[MEAL SIGNATURE RECORD. "ATTENTION: (READ BEFORE STONING) INV ACCEPTANCE OF RATIONS{N-KINO IS VOLUNTARY. IN RETURN FOR BEING PROVIDED RATIONS.INKIND, | AGREE TO: (1) BREAKFAST. SATISFACTORILY PERFORM AT LEAST TWO FOUR-HOUR DRILLS DURING THE CALENDAR DAY THE BREAKFAST MEAL IS CONSUNED, RESIDE JMORE THAN FIFTY MILES FROM THE DRILL SITE AND HAVE OCCUPIED LOCAL QUARTERS THE PREVIOUS NIGHT, OR. [2) LUNCH: SATISFACTORILY PERFORM AT LEAST TWO FOUR-HOUR DRILLS ON THE DAY THE LUNCH MEAL IS CONSUMED, OR [) DINNER: SATISFACTORILY PERFORM AT LEAST TWO FOUR-HOUR DRILLS THE DAY FOLLOWING CONSUMPTION OF THE EVENING MEAL, WILL OCCUPY JLOCAL QUARTERS AND RESIDE MORE THAN FIFTY MILES FROM THE DLL SITE, IF 100 NOT SATISFACTORILY PERFORM THESE DRILLS, | WILL REIMBURSE THE NAVY FOR THE COST OF RATIONSIN-KIND CONSUMED. IF COLLECTION FROM Me tS NECESSARY, I WILL CONSENT TO REPAYMENT OF THE DEBT BY CHECK/ MONEY ORDER OR THROUGH WITHHOLDING OF PAY IN ACCORDANCE WITH JSECTION 70701 of the DODPM, MESSING IS PROVIDED TO ELISTED PERSONNEL ONLY JTYPE OF MEAL: (CIRCLE ONE) (1) BREAKFAST —(2)LUNCH —_(3) DINNER loare: Unit Tie # PRINT Rank/Rate Signature LAST NAME, FIRST NAME MI. eolist | Couns toate CHE -ew- CE 1 [Howned fomwre D> Ylohothss AICHARD ES) 182 | Ave Ays-——— f° lambert [rs/ise | ae — 0} 0] 4] of om] of of of pei Lowen, He woh in CNet A z WP FURTHER — EIR IES Jj TT es Scanned with CamScanner