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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 STATEMENT: Authority: 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 STATEMENT: Authority: 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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