Da Form 200 - Relocation Of Settlement Conference

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1. SECURITY CLASSIFICATION 2. SHIPMENT NO.
TRANSMITTAL RECORD
For use of this form, see AR 25-50; the proponet angency is AASA.
4. AS OF DATE (YYYYMMDD)
5. SHIPMENT DATE (YYYYMMDD)
3. TITLE/FILE IDENTIFICATION
6. AUTHORITY FOR SHIPMENT
7. NUMBER OF RECORDS TRANSMITTED
8. PERSON TO CONTACT (Name and telephone)
9. REQUIREMENT CONTROL SYMBOL (AR 335-15)
10. SHIPPED FROM
11. SHIPPED TO
RETURN RECEIPT REQUESTED (When box is checked, sign
below and return copy to sender.)
10a. TYPED NAME AND TITLE SENDER
11a. TYPED NAME AND TITLE OF RECEIVER
10b. SIGNATURE OF SENDER
11b. SIGNATURE OF RECEIVER AND DATE (YYYYMMDD)
12. TYPE OF MEDIA TRANSMITTED
HARD COPY
PUNCHED CARDS
CASSETTES
PHOTO
MICROFILM
FICHE
13. NUMBER OF BOXES (Packages)
14. NUMBER OF ITEMS
15. METHOD OF SHIPMENT
COURIER
FIRST CLASS
PARCEL POST
REGISTERED
EXPRESS MAIL
16. SPECIAL INSTRUCTIONS
17. TYPE COMPONENT USED (for magnetically recorded data)
18. REMARKS
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 200, MAY 2013
APD LC v1.01ES

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