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Get DD 362 1993

A. DATE b. SIGNATURE BLOCK/SIGNATURE DD FORM 362 JUL 93 The amount entered in grand total has been FAO check the appropriate action below. 1. DATE STATEMENT OF CHARGES/CASH COLLECTION VOUCHER 3. ORGANIZATION 5. DISBURSING OFFICE COLLECTION VOUCHER NUMBER 2. DOCUMENT/VOUCHER NUMBER 4. STATION 6. DISBURSING STATION SYMBOL NUMBER STOCK NUMBER a* 7. ACCOUNTING CLASSIFICATION ITEM DESCRIPTION b. QTY c* UNIT PRICE d. TOTAL COST e. 8. TYPE OR ACTION Select one a* PAYROLL DEDUCTION b. CASH COLLECTION c* GRAND TOTAL 9. CERTIFICATION OF RESPONSIBLE INDIVIDUAL I certify that my signature hereon constitutes a* An authorization to recover the amount of the indebtedness through payroll deduction if payroll deduction is checked* If cash collection is checked I am remitting debt in cash. b. An affirmation that the articles are not now in my possession* c* An agreement to turn-in to the appropriate supply officer all articles later recovered it being understood that the U*S* Government retains title to the articles listed hereon* d. RANK/ GRADE e. NAME LAST First Middle Initial g. CAUSE FOR CHARGE h. SIGNATURE i. AMOUNT f* SOCIAL SECURITY NUMBER The statements hereon are complete and correct. All damaged property has been disposed of in accordance with current directives and the charges have been computed in accordance with the provisions of AR 735-5 Appendix B. a* Entered on the appropriate pay record or payroll or DD Form 139 has been prepared and forwarded for collection* b. 1. DATE STATEMENT OF CHARGES/CASH COLLECTION VOUCHER 3. ORGANIZATION 5. DISBURSING OFFICE COLLECTION VOUCHER NUMBER 2. DOCUMENT/VOUCHER NUMBER 4. STATION 6. DISBURSING STATION SYMBOL NUMBER STOCK NUMBER a* 7. ACCOUNTING CLASSIFICATION ITEM DESCRIPTION b. DOCUMENT/VOUCHER NUMBER 4. STATION 6. DISBURSING STATION SYMBOL NUMBER STOCK NUMBER a* 7. ACCOUNTING CLASSIFICATION ITEM DESCRIPTION b. QTY c* UNIT PRICE d. TOTAL COST e. 8. TYPE OR ACTION Select one a* PAYROLL DEDUCTION b. CASH COLLECTION c* GRAND TOTAL 9. QTY c* UNIT PRICE d. TOTAL COST e. 8. TYPE OR ACTION Select one a* PAYROLL DEDUCTION b. CASH COLLECTION c* GRAND TOTAL 9. CERTIFICATION OF RESPONSIBLE INDIVIDUAL I certify that my signature hereon constitutes a* An authorization to recover the amount of the indebtedness through payroll deduction if payroll deduction is checked* If cash collection is checked I am remitting debt in cash. CERTIFICATION OF RESPONSIBLE INDIVIDUAL I certify that my signature hereon constitutes a* An authorization to recover the amount of the indebtedness through payroll deduction if payroll deduction is checked* If cash collection is checked I am remitting debt in cash. b. An affirmation that the articles are not now in my possession* c* An agreement to turn-in to the appropriate supply officer all articles later recovered it being understood that the U*S* Government retains title to the articles listed hereon* d. b. An affirmation that the articles are not now in my possession* c* An agreement to turn-in to the appropriate supply officer all articles later recovered it being understood that the U*S* Government retains title to the articles listed hereon* d. RANK/ GRADE e. NAME LAST First Middle Initial g. CAUSE FOR CHARGE h. SIGNATURE i. AMOUNT f* SOCIAL SECURITY NUMBER The statements hereon are complete and correct. .

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