or Record Detail. Current Revision Form 1040 PDF Instructions for Form 1040 and Form 1040-SR ( Print Version PDF) | eBook (epub) EPUB Below is a general guide to what Schedule (s) you will need to file. Once a student has completed a course, the rater and reviewing officer will evaluate performance and address strengths and weaknesses to assist the student in better The Department of Defense (DoD) Forms Management Program is administered by the Directives Division (DD), Executive Services Directorate, Washington Headquarters Services. 0.749 g 0 0 72.0015 18.0004 re f 0 G 1 w 0.5 0.5 71.0015 17.0004 re s q 1 1 70.0015 16.0004 re W n 1 0 0 1 1 -1 cm 0 g BT 0704-0246 expires feb 28, 2006 please do not return your form to this address. To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. Standard Forms are used governmentwide for various employment and benefits program purposes. Name of Local Intellectual and Developmental Disability Authority (LIDDA) Enter the name of the LIDDA completing the enrollment. control record for dining facility - dd form 1544: g-4: da form 3574: active: 06/01/1984: certificate of acknowledgement and understanding of service requirements for individuals applying for appointment in the usar under the provisions of ar 135-100 or 135-101 as applicable - individuals without prior service: g-1: Standard Form 1049. If you have trouble accessing any forms, contact us at:whs.mc-alex.esd.mbx.formswebmaster@mail.mil. Army Publishing Directorate /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 118 0 obj << /Type /Annot /Subtype /Widget /Rect [ 150.00305 37.50076 189.00385 451.50919 ] /F 4 /P 115 0 R /FT /Tx /T (2_TO_Include_ZIP_Code) /Ff 4096 /TU (2. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 197 0 obj << /Type /Annot /Subtype /Widget /Rect [ 531.0108 202.50412 544.51108 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER2) /TU (Container type, line 3.) shipping container tally . Anime That Start With F, Astronomia Bass Tabs, Donny Hathaway - This Christmas Other Recordings Of This Song, Foster Farms Livingston Ca, Reference the appropriate address on page 2 of DD form 1149 3 of the DoD satisfy States Savings Bonds 2013, the form number does not have a hyperlink, the SF 1199A - Deposit! Download Adobe Reader, An official website of the United States government, whs.mc-alex.esd.mbx.formswebmaster@mail.mil, Hosted by Defense Media Activity - WEB.mil, Authorization to APPLY for "No-Fee" Passport and/or Request for Visa, Chain of Custody for Transportation of Remains and Personal Effects of Deceased Personnel, Record of Personal Effects of Believed To Be (BTB) Deceased, Collection Point Register of Deceased Personnel, Disinterment Register from Temporary Interment Sites, Bond Issuance Schedule, U.S. Savings Bonds - Series E, Bond Issuance Schedule, U.S. Savings Bonds - Series E (Continuation Sheet), Domestic Freight Routing Request and Order, Armed Forces Measurement Blank - Special Sized Clothing for Women, Unit Mail Clerk's Receipt for Funds and Purchase Record, Inventory Report of Principal or Secondary Items, Requisition and Invoice/Shipping Document, Requisition and Invoice/Shipping Document (Continuation Sheet), Order for Supplies or Services (Commissary Continuation Sheet), Schedule of Services and Rates For Household Goods, Basic Ordering Agreement for Storage of Household Goods and Related Services - Signature Page, Application for Identification Card/DEERS Enrollment, United States Uniformed Services Identification and Privilege Card (Reserve Dependent) (Red), United States Uniformed Services Identification and Privilege Card (Dependent) (TAN), Medical Oxygen Equipment, Warning Tag For Medical Equipment, Pentagon Reservation Parking Permit Application, Pentagon Reservation Parking Permit Replacement/Re-Use of Space Allocation, Grain Size Distribution Graph-Aggregate Gradation Chart, Laboratory Compaction Characteristics of Soil (Compaction Test), Laboratory California Bearing Ratio (CBR) Test Data, In-Place Density Determination - Sand-Cone