OIC/RSO Certification Letter

“ EXAMPLE” DEPARTMENT OF THE ARMY 1/204TH AIR DEFENSE ARTILLERY 2222 INTEGRITY DRIVE MARLBORO, TN 38054 DOUBLE CLICK ON ABOVE ADDRESS TO CHANGE UNIT HEADING, AND ADDRESS 4 October 2012

MEMORANDUM FOR Commander, MSARNG Training Site, CP McCain, MS ATTN: Training Center, Grenada, MS 38901-8973

SUBJECT: Range Safety Certification

1. Reference DA PAM 385-63 Chapter 1-5, requirements for Range Safety Certification Programs and AR 385-63 Chapter 1-9, Installation and unit-level Range Safety Programs. Duties of Range OIC (E-7 or above) in AR 385-63 Chapter 1-9g. Duties of RSO (E-6 or above) in AR 385-63 Chapter 1-9h.

2. I certify that the following individuals are knowledgeable or qualified in the weapon system for which they are responsible and in safe ammunition handling and use procedures. I understand the Range OIC holds responsibility and accountability for the conduct of the activity and the adherence to governing regulations and guidance.

POSITION RANK NAME LAST 4 CERTIFIED FOR

OIC CPT DOE, JOHN M XXXX M16A2, M60, M203

OIC SFC MATTHEWS, OEN P XXXX M249, 9MM

3. I certify that the following individuals are knowledgeable or qualified in the weapon system for which they are responsible and in safe ammunition handling and use procedures. I understand the RSO may have no additional duties during the period of training.

POSITION RANK NAME LAST 4 CERTIFIED FOR

RSO SSG BAT, IDA H XXXX M16A2, M60, M203

RSO 1LT DOE, JILL H XXXX M249

4. POC this Headquarters is the undersigned at 111-222-3333.

CHASE A. HEROD LTC, AD MSARNG Commanding