Department of the Army s15

DEPARTMENT OF THE ARMY (Organization Name/Title) (City, State and Zip Code)

(Current Date)

MEMORANDUM THRU (Unit’s Higher Headquarters)

FOR TSC, ATTN: MILES, Camp Ripley, Little Falls, MN 56345-4173

SUBJECT: Request for Loan of MILES Training Devices for (Type of Training From Priority List)

1. Request the following items be loaned to (Individuals Name) for Account Number ______. Request issue on (Date) at ______hours. Devices will be returned to MILES Warehouse Facility on (Date) at _____ hours.

ITEM QTY REQ ITEM QTY REQ

M16A1 Rifle Transmitter...... ______TOW I...... ______

M16A2 Rifle Transmitter...... ______TOW II...... ______

Torso Harness...... ______Brush Guards...... ______

Helmet Harness...... ______TUBES...... ______

M60 Machine Gun...... ______M113 APC Kit...... ______

SAW...... ______BFA’s...... ______

Controller Gun...... ______ESTS...... ______

SAAF...... ______LTIDS...... ______

VIPER...... ______BRADLEY...... ______

DRAGON...... ______M-1...... ______

MITS...... ______Sniper...... ______

2. Attached DA Form 1687, Delegation of Authority Card, indicates unit personnel authorized to request/receipt for MILES devices. (Send by mail, fax, or e-mail to: Office of the Post Commander, ATTN: JFMN-CRC-O MILES, 15000 Highway 115, Camp Ripley, Little Falls, MN 56345-4173 FAX: (320)632-7702 E-Mail: [email protected] POC at Camp Ripley is (320) 616-3170).

3. POC for this request is (Name and Phone #).

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