Technical_Exhibit_4-DA_Form_2886.pdf

SIGNATURE OF PATRON

DATE

LAST NAME - FIRST NAME - MIDDLE INITIAL (Please print)

GRADE MARK BUNDLE NUMBER

COMPANY

ORGANIZATION STATION

LISTER CHECKER MARKER BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE HANGER

QTY ARTICLE IN OUT QTY ARTICLE IN OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982 EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ESBUNDLE COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

The contents herein do not exceed authorized piece limitations and are the personal property of the undersigned.

LAST NAME - FIRST NAME - MIDDLE INITIAL (Please print)

GRADE MARK BUNDLE NUMBER

COMPANY

ORGANIZATION STATION

LISTER CHECKER MARKER BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE HANGER

QTY ARTICLE IN OUT QTY ARTICLE IN OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982 EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ESHANGER COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

LAST NAME - FIRST NAME - MIDDLE INITIAL (Please print)

GRADE MARK BUNDLE NUMBER

COMPANY

ORGANIZATION STATION

LISTER CHECKER MARKER BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE HANGER

QTY ARTICLE IN OUT QTY ARTICLE IN OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982 EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ESPATRON'S COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

LAST NAME - FIRST NAME - MIDDLE INITIAL

(Please print)

GRADE

MARK

BUNDLE NUMBER

COMPANY

ORGANIZATION

STATION

LISTER

CHECKER

MARKER

BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE

HANGER

QTY

ARTICLE

IN

OUT

QTY

ARTICLE

IN

OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982

EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ES

BUNDLE COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

The contents herein do not exceed authorized piece limitations and are the personal property of the undersigned.

SIGNATURE OF PATRON

DATE

LAST NAME - FIRST NAME - MIDDLE INITIAL

(Please print)

GRADE

MARK

BUNDLE NUMBER

COMPANY

ORGANIZATION

STATION

LISTER

CHECKER

MARKER

BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE

HANGER

QTY

ARTICLE

IN

OUT

QTY

ARTICLE

IN

OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982

EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ES

HANGER COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

The contents herein do not exceed authorized piece limitations and are the personal property of the undersigned.

SIGNATURE OF PATRON

DATE

LAST NAME - FIRST NAME - MIDDLE INITIAL

(Please print)

GRADE

MARK

BUNDLE NUMBER

COMPANY

ORGANIZATION

STATION

LISTER

CHECKER

MARKER

BUNDLER

LAUNDRY LIST FOR MILITARY PERSONNEL

For use of this form, see AR 210-130; the proponent agency is DCS, G-4.

BUNDLE

HANGER

QTY

ARTICLE

IN

OUT

QTY

ARTICLE

IN

OUT

BAG

BELT

BRASSIERE

CAP, BDU

CLOTH, WASH

COAT, PAJAMA

DRAWERS

DRAWERS, WOOL

HANDKERCHIEF

PANTIES

SHIRT, T

SHORTS, R&A

SLIP

SOCKS, BLACK

SOCKS, WOOL

TOWEL, BATH

TOWEL, HAND

COAT, BDU

COAT, UTILITY

JACKET, FIELD

SHIRT, SS

SHIRT, LS

SKIRT

SLACKS

TROUSER, BDU

TROUSER, JEAN

THE STATEMENT BELOW MUST BE READ AND SIGNED BY PATRON

DA FORM 2886, FEB 1982

EDITION OF JAN 77 IS OBSOLETE.

APD LC v1.01ES

PATRON'S COPY

TROUSER,

UTILITY

TROUSER,

PAJAMA

The Government will receive and consider claims from patrons for loss of or damage to the items listed herein if such loss or damage occurs while the items are in the possession of the Government. Claims should be submitted by the patron to the laundry officer as soon as practicable and be accompanied by the laundry slip. Experience indicates that miss-ing items are most often recovered if claims are submitted within two weeks after the patron becomes aware that items are missing.

The contents herein do not exceed authorized piece limitations and are the personal property of the undersigned.

1.01

DA FORM 2886, FEB 1982

LAUNDRY LIST FOR MILITARY PERSONNEL

APD