|
r%_ ally / ✓-..
<br />REQUEST AND AUTHOI..ATION FOR ACTIVE DUTY TRAINING/AC. E DUTY TOUR
<br />771E PRIVACY ACT OF 1974- USE RI.ANKET PAS - A FORM 11)
<br />(Tills FORM /S SUBJECT TO
<br />1. FHON IOn.r 2.. APPROV114G OFFICunL (Name, G,ade, Signahae aruf 0e1e)
<br />BY ORDER OF THE SECRETARY
<br />446AMS 7) Lr (� Ji , OF THE AIR FORCE
<br />MCCHORD AFB WA VICKI S. KINC SGT 6-May6-May 85
<br />COO S. SECURITY CLEARANrJ
<br />], GRADE, NAME (Leah Flnh MIL SSAN A. PRESE ADDRESS SECRET
<br />SSGT PIERRE, ROBERT R. 8016 Beverly Blvd. 6.DAFSC 1.
<br />073-44-5168 Everett WA 98203 Anr
<br />32851 1
<br />CORPORATE LIMITS OF DITTY STATION (J
<br />Cpp 9. MNDY-EXP
<br />A. PURPOSE OF TOUR AUT N•MU.
<br />IIII I(A ANNUAL fail I ISCIIOOL IV$ I I SPECIAL ADT [ IIMPAI MAN -DAY TOUR MAN-DA ( ID CQI
<br />11. REPORTING DATA (Yr, MO,U. WILL R R O O(alher Nan mot Oaten', CVI Is ,ep,Nad)
<br />A 10. IS ORDERED TO AD FOH
<br />jA)L L' Ilove) COM Dale L02
<br />15 DAYS pteub/1F7CX TVL TIME 07�0 B O COL
<br />UNIT OF ATCN IS THE COMDR EXER ISI LI L COURT MARTIAL
<br />'>t /L EASE DATE(Y/r Y0. DO
<br />1R0722 cDoiy l�l�l�0 AFB WA 98438-5000
<br />MAO INITIALS CPU
<br />la. TRAVEL DAYS AIIi NORIZCO IS. COMMUTE CON 16. VOC STATEMENT COI 17. PRIMARY DEPH
<br />CQ% YES f2) pt INO 111 I )YES IWD ROBINE WIFE
<br />I IYE5111 I�10111 AT TVL DAYS. _ ( I
<br />15. VARIABLE TOUR STATEMENT
<br />K BY PROPER AUTH, IF MBN REMAINS ON SPECIAL /SCH)JL TOUR IRPA) IN EXCESS OF DAYS SHOWN, THE ORDER NLED
<br />SUBJ TO APPR
<br />IF NUMBER OF DAYS SHOWN IN BLOCK 10 IS LESS THAN N AND DAYS SHOWN IS NOT EXCEEDED By 100 PERCENT OR
<br />NOT BE AMENDED
<br />I lays, WHICHEVER IS LESS. IN NO EVENT WILL THESE ORDERS EXCEED A TOTAL OF Wool eperlstc mamber)
<br />19. TNG-CAT-IND CPS
<br />20. TOUR-IND CPT
<br />21. BAS CODE
<br />2L AUTHORITY: COP AFR 36411
<br />c a 0
<br />I]. MBR'S TVL VOU AND COYPL STMT OF TOUR TO BE FILED WITHIN S WORKDAYS AFTER YOUR COMPL. ATCN CERTIFIED COPY OF
<br />D!P
<br />ORDEREXTENDED OR AT
<br />AT OTHER TIMES AND DEVIATIONS FR DIRECT TVL ARE AT
<br />SLTD TO 1 DAY UeFORE ANDSI DAY AFTER TOUR DT. TERMINATED.
<br />TRAVELER'S OWN RISK. UTILIZE GOVT CITIES IF AVAL.
<br />1
<br />15 :S• TOTAL AT TRa (rand (rips) USED THIS FY
<br />2a, TOTAL AT DAYS USED THIS FY
<br />REMARKS(AYU-340ANI Turn in all promotional items, for Example, gifts, bonus tickets etc to the AFO. Indiv will
<br />26.
<br />be assessed billeting fees when both gavt gtrs and mess are available. (JTR VOL 1) Billeting office will bill
<br />not
<br />unit of assignment(address/functional address syabol(FAS) according to AFR 177-102. Contract qtrs are not reimburs
<br />able.(AFR 90-9) Member is on annual tour and will not be assessed the TOY surch..rge when both government meals and
<br />qtrs are available.
<br />27. CN ARGE ABLE TO (Table 32) 5753700 505 6272 P721.01/.02/.1l 380100
<br />P A A
<br />CPI
<br />PER DIEM AND TRAVEL 5753700 505 6262 P721.13 .14 ESERVE OR —
<br />29.BDEP NO. CPy A. DATE
<br />la. DISTRIBUTION
<br />D-4365 7 Ma 85
<br />D
<br />1—MAW/MAP FOR THE COMMANDER
<br />J]. sIGHATUR@ T OF AUTHENTICATING OFFICIAL(Tae1. lU
<br />Aye
<br />r 6/
<br />Jl, OSH,NATION AND LOCATION OF HFADOUARTURS C001
<br />DEPARTMENT Of THE AIR FORCE
<br />119 446 AOS (AFRI.S)
<br />McChord AFR, MA. 98438-6004 LCO R I, USAfR
<br />a
<br />Chia dmini on
<br />STATEMENT OF TOUR OI' DUTY
<br />mn Ot
<br />1L
<br />LOCATION
<br />HOUR
<br />DATE
<br />MONTH
<br />is ..
<br />LOCATION
<br />HOUR
<br />lM1U
<br />GATE
<br />MONTH
<br />01
<br />TRAVEL
<br />(Hit)
<br />DEPART
<br />ARRIVE
<br />DEPART ARRIVE
<br />/
<br />r cer(i(y lhaf I havo compNed will, shove e-,do,, lhnf Thu tact, am lust And (me in all saPecta, And that I have not rerr,vrdpayma,l,
<br />pr efiredT/slamer pay from she GPvemmen/ of Ihr
<br />pulaim, a dsaability compaalim,
<br />II cattily (he( d 1 was in receip( of a m
<br />(o waiver the a phcable paymalf; and II A Federal emo/oyee, l -A- on mrtMn+rd ""I
<br />United States, 1 have completed AF Font, 1962
<br />My a,m,no (dI (,Gd noO draw Jqm RAQ. 1 (am) (am nns) mt,tled 1. smaj, ?A(1;
<br />during the period stated in (l,e above order.
<br />If Ihim (our wee extended under the ,.,I four provision, it won with my prior AnowletiAr mrl renernl.
<br />(,m) (am not) on flying ablNa.
<br />DATE
<br />YEMBER'S SIGNATURE
<br />CERTIFICATION
<br />1 cerfily that the atnve ..be, sported for dllY u( hours on and wet slaamd Imm rut% at-houn on
<br />Cl RTIi YING OFiICIAL'S NAME, GRADE, AND TITLE lsirNATunz:
<br />DATE
<br />446 AUS Overprint
<br />AFRES FORM 93S REPLALES AFRES FORM 9". JAN 05. WHICH 15 OBSOLETE.
<br />FEB 85
<br />
|