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2. FROM Last name first name middle initial and rank of applicant 3. TELEPHONE NO. Applicant 1. TO Name and Address of Shipping Officer Type or print OFFICE HOME 4. PRESENT PERMANENT DUTY STATION Operating Division Bureau Division City State Zip NO. ROOMS 5. I hereby request that my household goods be transported as authorized by attached copy of PERSONNEL ORDER DATED NUMBER TRAVEL ORDER THIS ORDER AUTHORIZES SHIPMENT TO City and State This order DOES DOES NOT separate or inactivate me from act ...

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