Laserfiche WebLink
I —tzA <br />F C: 4770 <br />REQUEST AND AUTHORIZATION FOR ACTIVE DUTY TRAINING/ACTIVE DUTY TOUR <br />(THIS FORM IS SUBJECT TO THE PRIVACY ACT Oh1974 - USE BLANKET PAS - AF FORM 11) <br />4 iFON �DnII of A..I9nwenll <br />40A17 <br />3. aPRR V6INCSO AC IC W a , Or., SI/ruM WetlMls) <br />vI(7 <br />BY ORDER OF THE SECRETARY <br />MCCHORD AFB WA <br />I VICKI S. KING, SSGT, USAFR 12 Jul 85 <br />OF THE AIRFORCE <br />GRADE, NAME (LAsI, PleDSSAN <br />1. PR[M1. T ADDRESS coo <br />L SECURITY SECRET CLEARANCE <br />SSG PIERRE, ROBERT R. <br />8016 Beverly Blvd <br />G.DAFSC <br />7. <br />073-44-5168 <br />Everett WA 98202 <br />32851 <br />("- I ART <br />CORPORATE LIMITS OF DUTY STATION <br />a, PURPOSE OF TOUR CRp <br />5AMSX27AO0 <br />9. MNDY-EXP <br />AUTI* <br />_ <br />Ii1 (-� ANNUAL lit_(SCHOOL Ins [(� S.•ECIAL ACT (�IMPAI YAM•DAY TOUR MAN -DAY ID <br />C09 <br />i To. IS ORDERED TO AD VON <br />11• SPORTING (Yr, Mo, <br />1 L (fl olMr me, ,nit of wWwr. CVl b np,lnd) <br />AuralCos (p,F(FL CO2 <br />D /30 BSUOlY <br />co L 446AMS MCCHORD AFB WA 98438-6004 <br />•J,_,jAYS INCL R TVL TIME <br />UNIT OF ATCH IS THE COMDR EXERCISING SPECI1AL COURT MARTIAL <br />AF8 WA 9843tl-5000 <br />IL RELEASE DATrM,, fear DO <br />CONVENING AUTH GveliNcChord <br />MAO INITIALS CPM <br />MO <br />COI <br />14. TRAVEL DAYS AUTHORIZED 16. COMMUTE ON <br />16. VOC ST ATSYENT C07 <br />1]. PRItl ARY OCPN <br />Cos-]YESID 7NO I11 <br />(,YESID )1O 11) AT TVL DAYS�� (� <br />YES r MO <br />❑ I <br />14. VARIABLE TOUR STATEMENT <br />a SUB) TO APPR BY PROPER AUTH• IF YBr/ REMAINS ON SPECIAL /SCHOOL TOUR IRPAI IN EXCESS OF DAYS SHOWN, THE ORDER NEED <br />NOT BE AMENDED IF NUMBER OF DAYS SHORN IN BLOCKIOIS LESS THAN 30 AND DAYS SHOWN ISNOT EXCEEDED 100 PERCENT OR <br />t3 <br />S. <br />7 DAYS, WHICHEVER IS LESS. IN NO EVENT WILL THESE ORDERS EXCEED A TOTAL OF DAYS. <br />( nler apeLAIC.1k.) <br />19. YNG•CAT•1N0 CPS <br />m. TOUR•INO CPT <br />21. BAS CODE <br />32. AUT NORITYI COP AFR IFsI <br />41 <br />JACFT.M.AINT TNG <br />C A B <br />MBR'S TVL VOU AND COMPL STYT OF TOUR TO BC FILED WITHIN 5 WORKDAYS AFTER TOUR COMPL. ATCH CERTIFIED COPY OF <br />23. <br />ORDER TO TVL VOU IF TOUR IS EXTENDED ON TERMINATED. UNLESS USE OF POV IS SPECIFICALLY AUTH• TRAVELER'S DEP <br />TVL AT OTHER TIMES AND DEVIATIONS FR DIRECT TVL ARE AT <br />I IS LTD TO 1 DAY BEFORE AND 1 DAY AFTER TOUR VT. <br />TRAVELER'S OWN RISK. UTILIZE OOVT OTRS IF AVAL. <br />24. TOTAL AT DAYS USED THIS Fy 1 <br />Ls. TOTAL AT TO. tra,A,d trips) USED THIS FY <br />Is. REMARKSiAMU-3s0AN) Turn in all promotlonal items. for example, gifts, bonus tickets, etc to the AFn <br />Since your per diem payment is based on available government quarters and mess, cuntact <br />base billeting office to see if they are available. Member must pay TOY surcharge at <br />military facilities. <br />IT. CHARGEABLE TO `rTARN SV <br />05 380104p <br />P fir 5753700 505 5272 P727.011 02// <br />PER Dla11 AND TRAVEL 5753700 SOk•fi7k2 P727.139.14/.1 <br />M DISTRIBUTION 29. RESERVE ORDER NO. COY 3D. DATE CP2 <br />D D-7031 <br />1-ilAW/MAP F R THE COMMANDER <br />32. SIGNA ENT OF AUTHENTICATING OFFICIAL (Tebls 32) <br />CQA/DI � rF�,f <br />31. DESIGNATION AND'-OCATION OF HEADOUARTERS <br />HQ 446TADS (AFRES) A1► FORCE nQ [��yy���� <br />ReChord AF8, NA. 98438-6004 L N REFIi.1211RRE C GT, USkFR (ART) <br />Ch f Admini ion <br />33. STATEMENT OF TOUR OF DU R <br />WOOL <br />. -.- it LOCATION <br />1. <br />HOUR <br />DATE <br />MONTH j: <br />LOCATION <br />Ha �R <br />DATE <br />MONTH <br />OF <br />TRAVEL <br />HIP!fail) <br />DEPART <br />ARRIVE <br />+ <br />DEPART <br />j_ <br />ARRIVE <br />I Cattily that I have coolplled with above order, that the (acts An just and flue In All rear Acts, and that f have not received paymanl. I <br />rellreeyretsinst PAY from the Govommmf of the <br />A rmor certify that 1t I was /n reeolpt of a pwlalm, a disability compensation, or <br />Un/led State&, I hew eompfalse AF Pam ZV62 so waiver the Applicable paymen4 And 11 A Federal eamloyee, I was w suthodsed leave <br />witting the period stated in the above order. My spouse (dlcD (did no) drew deyO BAQ. 1 (ari (Rn not) entitled to single RAQ; <br />(!1) (min no) on filing sYNus. It thI A teur we& extended mder the variable four providon, it was with my prior knowledge And ronaml <br />MEMBE R'S SIGNATURE <br />DATE <br />CERTIFICATION <br />I codify that the abow Was bar nported for dity at hours m and was messed from drly 0 houn on <br />CERTIFYING OFFICIAL'S NAME, GRADE, AND TITLE <br />SIGNATURE <br />DATE <br />FOral <br />AFROS 2A0 e& 939 REPLACES AFNlS FOAW691/ (TEST). SEP eI, AND 116, AUG e3, WHICH ARE OmtO LET E. 446ABS Overprint <br />