Fillable Printable Ammunition Consumption Certificate

Ammunition Consumption Certificate

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DOCUMENT NO. DATE

DATE

SIGNATURE

POSITION

NAME (Typed or Printed)

UNIT

AMMUNITION CONSUMPTION CERTIFICATE

For use of this form, see AR 710-2-1, the proponent agency is DCS, G-4.

CERTIFYING OFFICIAL

DA FORM 5692-R, MAY 1988

APD LC v1.01ES

QUANTITY

CONSUMED

LOT NUMBERNOMENCLATUREDODICITEM

I certify that I saw the above items consumed during training on (indicate date)