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[Page 5]

[Continuation of table on previous page. Stamped Cancelled.]

Of Pay.

and Alterations in Allotment.

Reason for any change in Rates (e.g. Promotion or Alteration in Allotment).

Authority.
Part II. Order, A.F. B213, etc.

Officer's Signature.
Private Port at Embarkation

DT
W A Trott Capt

        

  

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