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1. CONTRACT ID CODE 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 27 6. ISSUED BY CODE 21Aug2015 N00039 PAGE OF PAGES U AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 4. REQUISITION/PURCHASE

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It is a form used by the military to report financial information.

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Income, expenses, assets, and liabilities must be reported on mil 6195247176.

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