Encl. (1) to COMDTINST 5512.10
BLOCK 99. SIGNATURE. The verifying official must sign in this block. (Signature is required.)
No other individual shall sign for the verifying official.
BLOCK 100. DATE VERIFIED (YYYYMMMDD). Enter the date of verification in 4-digit
year, 3-character month, and 2-digit day format (YYYYMMMDD). (Use 9 characters.)
SECTION V - ISSUED BY
BLOCK 101-109. Enter in the same manner as the verifying official as prescribed in Section IV
above.
SECTION VI - RECIPIENT'S ACKNOWLEDGMENT
BLOCK 110. RECIPIENT'S SIGNATURE. Each recipient must sign in this block. If the
recipient is incapable of signing, the condi- tion must be indicated in this block. This block may
contain multiple signatures.
BLOCK 111. DATE SIGNED (YYYYMMMDD). Enter the date of the
recipient's acknowledgment. (Use 9 characters.)
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