Ae Form 710-23a Request For Coins
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REQUEST FOR COINS
(AE Reg 710-23)
Part I – Requester Information
Name (Last, First, MI)
Grade
Telephone (Military)
Telephone (Civilian)
Primay
Point of
Contact
E-mail address
(POC)
Name (Last, First, MI)
Grade
Telephone (Military)
Telephone (Civilian)
Alternate
POC
Unit or organization
UIC
Barracks or location
MTOE number
City
Unit
mailing
address
ZIP code
Part II – Coin Information
Coin reg number
Desired delivery date
Quantity of coins
(if reordering)
(YYYYMMDD)
(Three vendor quotes are required if purchase will be more than $3,000.)
Vendor 1
Vendor 2
Vendor 3
Part III – Requesting Commander
Date (YYYYMMDD):
Signature
Signature block
Autodate
Part IV – Supply and Services Branch, Sustainment Operations Division,
Office of the Deputy Chief of Staff, G4, HQ USAREUR
POCs
Mailing address
United States Army Europe G4
Primary
Deputy Branch Chief
Sustainment Operations Division, Supply and Services Branch
CMR 467, APO AE 09096
Branch Chief
Alternate
Telephone (Military)
Telephone (Civilian)
(314) 537-4645/4635
0611-143-537-4645/4635
E-mail address
usarmy.wiesbaden.usareur.mbx.usareur-g4-ssb@mail.mil
NOTE: Send completed form to either the e-mail address or mailing address above.
AE FORM 710-23A, JUL 16
LCD Vers. 01.00
Page 1 of 1
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