MOTOR VEHICLE RECORD

Read all instructions on page two carefully before completing form.

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<tbody>
<tr class="odd">
<td colspan="2"><ol type="1">
<li><p>COUNTRY CODE</p></li>
</ol>
<p>(SEE HB 18)</p>
<p>     </p></td>
<td colspan="3"><ol start="2" type="1">
<li><p>VEHICLE SERIES</p></li>
</ol>
<blockquote>
<p>&amp; NUMBER</p>
</blockquote>
<h1 id="a-b">A B</h1>
<p>           </p></td>
<td><ol start="3" type="1">
<li><p>MISSION</p></li>
</ol>
<p>     </p></td>
<td colspan="4"><ol start="4" type="1">
<li><p>TYPE OF VEHICLE</p></li>
</ol>
<p>1A SMALL</p>
<p>1B SUBCOMPACT</p></td>
<td colspan="5"><p>2A STATION WAGON (I/B SUBCOMPACT)</p>
<p>2B STATION WAGON (CLASS II COMPACT)</p></td>
</tr>
<tr class="even">
<td colspan="6"><p>5. ACQUISITION DATA</p>
<p>A. AID/W C. DIRECT PROCUREMENT</p>
<p>B. GSA D. OTHER (Enter details in item 8 remarks)</p></td>
<td colspan="4"><p>1C COMPACT (CLASS II SEDAN)</p>
<p>1D MID-SIZE (CLASS II SEDAN)</p>
<p>1E LARGE (CLASS IV SEDAN)</p>
<p>5 TRUCK, 8500 LBS. &amp; UNDER 4X4</p>
<p> TRUCK, 3825 KILOS &amp; UNDER 4X4</p></td>
<td colspan="5"><p>2C STATION WAGON (CLASS III MID-SIZE)</p>
<p>2D STATION WAGON (CLASS IV LARGE)</p>
<p>3 AMBULANCE</p>
<p>4 BUS (INDICATE NO. OF PASSENGERS IN ITEM 11.</p>
<p>8 TRUCK, 24,000 LBS &amp; OVER</p></td>
</tr>
<tr class="odd">
<td colspan="3"><p>6. P.O. DATE (Mo.&amp;YR.)</p>
<p>     </p></td>
<td colspan="3"><p>7. P.O. NUMBER</p>
<p>     </p></td>
<td colspan="4"><p>6 TRUCK, 8500 LBS. &amp; UNDER 4X2</p>
<p> TRUCK, 3825 KILOS &amp; UNDER 4X2</p>
<p>7 TRUCK, 8501 – 23,999 LBS</p>
<p> TRUCK, 3826 – 10,000 KILOS</p></td>
<td colspan="5"> TRUCK, 10,800 KILOS &amp; OVER</td>
</tr>
<tr class="even">
<td><ol start="8" type="1">
<li><p>REMARKS (Limit to 18 char.)</p></li>
</ol>
<p>     </p></td>
<td colspan="3"><ol start="9" type="1">
<li><p>MODEL</p></li>
</ol>
<p>     </p></td>
<td colspan="2"><ol start="10" type="1">
<li><p>TECHNICAL</p></li>
</ol>
<h1 id="equipment"> EQUIPMENT</h1></td>
<td colspan="2"><ol start="11" type="1">
<li><p>SYSTEMS</p></li>
</ol>
<ol type="A">
<li><p>A/C</p></li>
</ol>
<p> </p></td>
<td colspan="2"><p>&amp; EQUIPMENT</p>
<ol start="2" type="A">
<li><p>ENGINE</p></li>
</ol>
<p>| </p>
<p>|</p></td>
<td colspan="2"><ol start="3" type="A">
<li><p>TRANS.</p></li>
</ol>
<p>|</p>
<p>| </p>
<p>|</p></td>
<td><p>D. RT HAND</p>
<p>| DRIVE</p>
<p>|</p>
<p>|  </p></td>
<td colspan="2"><p>E. NO. OF</p>
<p>| PASS.</p>
<p>|</p>
<p>|    </p></td>
</tr>
<tr class="odd">
<td><ol start="12" type="1">
<li><p>ACQUISITION</p></li>
</ol>
<blockquote>
<p>COST (F.O.B.)</p>
</blockquote>
<p>     </p></td>
<td colspan="3"><p>13.ADDITIONAL</p>
<p>SYSTEM COST</p>
<p>     </p></td>
<td colspan="2"><ol start="14" type="1">
<li><p>SHIIPING &amp;</p></li>
</ol>
<blockquote>
<p>OTHER COST</p>
</blockquote>
<p>     </p></td>
<td colspan="3"><ol start="15" type="1">
<li><p>YEAR REC’D</p></li>
</ol>
<blockquote>
<p>(Mo. &amp; YR.)</p>
</blockquote>
<p>     </p></td>
<td><ol start="16" type="1">
<li><p>YR. OF</p></li>
</ol>
<blockquote>
<p>VEHICLE</p>
</blockquote>
<p>    </p></td>
<td colspan="2"><ol start="17" type="1">
<li><p>MAKE OF</p></li>
</ol>
<ol type="A">
<li><p>MAKE</p></li>
</ol></td>
<td colspan="2"><p>VEHICLE</p>
<p>| B. CODE</p>
<p>|</p>
<p>|   </p>
<p>|</p></td>
<td><ol start="18" type="1">
<li><p>SERIAL</p></li>
</ol>
<p>NO.</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="4"><ol start="19" type="1">
<li><p>DISPOSITION AUTHORITY P.D.A. NO.</p></li>
</ol>
<p>     </p></td>
<td colspan="3"><ol start="20" type="1">
<li><p>DATE OF DISPOSAL (Mo. &amp; Yr.)</p></li>
</ol>
<p>     </p></td>
<td colspan="4"><ol start="21" type="1">
<li><p>PROCEEDS FROM</p></li>
</ol>
<p>DISPOSAL</p>
<p>     </p></td>
<td colspan="4"><p>22.</p>
<ol type="A">
<li><p>MILEAGE AT DISPOSAL      </p></li>
<li><p>KILOMETER AT DISPOSAL      </p></li>
</ol></td>
</tr>
<tr class="odd">
<td colspan="7"><p>23. REASON FOR DISPOSAL</p>
<p>1. AGE &amp; MILES 5. ACCIDENT</p>
<p> AGE &amp; KILOMETERS 6. EXCESS</p>
<p>2. MILES 7. THEFT</p>
<p> KILOMETERS 8. CIVIL STRIFE</p>
<p>3. AGE 9. FORCE MAJEURE</p>
<p>4. UNECONOMICAL TO REPAIR</p></td>
<td colspan="8"><p>24. METHOD OF DISPOSAL</p>
<p>S. SALE T. TRANSFER</p>
<p>G. GRANT-IN-AID F. TRANSFER WITHIN AGENCY</p>
<p>D. DONATION A. ADMINISTRATIVE</p>
<p>R. SCRAPPED</p></td>
</tr>
</tbody>
</table>

