Motor vehicle record

1. 
   COUNTRY CODE
   

     

2. 
   VEHICLE SERIES
   

A B

3. 
   MISSION
   

     

4. 
   TYPE OF VEHICLE
   

1A SMALL

1B SUBCOMPACT

2A STATION WAGON (I/B SUBCOMPACT)

2B STATION WAGON (CLASS II COMPACT)

A. AID/W C. DIRECT PROCUREMENT

1D MID-SIZE (CLASS II SEDAN)

1E LARGE (CLASS IV SEDAN)

5 TRUCK, 8500 LBS. & UNDER 4X4

2D STATION WAGON (CLASS IV LARGE)

3 AMBULANCE

4 BUS (INDICATE NO. OF PASSENGERS IN ITEM 11.

8 TRUCK, 24,000 LBS & OVER

7 TRUCK, 8501 – 23,999 LBS

8. 
   REMARKS (Limit to 18 char.)
   

     

8. 
   MODEL
   

     

8. 
   TECHNICAL
   

8. 
   SYSTEMS
   

1. 
   A/C
   

 

2. 
   ENGINE
   

|

3. 
   TRANS.
   

|

|

D. RT HAND

| DRIVE

|

|  

E. NO. OF

| PASS.

|

|    

8. 
   ACQUISITION
   

SYSTEM COST

14. 
    SHIIPING &
    

14. 
    YEAR REC’D
    

14. 
    YR. OF
    

14. 
    MAKE OF
    

1. 
   MAKE
   

| B. CODE

|

|   

14. 
    SERIAL
    

14. 
    DISPOSITION AUTHORITY P.D.A. NO.
    

     

14. 
    DATE OF DISPOSAL (Mo. & Yr.)
    

     

14. 
    PROCEEDS FROM
    

     

1. 
   MILEAGE AT DISPOSAL      
   
2. 
   KILOMETER AT DISPOSAL      
   

2. MILES 7. THEFT

3. AGE 9. FORCE MAJEURE

4. UNECONOMICAL TO REPAIR

G. GRANT-IN-AID F. TRANSFER WITHIN AGENCY

D. DONATION A. ADMINISTRATIVE

R. SCRAPPED

1. 
   SEE CHAPTER 6, AID HANDBOOK 23-OVERSEAS SUPPORT.
   
2. 
   UPON RECEIPT OF A VEHICLE COMPLETE BLOCKS 1-18.
   
3. 
   UPON DISPOSAL, COMPLETE BLOCKS 19-24.
   

BLOCK

1. 
   Enter Country Code.
   
2. 
   Assigned by FA/OMS (M/AS/OMS).
   
3. 
   Enter Country Name.
   
4. 
   Check appropriate box.
   
5. 
   Check appropriate box to indicate how acquired.
   
6. 
   15 & 20. Enter two digit number for month and year. (i.e., 02-74 for February 1974)
   
7. 
   Enter entire purchase order number, or transfer number if transferred.
   
8. 
   Limit remarks to 18 letters, i.e., Trfd FM.
   
9. 
   If 5, 6, 7, is checked in block 4, enter vehicle category codes.
   
10. 
    Technical Equipment
    

3=Items 1 & 2

11a. If air conditioned, enter “X.”

11b. Enter engine code.

11c. Enter transmission code.

11d. If right hand drive, enter “X.”

11e. If bus, enter number of passengers.

12. Enter in U.S. dollars.

13. 
    Enter cost of additional system in U.S. dollars.
    
14. 
    Enter estimated shipping and other cost in U.S. dollars.
    
15. 
    Enter month and year received. (i.e., 1-87 for January 1987)
    
16. 
    Enter year vehicle manufactured. (i.e., 74 for 1974)
    

13. 
    Enter popular name. (i.e., Nova and make code)