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4/4/16

UIC:

MOTOR EQUIPMENT DISPATCH

15:20

WQW5T1

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DA FORM 5987-E

HQ, 786th QM Co. (PET)

1355 N. Freedom Blvd


Provo UT 846040000 USA
PHONE NUMBER: 801-374-0288 EXT 239
DATE DISPATCHED:

04/04/2016

TIME DISPATCHED: 3:19:27 PM


EQUIPMENT DATA

ADMINNBR:

HQ 2

SERIALNBR:

A-T104792EGES

MODEL:

M1078A1

REGISTRATIONNBR:

NH1PWP

NOMENCLATURE:

TRK CGO LMTV

VEHICLELICENSE:

UNIT

NIIN/Part No:

014476343

KEYNUMBER:

UNIT

SERVICE DUE DATA


DESCRIPTION

TYPE

DATE

M/K/H USAGE

Annual

07/15/2015

11940

DISPATCH INFORMATION
/ 801-374-0288

OFFICIAL USER NAME/PHONE NUM:

1LT ENRIQUEZ

DESTINATION:

Camp Williams

EXPECTED DATE/TIME OF RETURN:

04/04/2016 11:59:59 PM

EQUIP DISPATCHER'S SIGNATURE:

SFC Gonsalves, Arnold

OPERATORS
1 .

M/K/H USAGE

OPERATOR'S SIGNATURE:
GALE, DAVID

2 .

OPERATOR'S SIGNATURE:
AUTHORIZATION:
RELEASED BY:

DISPATCH OUT REMARKS:

Weapon Qual

END ITEM USAGE DATA


EQUIPMENT NOUN

M/K/H

TRK CGO LMTV

CURRENT

READING AT

READING

RETURN

7481

DA FORM 5987-E

FOR OFFICIAL USE ONLY

FUEL USAGE
(IN GALLONS)

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