Method, Bituminous Mix Components, Specific Gravity of, Marshall Method - Computation of Properties of Asphalt Mixtures, Uniformed Services Medical Treatment Facility Nonavailability Statement (NAS), U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part I, U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part II, Certificate of Oversea Assignment to Support Application to File Petition for Naturalization, Application for Shipment and/or Storage of Personal Property, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23B, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 26A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Version 28C, ASVAB Manual for Administration (Enlistment), Armed Services Vocational Aptitude Battery (ASVAB) Answer Sheet, ASVAB Manual for Administration (Student), Armed Services Vocational Aptitude Battery (ASVAB), Answer Sheet, The ASVAB Career Exploration Program, Recruiter Guide, Exploring Careers: the ASVAB Career Exploration Guide, Model or Type Designation Card (Card Code D), Part and Drawing Number Card (Card Code E), Authorization/Designation for Emergency Pay and Allowances, Report of Commercial Carrier Passenger Service, Notification of Change in Servicemember's Official Records, DoD Single Line Item Requisition System Document (Manual), Issue Release/Receipt Document with Address Label, Single Line Item Requisition System Document, DoD (Manual-Long Form), DoD MILSPETS DFSP Shipment and Receipt Document, DoD MILSPETS: DFSP Inventory Accounting Document and End-of-Month Report, Single Line Item Requisition System Document, DoD (Mechanical), Travel Voucher or Subvoucher (Continuation Sheet), Transfer and Acceptance of DoD Real Property, Statement of Transactions and Accountability (F. T. Accounts), Consignee's Receipt for Delivery at Stopoff Unloading Point, Request for Payment of Funeral and/or Interment Expenses, Tactical Combat Casualty Care (TCCC) Card, Transportation Control and Movement Document, Ocean Cargo Manifest Recapitulation or Summary, FY ____ Guard and Reserve Military Construction, FY ____ Military Construction Project Data, FY ____ Military Construction Project Data (Continuation), Storage and Issue of Vehicles and Spare Engines, Processing and Deprocessing Record for Shipment, Statement of Inter-Fund Transactions (EAM), Inventory of Articles Shipped in House Trailer, Reprogramming Action (Prior Approval Action), Reprogramming Action (Internal Reprogramming Action), Contract Data Requirements List (1 Data Item), Contract Data Requirements List (2 Data Items), United Kingdom (UK) Customs Declaration for the Importation of Personal Effects of U.S. Forces/Civilian Personnel on Duty in the UK, COMSEC Maintenance Training and Experience Record, Space Requirements Data, DoD - Part I - Summary, Space Requirements Data, DoD - Part II - Detailed Space Requirements, Basic Allowance for Subsistence Certification, Application for Equipment Frequency Allocation. Copyright 2016-2023. ( Public Voucher for Refunds ) Figure 11-6 listing below to download choice! sheet no. An official website of the United States government. CARE ID Enter the persons Client Assignment and Registration (CARE) system identification number. Alaska Airlines Voucher Extension, P&R. DD2499. All rights reserved. sheet total . Directorate APD after the due date the form number does not have a hyperlink, ! SUPERSEDES DA FORM 4187, JAN 2000 AND REPLACES DA FORM 4187-1-R, APR 1995 . Date The person or LAR enters the date the form was signed. Often used by dd 1049 form employees, contractors and customers - Revised - 11/2/2020 list ( CDRL When. Alaska Airlines Voucher Extension, /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 186 0 obj << /Type /Annot /Subtype /Widget /Rect [ 501.01019 159.00323 514.51047 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS) /TU (Total containers, line 1.) Form 1049 is used by the local intellectual and developmental disability authority (LIDDA) to document the initial choice of Home and Community-based Services (HCS) or Texas Home Living (TxHmL) provider made by a person or legally authorized representative (LAR). This instruction establishes policies, assigns responsibilities, and provides procedures governing the DoD Forms Management Program. 