SECRET (When Filled In)

REPORT OF SERVICE ABROAD

To: Office of Personnel, Transactions and Records Branch, Status Section

SERIAL NO. 010032

LAST NAME: Heard
FIRST NAME: James
MIDDLE INITIAL: J.

INSTRUCTIONS
Use appropriate space below to report data for either PCS or TDY. Insert appropriate code number in "CODE" column to indicate type of data being reported. For PCS data, report dates in blocks 1 and 2. For TDY data, report dates in blocks 3 and 4. Use one line for each PCS or TDY period.

PCS DATES OF SERVICE
ARRIVAL DATE: 01/01/1966
DEPARTURE DATE: 01/01/1967
TYPE OF DATA: 1
COUNTRY: Vietnam

TDY DATES OF SERVICE
ARRIVAL DATE: 05/15/1966
DEPARTURE DATE: 05/30/1966
TYPE OF DATA: 2
AREA: 404.44

OFFICE OF PERSONNEL USE ONLY - PUNCH AREA

SOURCE DOCUMENT AND IDENTIFICATION
TRAVEL VOUCHER: Attached
CABLE: SCTA Status on Time and Attendance Report
OTHER (Specify): 764

REMARKS:

REFERENCE NO.: 57/601

ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED
SIGNATURE: J. Heard

THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER

SECRET