Da Form 1659 - Financial Liability Investigation Of Property Loss Register

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NAME OF ACTIVITY
LOCATION
PAGE NO.
FINANCIAL LIABILITY INVESTIGATION OF
PROPERTY LOSS REGISTER
For use of this form, see AR 735-5; the proponent agency is DCS, G-4
FINANCIAL LIABILITY CHARGES
INQUIRY/
ORIGINATOR
NO. OF DAYS
DATE
COLLECTION OR
DOCUMENT
DATE LOSS
DATE
INVESTIGATION
(Accountable officer, or
PROCESSING
NUMBER
DISCOVERED
PREPARED
APPROVED
APPEAL STATUS
ACTUAL
AMOUNT
LOSS TO
NUMBER
TIME
primary hand receipt holder)
LOSS
CHARGED
GOVERNMENT
PAGE 1 OF 2
DA FORM 1659, OCT 2004
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00

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