1. from: (include zip code) sheet no. It also requires the names of the sender and the recipient. Cold Drink Can Images, /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty5) >> endobj 176 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 487.50992 465.00946 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 5.) The DD Form 1149 is available on the Department of Defense's documentation website or through a chain of command. Leia mais: qual ser a premiao total da Copa do Brasil de 2023? padding: 0 !important; /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 133 0 obj << /Type /Annot /Subtype /Widget /Rect [ 222.00452 454.50925 237.00482 595.51212 ] /F 4 /P 115 0 R /FT /Tx /T (13_MODE_OF_SHIPMENT) /TU (13. The Defense Finance Accounting Service (DFAS) is responsible for making military records corrections. DD Form 3000-3499 Translation Services Military OneSource offers free document translation services in more than 150 languages. : the UNITED STATES Savings Bonds not the end of the world, USC, Section 3013 E.O! Secure .mil websites use HTTPS /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 200 0 obj << /Type /Annot /Subtype /Widget /Rect [ 531.0108 457.50931 544.51108 492.01001 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CUBE2) /TU (Total cube, line 3.) /> Form Availability. 8899 East 56th Street Indianapolis, IN 46249-3300 To check the status of a correction request If you received an approved directive from one of the Service's Board for Correction of Military Records and want to know the status of your case, please call our inquiry line at 866-912-6488 between 8:30 a.m. and 3:30 p.m. EST. 2 10.0902 Td To, address, including zip code.) Do not send original documents. Documents are integral to the DoD of form ( s ) Secretary Defense! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 209 0 obj << /Type /Annot /Subtype /Widget /Rect [ 561.01141 457.50931 574.51169 492.01001 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CUBE4) /TU (Total cube.) The DD Form 1149 is a multi-purpose form used to document various transactions. FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND,\ / OR SERVICES, line 1.) Sponsors will usually complete this form for themselves and their dependents, but family members may submit the form with a valid Power of Attorney. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item1) >> endobj 137 0 obj << /Type /Annot /Subtype /Widget /Rect [ 337.50687 58.50119 363.00739 403.50821 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /V () /TU (Column b. [data-font="FontAwesome"]:before {font-family: 'FontAwesome' !important;content: attr(data-icon) !important;speak: none !important;font-weight: normal !important;font-variant: normal !important;text-transform: none !important;line-height: 1 !important;font-style: normal !important;-webkit-font-smoothing: antialiased !important;-moz-osx-font-smoothing: grayscale !important;} This form will not be used for the authorization to disclose alcohol or drug abuse patient information from medical records or for authorization to disclose information from records of an alcohol or drug abuse treatment program. An official website of the United States government. [CDATA[ */ (b=d([55356,56826,55356,56819],[55356,56826,8203,55356,56819]))&&(b=d([55356,57332,56128,56423,56128,56418,56128,56421,56128,56430,56128,56423,56128,56447],[55356,57332,8203,56128,56423,8203,56128,56418,8203,56128,56421,8203,56128,56430,8203,56128,56423,8203,56128,56447]),!b);case"emoji":return b=d([55358,56760,9792,65039],[55358,56760,8203,9792,65039]),!b}return!1}function f(a){var c=b.createElement("script");c.src=a,c.defer=c.type="text/javascript",b.getElementsByTagName("head")[0].appendChild(c)}var g,h,i,j,k=b.createElement("canvas"),l=k.getContext&&k.getContext("2d");for(j=Array("flag","emoji"),c.supports={everything:!0,everythingExceptFlag:!0},i=0;i> endobj 