Attch IV - AF 629.pdf

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GRADE

SSN

ORGANIZATION

NOMENCLATURE

MODEL

SERIAL NO.

MANUFACTURER

BUTT NO.

MAGAZINES

SIGNATURE OF AUTHENTICATING OFFICIAL

AF Form 629 JUN 87

SMALL ARMS HAND RECEIPT

PREVIOUS EDITION IS OBSOLETE

Fold Here

CERTIFICATE

This is to certify that I, the undersigned, with regard to the weapon and ammunition described on the face of this form:

1. Acknowledge receipt and responsibility for this weapon and ammunition whenever this form is in the possession of weapons room personnel.

2. Will return this weapon and ammunition to the appropriate weapons room upon completion of assigned duties.

3. Will report the loss or theft of this form to the supervisor of the weapons room immediately upon discovery.

WEAPONS QUALIFICATION EXPIRATION DATE

SIGNATURE OF INDIVIDUAL

DATE SIGNED

AF Form 629 JUN 87 (Reverse) Click to sign Click to sign NAME (Last, first, Middle Initial) AMMUNITION (Rounds) 8.2.1.3158.1.475346.466429