DUTY SIGN-IN-SHEET

Company: ___Peoria________________________ No. __23______

EST. 1901

Duty Description: ____New City Church_________________________________________________________

Location: _1300 North Central Avenue, Phoenix, AZ 85004______ From:__07/30/17_ To: __07/30/17____
Date Date

Time: __08:15________ To: ___13:15______ if this duty spans more than one day, attach schedule.

Duty OIC: __ ____________________ ________ Phone: _________________________ Cell: _________________

Contact Person(s) on location: ________Mike Bhatti________ Phone: __(602) 908-5539______

Special Instruction if any: ________________________________________________________________________

Rangers accepting this duty, please sign in upon arrival before going to assigned post.

ID No. Ranger (Print Name) Post Time on Time off Ranger Signature
23-020 2ndLt. J. Young Inside
23-051 Rgr. A. Moreno Inside
23-052 Rgr. K. Casey Inside

If more rangers are working this duty use a second sheet.

AR Form co-235;rev.05;Mar.12
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