Personal Effects Inventory Template (4050) Page 2
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1
2S-Serviceable
U-Unserviceable
INVENTORY OF EFFECTS
QUANTITY
QUANTITY
QUANTITY
S
U
ARTICLES
S
U
ARTICLES
S
U
ARTICLES
ARTICLES REMOVED TO PREVENT DAMAGE IN TRANSIT/REMARKS (Continue on plain bond paper and attach if additional space is required.)
TYPE OF CONTAINER INVENTORIED
PACKED IN
LBS.
PLACE INVENTORIED
INVENTORY OFFICIAL
NAME (Last, First, Middle Initial)
RANK
ORGANIZATION
SIGNATURE
DATE
INVENTORY ASSISTANTS
NAME (Rank, Last, First, Middle Initial)
Initials
NAME (Rank, Last, First, Middle Initial)
Initials
The above inventory is certified to be correct and has been processed in accordance with current Marine Corps Order 4050.38C.
SERVICEMEMBER OR PERSON ELEGIBLE TO RECEIVE EFFECTS
DATE
NAME (Last, First, Middle Initial)
SIGNATURE (I acknowledge receipt of all articles listed and all items
recorded.)
NAVMC 10154 (REV. 07-08) (EF) (BACK)
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