
Authorized Personnel Only
| Name | ID | Status | Assigned | Act |
|---|
| CAPID | Rank | Name | Role | Address |
|---|
| Time | User | Action | Details |
|---|
| Date | Issued To | Issued By | Actions |
|---|
| Tag | Desc | Qty |
|---|
| Issued To: | CAPID: |
| Address: | Phone: |
| Date Issued: | Return Date: |
| Property Tag / Serial | Description | Qty |
|---|
"I acknowledge receipt of and responsibility for the items described above and will return them upon demand or when no longer needed in the performance of my CAP duties."
Signature of Recipient | Issued By (Signature) Name: |