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s <br />FC: 1770 if "426 <br />REQUEST AND AUTHORIZATION FOR ACTIVE DUTY TRAINING/ACTIVE DUTY TOUR <br />(T(IIS FORM IS SURJECT TO THE PRIVACY ACT OF 1971 • USE BLANKET PAS At FO)YN If) <br />1. FROM (Un0 M A.rl1---I) 2. MF"UVIo w wf C i L IN.., Or Mr, Sleep.. And Data) BY ORDER OF THE SECRETARY <br />446AMS -VOf THE AIR FORCE <br />SSIT . c r <br />a. PR[ [NT ADORER COO a. iZCUItITY CLEARANCE <br />0. GRADE, NAME (Leib Ylral, MI), SSAM SECRET _ <br />SSG PIERRE, ROBERT R. 8016 Beverly Blvd A. DAFSC <br />073-44-5168 Everett WA 98202 3 851 ART <br />CORPORATE LIMITS OF DUTY STATION y, NNOY•EAv- <br />0 / -RR AUT If NO. <br />a. PURPOSE OF TOUR LL.. rop <br />IID1 (-)ANNUAL (2NI I -_(SCHOOL (n) MI SPECIAL ADT 1 IIMPAI MAN•LLY TOUR Y(11e Anlrlun M;5x2:YGG VIb C; L•d) <br />i 1. R' IN A(TI, Me, rJ 1. <br />A To. If ORDERED TO AO FON Nem.) COY UL1 CO31,1 <br />5 DAYS INCL KOH) TVL TIME 030 �SOB25 COL 4a6 fA iG M('f HnRn can IS DNF�N-,An ) <br />Ib RELEASE OAT €(trr M4 OD UNIT 0, ATCH IS THE LOYOR E%EXCISING SPF. I CS 1RT Y/ VIAL <br />CONVENING AUTH OVERRCChord AFB WA 98430-buuu <br />MAO INITIALS Y COI DEPH <br />11. TRAVEL DAYS AI)TIIORIZED IS. COMMUTE CON 16. VO YSESATErrM�gEMOT CQ2 nR00INEY(WIFE) <br />CQS YES ID MIND(M I ] L•n <br />I IYES-3 I NO (1) AT TVL DAYS (. 1 <br />16. VARIABLE TOUR STATEMENT <br />N SUOJ TO APPR BY PROPER AUT". IF MDR REMAINS ON SPECIAL /SCHOOL TOUR (RPA) IN CXCESS OF ' SYS SIIOWN, THE OI3 DEN N L <br />NOT BE AMENDED IF NUMBER OF DAYS SHOWN IN BLOCK10IS LESS THAN SO AND DAYS SHOWN IS NOT ._EED` ,DY SY Win PERCENT ON <br />7 DAYS, WHICHEVER 15 LESS. IN NO EVENT WILL THESE ORDERS EXCEED A TOTAL OF 7)i w ��cI1R <br />19. TMFCAT-IND CPS m. TOUFI.ID CPT 31, HAS CODE 24. AUT NORIT Y: CQP AFR l4U _ <br />41 (ACFI' MALIYl IIYU _11�. <br />AFTER 23• MRO[RTVL <br />TD TVL VOIAND <br />I IF TOUR 15YEXTENDED ON TERMINATF 'OUR TO BE FILED ED HU KLESI USEAOr rov to S1 CIt%CALLY AUTtl CT TRAVELER'S COPY <br />Gv'O, <br />IS LTD TO 1 DAY BEFORE AND 1 DAY AFTER TOUR VT. TVL AT OTHER TIMES AND DEVIATIONS IR DIRECT TVL ARE AT -------_ <br />TRAVELER'S OWN RISK. UTILIZE GOVT OTRS IF AVAL. 36. TOTAL AT TRe (rand Dlpq 16EU THIS FT -- <br />24. TOTAL AT DAYS USED THIS IY <br />Fb,se <br />RCUARKSIAMU-SWAN) (Urn in all promotional Items, for example, g lfts, .onus tickets etc to the AFO. <br />nce your per diem payment is based on available government quarters and mess, contact <br />billeting office to see if they are available. Member must pay 1'DY surcharge at <br />itary facilities. <br />n, CHARGEAULc IV <br />P a A 5763700 S S fi272 P727.01// 02 OS <br />e.V�, KTAT7nn Ank fit 2 P <br />PER DimM - -- <br />m. DISTRIBUTION <br />1-MAW/MAP <br />3L DESIGNATION AND LOCATION OF HEADQUARTERS COa/O1 <br />DEPARTMENT <br />99 446ABS OF THE AIR FORCE <br />(AFRES) <br />KcChord AFO, EA. 9843B-6004 <br />LOCATION I "OUR—leI DATE I MONTH <br />DEPART <br />ARRIVE <br />ARRIVE <br />D-6940 15 Jul 85 <br />OF AUTIIERTICATINO OFFICIAL(7.W- 12) <br />.A.� VOt1 BSGT, OSAFR (ART) <br />f Ada* a'.ion <br />woof <br />r of <br />HOUR DATe I wo"nl TTIAV LL <br />LOCATION rylll <br />DEPART <br />ArNhelr udlfy Rave haf l(! ip"wag n rsceIp of a pa ralon. a dleebllifY ImPpess lm. order, that Shp lact, am ju.1 and , or ro❑nN nldne IP the' <br />Y /n�1 aye Govnmmml o11Ae <br />united S(atea, I hero cne�lelad AP Palm J962 to wall" the OPPllnolbldnw m 40AQ.and 1 (1 (Federal <br />(. �) lmHR.,j to single i)AQ,� leeYa <br />during the period staled /R the a6oFs orH+. NY eyouee (.it.) ( ) If wea IN1h mY Prior Ano wledde and mn.nnL <br />1-1 ram e.I) on fly,ea efew . U Ihla lour wee eelended radar the variable bur pm Tl aipn, DATE <br />Red W.a -10.. d from duly alp-boYn o0 <br />/ ceNlfY Thal he abo ro mslber opened (or drlY atheun an OAT[ <br />_ <br />C[RTIFYINO OFFICIAL'S NAY[, GRADE. AND TITLE SIOMATUR[ <br />FORM RIPLACO HIRES FORYSeM ITEST). SEP BS, AHU 173, AUG 13, WHICH ARE OBSOLETE. 446ABS Overprint <br />AFRES JAM 6S 930 <br />