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Get Of 289 Form 1981-2024

ME 6. FIRE NO. 7. TYPE EMPLOYEE (Mark one with "X") Regular Gov't Casual Firefighter Other QUANTITY 8. DESCRIPTION OF PROPERTY LOST OR DAMAGED (Include Property No., if applicable) a. b. c. 9. Employee report on circumstances of loss or damage to property listed: 11. DATE 10. SIGNATURE 12. Witness report: 13. SIGNATURE 14. DATE 15. Fire Boss or Property Control Officer comments regarding loss or damage: 16. SIGNATURE NSN 7540-01-124-7634 17. TITLE 18. DATE OPTIONAL FORM 289 (9-81.

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