MEAL SIGNATURE RECORD "ATTENTION: (READ BEFORE SIGNING) MY ACCEPTANCE OF RATIONS.IN-KIND 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. (3) DINNER: SATISFACTORILY PERFORM AT LEAST TWO FOUR-HOUR DRILLS THE DAY FOLLOWING CONSUNPTION OF THE EVENING MEAL, WILL OCCUPY LOCAL QUARTERS AND RESIDE MORE THAN FIFTY MILES FROM THE DRILL SITE. | 100 NOT SATISFACTORILY PERFORM THESE DRILLS, | WILL REIMBURSE THE NAVY FOR THE COST OF RATIONSIN-KIND CONSUMED. IF COLLECTION FROM IME IS NECESSARY, | WILL CONSENT TO REPAYMENT OF THE DEBT BY CHECK! MONEY ORDER OR THROUGH WITHHOLDING OF PAY IN ACCORDANCE WITH secTiON 70701 ofthe DODPHL MESSING IS PROVIDED TO ELISTED PERSONNEL ONLY [TYPE OF MEAL: (CIRCLE ONE) (1) BREAKFAST (zQLUNCH (3) DINNER DATE: PRINT Rank/Rate Signature ‘Unit Title. LAST NAME, FIRST NAME Mi Al Ise ZA CAE-CuA-LAE_| ce pes be uz CAE CMA CF TW inkl Amren 1S CNS-(NA LCE | erry eamberly 132 i : Coma, CNE- NA “Cue z z 5 a 5_| Sfous1 f 18) © | Seale, hes 6S Te Solis 7 8 3 Scanned with CamScanner