DEPARTMENT OF THE ARMY
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OFFICE SYMBOL                                                                                      Date

MEMORANDUM FOR SEE DISTRIBUTION

SUBJECT: Battalion/Brigade Policy Memorandum #X

1.	References:

2.	Purpose: 

3.	Responsibility:

4.	Point of contact for this memorandum is the XXXXX at (123) 456-7890.

FIRST M. LAST 
XXX, XX
Commanding

DISTRIBUTION: