Security Classification
Precedences
Message Instructions
ACTION/INFO
15 spaces
15 spaces
DTG
FROM
*TO
*INFO
-3-- spaces
Line Feed
TEXT Security Classification
DIG(s) Only
Special Distribution
See note 9
Page
of
DIG
Have you referred to a classified message ?
..
Pages
(Answer YES or NO in box)
Security Classification
N
Month
MOD Form 140
AMRAD
SIGNAL
MESSAGE
FORM
Special Handling Caveat Only
File Reference
DRAFTER'S NAME (Block letters)
Extension
RELEASING OFFICER'S
Grade/ Rank
Signature
12/7/72
Branch
Name
(Block letters)
*USE A
SEPARATE
LINE
FOR
EACH
ADDRESSEE