Ceremonial Rifle Inventory Form

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CEREMONIAL RIFLE INVENTORY FORM
SECTION I – ORGANIZATION INFORMATION
1. Organization Name:
2. City:
3. State:
SECTION II – STATUS OF US ARMY OWNED CEREMONIAL RIFLES ISSUED TO ORGANIZATION
In accordance with the Conditional Deed of Gift(s), AR 700-131 and Title 10 USC §4683, I hereby
certify that the following United States Army owned rifles conditionally issued for ceremonial use to
the above organization are:
still required and used in the manner agreed upon in the original statement.
require replacement (place an asterisk (*) next to every rifle that requires replacement).
no longer required. Request the ceremonial rifle team provide disposition instructions to return
ceremonial rifles.
Our organization does not have any ceremonial rifles on hand.
SECTION III – RIFLE LISTING
Model:
Manufacturer:
Serial Number:
1.
Model:
Manufacturer:
Serial Number:
2.
Model:
Manufacturer:
:
Serial Number
3.
Model:
Manufacturer:
Serial Number:
4.
Model:
Manufacturer:
Serial Number:
5.
Model:
Manufacturer:
Serial Number:
6.
Model:
Manufacturer:
Serial Number:
7.
Model:
Manufacturer:
Serial Number:
8.
Model:
Manufacturer:
Serial Number:
9.
Model:
Manufacturer:
Serial Number:
10.
Model:
Manufacturer:
Serial Number:
11.
Model:
Manufacturer:
Serial Number:
12.
ADPO R-3, March 2015
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