MOTOR VEHICLE RECORD



MOTOR VEHICLE RECORD

Read all instructions on page two carefully before completing form.

|COUNTRY CODE |VEHICLE SERIES |MISSION |TYPE OF VEHICLE | |

|(SEE HB 18) |& NUMBER | | | |

|      |A B |      |1A SMALL |2A STATION WAGON (I/B SUBCOMPACT) |

| |            | |1B SUBCOMPACT |2B STATION WAGON (CLASS II COMPACT) |

|5. ACQUISITION DATA |1C COMPACT (CLASS II SEDAN) |2C STATION WAGON (CLASS III MID-SIZE) |

|A. AID/W C. DIRECT PROCUREMENT |1D MID-SIZE (CLASS II SEDAN) |2D STATION WAGON (CLASS IV LARGE) |

| |1E LARGE (CLASS IV SEDAN) |3 AMBULANCE |

|B. GSA D. OTHER (Enter details in item 8 remarks) |5 TRUCK, 8500 LBS. & UNDER 4X4 |4 BUS (INDICATE NO. OF PASSENGERS IN ITEM 11. |

| |TRUCK, 3825 KILOS & UNDER 4X4 |8 TRUCK, 24,000 LBS & OVER |

|6. P.O. DATE (Mo.&YR.) |7. P.O. NUMBER | 6 TRUCK, 8500 LBS. & UNDER 4X2 | TRUCK, 10,800 KILOS & OVER |

| | |TRUCK, 3825 KILOS & UNDER 4X2 | |

|      |      |7 TRUCK, 8501 – 23,999 LBS | |

| | |TRUCK, 3826 – 10,000 KILOS | |

|REMARKS (Limit to 18 char.) |MODEL | TECHNICAL |SYSTEMS |& EQUIPMENT | | | |

| | |EQUIPMENT |A/C |ENGINE |TRANS. |D. RT HAND |E. NO. OF |

|      |      | | || || || DRIVE || PASS. |

| | | |  || || || || |

| | | | | || ||   ||     |

|ACQUISITION |13.ADDITIONAL |SHIIPING & |YEAR REC’D |YR. OF |MAKE OF |VEHICLE |SERIAL |

|COST (F.O.B.) |SYSTEM COST |OTHER COST |(Mo. & YR.) |VEHICLE |MAKE || B. CODE |NO. |

| | | | | | || | |

|      |      |      |      |     | ||    |      |

| | | | | | || | |

|DISPOSITION AUTHORITY P.D.A. NO. |DATE OF DISPOSAL (Mo. & Yr.) |PROCEEDS FROM |22. |

| | |DISPOSAL |MILEAGE AT DISPOSAL       |

|      |      |      |KILOMETER AT DISPOSAL       |

23.

|REASON FOR DISPOSAL |24. METHOD OF DISPOSAL |

| | |

|1. AGE & MILES 5. ACCIDENT |S. SALE T. TRANSFER |

|AGE & KILOMETERS 6. EXCESS |G. GRANT-IN-AID F. TRANSFER WITHIN AGENCY |

|2. MILES 7. THEFT |D. DONATION A. ADMINISTRATIVE |

|KILOMETERS 8. CIVIL STRIFE |R. SCRAPPED |

|3. AGE 9. FORCE MAJEURE | |

|4. UNECONOMICAL TO REPAIR | |

| | |

AID 5-197 (4/92)

Instructions for completing form AID 5-197 MOTOR VEHICLE RECORD

|SEE CHAPTER 6, AID HANDBOOK 23-OVERSEAS SUPPORT. |Enter popular name. (i.e., Nova and make code) |

|UPON RECEIPT OF A VEHICLE COMPLETE BLOCKS 1-18. | |

|UPON DISPOSAL, COMPLETE BLOCKS 19-24. |AUTOMOBILE TRUCK |

| |MAKE CODE MAKE CODE |

|BLOCK |Chevrolet 01 Chevrolet 20 |

|Enter Country Code. |Ford 02 Ford 21 |

|Assigned by FA/OMS (M/AS/OMS). |Plymouth 03 Chrysler 22 |

|Enter Country Name. |AMC 04 International 23 |

|Check appropriate box. |Falcon RH 05 GMC 24 |

|Check appropriate box to indicate how acquired. |Dodge 06 AMC 25 |

|15 & 20. Enter two digit number for month and year. (i.e., 02-74 for February 1974) |Pontiac 07 White 26 |

|Enter entire purchase order number, or transfer number if transferred. |Oldsmobile 08 Mack 27 |

|Limit remarks to 18 letters, i.e., Trfd FM. |Mercury 09 REO 28 |

|If 5, 6, 7, is checked in block 4, enter vehicle category codes. |Buick 10 Kenworth 29 |

|Technical Equipment |Chrysler 11 Peterbilt 30 |

|1=Armor 2=Transceiver/Radio |Holden 12 Diamond-T 31 |

|3=Items 1 & 2 |Other 13 Autocar 32 |

|11a. If air conditioned, enter “X.” |Toyota 14 Minibus 35 |

|11b. Enter engine code. |Peugeot 15 Euclid 36 |

|11c. Enter transmission code. |Renault 16 Other 37 |

|11d. If right hand drive, enter “X.” |Nissan 17 Land Rover 38 |

|11e. If bus, enter number of passengers. |Honda 18 Toyota 39 |

|12. Enter in U.S. dollars. |Mazda 19 Nissan 40 |

|Enter cost of additional system in U.S. dollars. |Mercedes 20 Bedford 41 |

|Enter estimated shipping and other cost in U.S. dollars. | |

|Enter month and year received. (i.e., 1-87 for January 1987) |Enter last six digits of serial number ONLY. |

|Enter year vehicle manufactured. (i.e., 74 for 1974) |List P.D.A. No assigner. DO NOT exceed 5 digits. |

| |21. Enter to nearest dollar. (i.e. $2000) |

| |Enter in U.S. miles and kilometers. |

| |23. & 24. Check appropriate box. |

AID 5-197 (4/92)

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