Fillable Printable Request For Issue Or Turn-In
Fillable Printable Request For Issue Or Turn-In
Request For Issue Or Turn-In
PRI-
ORITY
UNIT
OF
ISSUE
PRI-
ORITY
SUPPLEMENTARY
SVC
UNIT
OF
ISSUE
TOTAL PRICE
N
SVC
DOC
IDENT
DOC
IDENT
STOCK NUMBER
FIINFSC ADD
M
&
S
QUANTITY
SVC
REQUISTIONER DATE SERIAL
DEM
SUF
SUPPLEMENTARY
ADDRESS
S
I
G
FUND
PROJECT
ADV
STAT.
M
&
S
FIINFSC ADD
QUANTITY
ROUT
IDENT
DOCUMENT NUMBER
A B
C
EDITING DATA
RI-TODOC IDENT SUF
1 2 3
D
DOCUMENT NUMBER
4 5 6
E
44
F
DOC IDENT
1
DEM
AND
DATEREQUISITIONER SERIALSVC
9 10 11 12 13
FUND
17
ROUTING
IDENTIFIER
2 3
M
&
S
STOCK NUMBER
NIINFSC ADD
4 5 6
QUANTITY
UNIT OF
ISSUE
7 8
SVC
14
15. SUPPLEMENTARY
ADDRESS
SIG-
NAL
16
18
DISTRIBUTION PROJECT
19
PRIORITY
20
REQ DEL DATE
21
FUNDED
G
22
ROUTIN
G'IDENT
STOCK
K
DOCUMENT NUMBER
INIT
INIT
SIGNATURE
REQUISTIONER DATE SERIAL
D
E
M
SVC
ADDRESS
S
I
G
DISTRI-
BUTION
PROJECT
ADV
STAT.
ROUTING
IDENT
DOLLARS
CENTS
SEND TO: REQUEST IS FROM:
NON-FUNDED
I
EXP
H
NON-EXP
J
COST DETAIL ACCOUNT NUMBER
L
UNIT PRICE
M
ITEM DESCRIPTION
O
PUBLICATION DATA
P
ISSUED
Q
DATE POSTED
T
DATE AVAILABLE
U
DATE RECEIVED
APD LC v1.01ES
V
DUE OUT
R
RECEIVED
S
MCS CODE
1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 30 31 32 33 34 35 36 37 38 39 40 41 42 43 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
ADVICE
DISTRI-
BUTION
REQ DEL
DATE
FUND
REQ DEL
DATE
TRANSACTION
DA FORM 2765-1, APR 1976
PREVIOUS EDITION WILL BE USED
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
REQUEST FOR ISSUE OR TURN-IN
(DA Pam 710-2-1)
23