AID 5-197 (4/92)

# **Instructions for completing form AID 5-197 MOTOR VEHICLE RECORD**

+-----------------------------------+-----------------------------------+
| A.  SEE CHAPTER 6, AID HANDBOOK   | 17. Enter popular name. (i.e.,    |
|     23-OVERSEAS SUPPORT.          |     Nova and make code)           |
|                                   |                                   |
| B.  UPON RECEIPT OF A VEHICLE     | [AUTOMOBILE]{.underline}          |
|     COMPLETE BLOCKS 1-18.         | [TRUCK]{.underline}               |
|                                   |                                   |
| C.  UPON DISPOSAL, COMPLETE       | # MAKE CODE MAKE CODE             |
|     BLOCKS 19-24.                 |                                   |
|                                   | # Chevrolet 01 Chevrolet 20       |
| ## BLOCK                          |                                   |
|                                   | # Ford 02 Ford 21                 |
| 1.  Enter Country Code.           |                                   |
|                                   | # Plymouth 03 Chrysler 22         |
| 2.  Assigned by FA/OMS            |                                   |
|     (M/AS/OMS).                   | AMC 04 International 23           |
|                                   |                                   |
| 3.  Enter Country Name.           | Falcon RH 05 GMC 24               |
|                                   |                                   |
| 4.  Check appropriate box.        | Dodge 06 AMC 25                   |
|                                   |                                   |
| 5.  Check appropriate box to      | Pontiac 07 White 26               |
|     indicate how acquired.        |                                   |
|                                   | Oldsmobile 08 Mack 27             |
| 6.  15 & 20. Enter two digit      |                                   |
|     number for month and year.    | Mercury 09 REO 28                 |
|     (i.e., 02-74 for February     |                                   |
|     1974)                         | Buick 10 Kenworth 29              |
|                                   |                                   |
| 7.  Enter entire purchase order   | Chrysler 11 Peterbilt 30          |
|     number, or transfer number if |                                   |
|     transferred.                  | Holden 12 Diamond-T 31            |
|                                   |                                   |
| 8.  Limit remarks to 18 letters,  | Other 13 Autocar 32               |
|     i.e., Trfd FM.                |                                   |
|                                   | Toyota 14 Minibus 35              |
| 9.  If 5, 6, 7, is checked in     |                                   |
|     block 4, enter vehicle        | Peugeot 15 Euclid 36              |
|     category codes.               |                                   |
|                                   | Renault 16 Other 37               |
| 10. Technical Equipment           |                                   |
|                                   | Nissan 17 Land Rover 38           |
| 1=Armor 2=Transceiver/Radio       |                                   |
|                                   | Honda 18 Toyota 39                |
| 3=Items 1 & 2                     |                                   |
|                                   | Mazda 19 Nissan 40                |
| 11a. If air conditioned, enter    |                                   |
| "X."                              | Mercedes 20 Bedford 41            |
|                                   |                                   |
| 11b. Enter engine code.           | 18. Enter last six digits of      |
|                                   |     serial number ONLY.           |
| 11c. Enter transmission code.     |                                   |
|                                   | 19. List P.D.A. No assigner. DO   |
| 11d. If right hand drive, enter   |     NOT exceed 5 digits.          |
| "X."                              |                                   |
|                                   | 21\. Enter to nearest dollar.     |
| 11e. If bus, enter number of      | (i.e. \$2000)                     |
| passengers.                       |                                   |
|                                   | 22. Enter in U.S. miles and       |
| 12\. Enter in U.S. dollars.       |     kilometers.                   |
|                                   |                                   |
| 13. Enter cost of additional      | 23\. & 24. Check appropriate box. |
|     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)                         |                                   |
+-----------------------------------+-----------------------------------+

AID 5-197 (4/92)