Item 22.
The Registrar is Joseph D. Haulbrook, MAJ, MS.
Item 23:
identification on bottom of page to include the patient's register number and ward
number.
Item 24:
Using MSG Nichol's Deposit Record (DA Form 3696), complete the Record of Personal
Effects form, DA Form 54, Items 1 thru 9a. Check #456829 is issued to his wife for
cash deposit.
Item 25:
United States Military.
MD0755
6-30