1 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

2 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

X

3 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

X

CHANGE DOCUMENT

4 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

X

CHANGE DOCUMENT

5 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

6 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

7 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

8 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

9 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

10 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

11 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

12 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

13 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

TOTAL PRICE

14 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

TOTAL PRICE

LAST ITEM

15 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

TOTAL PRICE

LAST ITEM

20140706

USACC PBO Signature

16 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

TOTAL PRICE

LAST ITEM

20140706

USACC PBO Signature

2014 0706

PHRH

SIGNATURE

17 of 17

PREVIOUS EDITION IS OBSOLETE.

REQUEST FOR ISSUE OR TURN-IN (DA PAM 710-2-1)					ISSUE		SHEET NO. 1			NO. SHEETS	1. REQUEST NO.				2. VOUCHER NO.
					TURN-IN
3. SEND TO:				4. DATE MATERIAL REQUIRED (YYYYMMDD)							5. DODAAC		6. PRIORITY		7. ACCOUNTING/FUNDING DATA
8. REQUEST FROM:				9. END ITEM IDENT							9a. NAME/MANUFACTURER				9b. MODEL		9c. SERIAL NO.
* CODE ISSUE TURN-IN I-Initial FWT-Fair Wear And Tear EX-Excess LT-Lateral Transfer R-Replacement RS-Report of Survey SC-Stmt of Charges											10. PUBLICATION						11. JOB ORDER NO.
12. ITEM NO. a	STOCK NO. b		ITEM DESCRIPTION. c			UNIT OF ISSUE d			QUANTITY e		CODE* f	SUPPLY ACTION g		UNIT PRICE h		TOTAL COST i	^j.POSTED
																	DATE (YYYYMMDD)	BY














														SHEET TOTAL			GRAND TOTAL
13. ISSUE/TURN- IN "QUANTITY" COLM IS REQUESTED		DATE (YYYYMMDD)	BY		14. ISSUE QTY IN "SUPPLY ACTION" COLUMN			DATE (YYYYMMDD)			BY			15. REC QTY IN "SUPPLY ACTION" COLUMN		DATE (YYYYMMDD)	BY

DA FORM 3161, AUG 2011

CADET COMMAND G4 PBO (W0MTT1)

X

CHANGE DOCUMENT

PHRH, YOUR HIGH SCHOOL NAME JROTC (UIC)

1.

LIST THE LIN NUMBER AND NSN ONLY IF YOU ALREADY HAVE ONE.

FOR ITEMS WITH NO NSN’s, YOU WILL LIST THE FOLLOWING INFORMATION TO HELP THE PBO DETERMINE THE LIN NUMBER AND NSN FOR THIS PIECE OF EQUIPMENT:

ITEM DESCRIPTION
MAKE
MODEL
SERIAL NUMBER

YOU MAY USE MULTIPLE LINES IN COLUMN “C” IF NECESSARY.

EA

1

I

1

UNIT PRICE

TOTAL PRICE

LAST ITEM

20140706

USACC PBO Signature

2014 0706

PHRH

SIGNATURE