TB 10-4610-239-24
APPENDIX B
Page No/No of Pages. Enter the page number.
Total pages will be entered when
entries in Section II are complete.
Work Order Number. Leave blank.
WESDC. Leave blank.
ORG PD. Leave blank.
PD Authentication. Leave blank.
Work Request. Leave blank.
MWO. Leave blank.
Warranty. Mark this block.
1a
ORGANIZATION. Enter location of organization sending in the report.
1b
LOCATION. Enter the name of organization writing the request (over-seas list
APO only).
1c
UNIT IDENT CODE.
Enter unit identification code (UIC) of the unit shown in
block 1 a.
2.
SERIAL NO.
a.
For nontactical wheeled vehicles, list the USA registration numbe r.
b.
c.
For all other items, list the serial number, if known. For floating craft, list the
Department of Army Hull number. If more than one serial number, leave blank.
d.
When using this form for more than one item or component, leave blank.
3.
NOUN NOMENCLATURE
Put in name abbreviation of equipment for which the form was started.
4.
LINE NO. Leave blank.
5.
MODEL. Put in the item model number.
6.
NATIONAL STOCK NUMBER. Put in the National Stock Number of equipment
in block 3. When completing this form for many items having several NSNs, leave blank.
8