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Appendix 3, Continued - 14317_431
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Appendix 3, Continued - 14317_433
SAMPLE OF COMPLETED OPNAV 5110/5 (NOTICE OF CHANGE OF ADDRESS) (CURRENTLY ONBOARD) AIII-20 NOTICE OF CHANGE OF ADDRESS OPNAV 5110/5  (Rev 3-90) DATE: November 27, 2000 NAME (Last, first, middle) SMITH, JOHN C. RANK/RATE E-6 / PC1 SOCIAL SECURITY NUMBER 691-72-5489 PRIVACY ACT STATEMENTAuthority: Title 39 USC and DOD/U.S. Postal Service Agreement, 2 Feb 59. PRINCIPLE PURPOSES: To route or forward (directory) mail.ROUTINE USES:  Used by military and civilian personnel in mail functions Data are inspected by commanders, postal officers, and military and civilian inspectors.  Disclosure is voluntary; however, failure to provide the requested information could result inability to forward mail. NEW ADDRESS  (Consult SNDL for address) USS KITTY HAWK CV-63 AIMD / IM-2 DIV FPO AP 96334-2770 OLD ADDRESS  (Attach mailing label for publisher) USS JUNEAU (LPD 10) FPO AP 96669-1713 ESTIMATED REPORTING DATE DEPENDENT’S NAME (If applicable) KATHY SMITH RONALD SMITH SIGNATURE FORWARD SECOND CLASS MATTER FOR 60 DAYS ITEM YES NO THIS SPACE FOR POSTAL CLERK MAGAZINES NEWSPAPERS (TRANSFERRED) NOTICE OF CHANGE OF ADDRESS OPNAV 5110/5  (Rev 3-90) DATE: November 27, 2000 NAME (Last, first, middle) SMITH, JOHN C. RANK/RATE E-6 / PC1 SOCIAL SECURITY NUMBER 691-72-5489 PRIVACY ACT STATEMENTAuthority: Title 39 USC and DOD/U.S. Postal Service Agreement, 2 Feb 59. PRINCIPLE PURPOSES: To route or forward (directory) mail.  ROUTINE USES:  Used by military and civilian personnel in mail functions Data are inspected by commanders, postal officers, and military and civilian inspectors.  Disclosure is voluntary; however, failure to provide the requested information could result inability to forward mail. NEW ADDRESS  (Consult SNDL for address) PSC 471 / FLEET MAIL CENTER FPO AP 96347-9888 OLD ADDRESS  (Attach mailing label for publisher) USS KITTY HAWK CV-63 AIMD / IM-2 DIV FPO AP 96334-2770 ESTIMATED REPORTING DATE DECEMBER 25, 2000 DEPENDENT’S NAME (If applicable) KATHY SMITH RONALD SMITH SIGNATURE FORWARD SECOND CLASS MATTER FOR 60 DAYS ITEM YES NO THIS SPACE FOR POSTAL CLERK MAGAZINES XX NEWSPAPERS XX

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