LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
26. report on expiration of leave to (if other than block 25) departed on leave returned from leave granted extension of leave ending 27a. hour. 27b. date (*yymmdd) 28a. hour. 28b. date (*yymmdd) 29a. hour. 29b. date (*yymmdd) 27c. ood’s signature 28c. ood’s signature 29c. ood’s signature ................
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