DA FORM 3161.pdf

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LLA Fish Pump - Motor Rewind
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W912EF27QA006
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PREVIOUS EDITIONS ARE OBSOLETE.

DA FORM 3161, DEC 2023

APD AEM v1.01ES Page of

DA FORM 3161, DEC 2023

APD AEM v1.01ES Page of

DATE (YYYYMMDD)

BY

TOTAL COST i.

UNIT PRICE h.

SUPPLY ACTION g.

CODE* f.

QUANTITY e.

UNIT OF ISSUE d.

POSTED

12. ITEM NO.

a.

STOCK NO. b.

ITEM DESCRIPTION c.

DATE (YYYYMMDD)

BY

TOTAL COST i.

UNIT PRICE h.

SUPPLY ACTION g.

CODE* f.

QUANTITY e.

UNIT OF ISSUE d.

POSTED

12. ITEM NO.

a.

STOCK NO. b.

ITEM DESCRIPTION c.

10. PUBLICATION

11. JOB ORDER NO.

REQUEST FOR ISSUE OR TURN-INFor use of this form, see AR 710-4; the proponent agency is DCS, G-4.

3. SEND TO:

8. REQUEST FROM:

4. DATE MATERIAL REQUIRED

9. END ITEM IDENT

ISSUE

TURN-IN

1. REQUEST NO.

2. VOUCHER NO.

5. DODAAC

6. PRIORITY

7. ACCOUNTING/FUNDING DATA

9a. NAME/MANUFACTURER 9b. MODEL 9c. SERIAL NO.

I-Initial R-Replacement FWT-Fair Wear And Tear RS-Report of Survey EX-Excess SC-Stmt of Charges LT-Lateral Transfer

(YYYYMMDD)

* CODE:

TURN-IN

ISSUE

Sheet of Click on the 'plus' sign to add a row.

Click on the 'plus' sign to add a row.

GRAND TOTAL:

BY:

13. ISSUE/TURN- IN "QUANTITY" COLUMN IS REQUESTED

BY:

DATE (YYYYMMDD)

14. ISSUE QTY IN "SUPPLY ACTION" COLUMN

DATE (YYYYMMDD)

15. REC QTY IN "SUPPLY ACTION" COLUMN

BY:

DATE (YYYYMMDD)

1.00

DA FORM 3161, DEC 2023

Request for Issue or Turn-In

APD

CurrentPage:
PageCount:
Request_Number:
Voucher_Number:
Send_To:
DODAAC:
Priority:
Accounting_Funding_Data:
Request_From:
End_Item_Ident:
Name_Manfufacturer:
Model:
Serial_Number:
Publication:
Job_Order_Number:
Date_Material_Required:
Issue:
Turn_In:
CurrentSheet: 1.00000000
SheetCount: 1.00000000
Add a row.:
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Move this item down.:
Item_No:
Stock_Number:
Item_Description:
Unit_Issue:
Quantity:
Code:
Supply_Action:
Unit_Price:
Total_Cost:
Posted_Date:
Posted_By:
Grand_Total:
DATE_A:
DATE_B:
DATE_C:
Signature3:
Item_15_Name:
Signature1:
Signature2:
Item_13_Name:
Item_14_Name:

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