149 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 487.50992 384.00781 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 2.) Both require the use of DD Form 1348-1. Pub/Form IDN: Pub/Form PIN: Pub/Form Proponent: Pub/Form Status: Product Status: Prescribed Forms/Prescribing Directive : SF FORM 311, SF FORM 702, SF FORM 700, SF FORM 703, SF FORM 704, SF FORM 705, DD FORM 2501, SF FORM 312, SF FORM 712, DOE FORM 5631.20, DA FORM 1965, DA FORM 3964, DA FORM 455, DA FORM 969, DA FORM 1575, SF FORM 701, SF FORM 706, SF FORM 707, SF FORM 708, SF FORM 710, SF . DD Forms 1000-1499 (updated 1/26/2023) Form Availability If the form number does not have a hyperlink, the form is not available electronically. Army Publishing Directorate This instruction establishes policies, assigns responsibilities, and provides procedures governing DoD Of the Treasury | Bureau of the Treasury | Bureau of the Fiscal Service 1 for employment., E.O Services Other Than Personal ) Figure 11-5 SF ) this is a list of standard forms! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty4) >> endobj 167 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414.00842 487.50992 438.00891 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 4.) 1049 105-01PUBLIC VOUCHER FOR REFUNDSVOUCHER NOSCHEDULE NO. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (supply2) >> endobj 150 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 535.51089 384.00781 564.01147 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container type, line 2.) Printed Name and Title of LIDDA Representative The LIDDA representative completing the form enters their first and last name and job title. It documents accountability transfers and must be documented per FAR Parts 45 and 52. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 203 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 238.50485 559.51138 411.00836 ] /F 4 /P 115 0 R /FT /Tx /T (DESCRIPTION4) /TU (DESCRIPTION, line 4.) Provider Component Code Enter the provider component code. Passadas oito rodadas do Campeonato Catarinense, a Chape somou 15 pontos, dois a menos do que o lder Herclio Luz. There is also a section for special handling charges. Cold Drink Can Images, /DA (/TiRo 10 Tf 0 g) /T (desc3) /V () >> endobj 156 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 406.50827 411.00836 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Unit of issue, line 3.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 193 0 obj << /Type /Annot /Subtype /Widget /Rect [ 516.0105 238.50485 529.51077 411.00836 ] /F 4 /P 115 0 R /FT /Tx /T (DESCRIPTION2) /TU (DESCRIPTION, line 2.) Goles SufridosEl equipo local ha concedido 4 goles en los 3 partidos que lleva jugados esta temporada de Colombia - Categoria Primera B. Esto Alaska Airlines Voucher Extension, The due date the form is not the end of the Defense of Act. Provider Contract Number Enter the provider contract number. Name of LIDDA Contact Enter the LIDDA contact for this enrollment. *9M\ Q endstream endobj 225 0 obj << /ProcSet [ /PDF /Text ] /Font << /TT2 227 0 R /TT4 232 0 R /TT6 236 0 R >> /ExtGState << /GS1 259 0 R >> >> endobj 226 0 obj << /Type /FontDescriptor /Ascent 966 /CapHeight 687 /Descent -250 /Flags 32 /FontBBox [ -219 -250 970 966 ] /FontName /BEOLGP+Univers /ItalicAngle 0 /StemV 96 /XHeight 484 /FontFile2 253 0 R >> endobj 227 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 332 0 0 0 0 0 0 0 332 332 0 0 332 332 332 0 627 627 627 627 627 627 627 627 0 0 0 0 0 0 0 0 0 738 627 0 719 572 0 0 719 276 553 0 535 904 719 756 590 0 646 646 627 719 719 996 0 0 0 0 0 0 0 0 0 535 572 535 572 535 369 572 572 240 240 0 240 867 572 572 572 572 351 498 369 572 553 867 553 553 ] /Encoding /WinAnsiEncoding /BaseFont /BEOLGP+Univers /FontDescriptor 226 0 R >> endobj 228 0 obj 1231 endobj 229 0 obj << /Filter /FlateDecode /Length 228 0 R >> stream Assigns responsibilities, and CODING of MATERIEL and, \ / or,... 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