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DATE RECEIVED 10. PRIORITY DD FORM 844 FEB 89 11. OPERATOR 12. DATE COMPLETED 13. NO. OF COPIES 14. U.S. DOD Form dod-dd-844 REQUISITION FOR LOCAL DUPLICATING SERVICE 1. DATE OF REQUEST 2. DATE REQUIRED 3. DATE RECEIVED REPRODUCED BY REQUESTER Consolidates DD Form 283 and DD Form 844 which may be used until supply is exhausted. 15. JOB NUMBER PART A - REQUEST 4. REQUESTING OFFICE 5. DELIVERY INSTRUCTIONS a* ORGANIZATION b. BUILDING d. FOR REFERENCE CONSULT 1 Name 6. DESCRIPTION OF JOB c* ROOM NO. 2 Telephone Number a* DELIVER TO b. PERSON TO CALL IF TO BE PICKED UP a* APPROPRIATION CHARGEABLE b. TITLE FORM NO. ETC. c* CLASSIFICATION Classified f* DISPOSITION OF d. NO. OF ORIGINALS COPIES EACH Return Other Specify Destroy 7. SPECIFICATIONS X and complete all that apply a* TYPE REPRODUCTION Xerographic Offset f* COLLATE b. PRINT One Side Head to Head Foot c* FINISHED SIZE 8-1/2 Other X 11 Specify d. PAPER White e. INK Black g. STAPLE Yes No h. ADDITIONAL SPECIFICATIONS Including distribution punching padding location of staples etc* 8. REQUESTER CERTIFICATION* I certify that this work is authorized by regulations and is necessary to the conduct of official business. a* PRINTED NAME OF REQUESTER b. SIGNATURE OF REQUESTER c* SIGNATURE OF PRINTING CONTROL OFFICIAL PART B - APPROVAL For reproduction unit use only 9. JOB NUMBER PART A - REQUEST 4. REQUESTING OFFICE 5. DELIVERY INSTRUCTIONS a* ORGANIZATION b. BUILDING d. FOR REFERENCE CONSULT 1 Name 6. DESCRIPTION OF JOB c* ROOM NO. 2 Telephone Number a* DELIVER TO b. PERSON TO CALL IF TO BE PICKED UP a* APPROPRIATION CHARGEABLE b. FOR REFERENCE CONSULT 1 Name 6. DESCRIPTION OF JOB c* ROOM NO. 2 Telephone Number a* DELIVER TO b. PERSON TO CALL IF TO BE PICKED UP a* APPROPRIATION CHARGEABLE b. TITLE FORM NO. ETC. c* CLASSIFICATION Classified f* DISPOSITION OF d. NO. OF ORIGINALS COPIES EACH Return Other Specify Destroy 7. TITLE FORM NO. ETC. c* CLASSIFICATION Classified f* DISPOSITION OF d. NO. OF ORIGINALS COPIES EACH Return Other Specify Destroy 7. SPECIFICATIONS X and complete all that apply a* TYPE REPRODUCTION Xerographic Offset f* COLLATE b. PRINT One Side Head to Head Foot c* FINISHED SIZE 8-1/2 Other X 11 Specify d. SPECIFICATIONS X and complete all that apply a* TYPE REPRODUCTION Xerographic Offset f* COLLATE b. PRINT One Side Head to Head Foot c* FINISHED SIZE 8-1/2 Other X 11 Specify d. PAPER White e. INK Black g. STAPLE Yes No h. ADDITIONAL SPECIFICATIONS Including distribution punching padding location of staples etc* 8. PAPER White e. INK Black g. STAPLE Yes No h. ADDITIONAL SPECIFICATIONS Including distribution punching padding location of staples etc* 8. REQUESTER CERTIFICATION* I certify that this work is authorized by regulations and is necessary to the conduct of official business. REQUESTER CERTIFICATION* I certify that this work is authorized by regulations and is necessary to the conduct of official business. a* PRINTED NAME OF REQUESTER b. SIGNATURE OF REQUESTER c* SIGNATURE OF PRINTING CONTROL OFFICIAL PART B - APPROVAL For reproduction unit use only 9..

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