[1]NOTIFICATION OF ESTABLISHMENT
[2]OF MILITARY COVER BACKSTOP
[4]TEM ORARTLE POR —__ __ DAYS, _ EFFEOTIVE
[6]SUBMIT FORM {0b FOR ‘ANY ‘CHANGE AFFECTING THIS COVER.
[7](8 240-250) .°
[9]‘SUBMIT FORM 1323 | FOR TRANSFERRING COVER RESPONSIBILITY.
[10](R 240. 250) : 7 .
[12][mares
[14]{j pd
[16]((__]ecory to cep/or
[18]" CRIEF, MILITARY,
[20]1-ADPD/ COMPT .
[22]FORM uuee
[23]7-62 1551 oesoLere “eneyioua Ebr