MARCH 1951 SURVEY TRIP - DR. FRANK E. GIBSON

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 06913235
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 22
• Document Creation Date: October 23, 2023
• Document Release Date: August 16, 2023
• Case Number: F-2018-01512
• Publication Date: March 28, 1951

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1311L.S
MORANDUM FOR: Chief, FE 28 March 1951
1. The attached report of my recent medical survey is
enclosed.
2. In order to save duplication of typing, it has been
written in sterile form.
3. It is requested that you effect distribution as follows:
a. Original through pertinent offices within your
Division.
b. First carbon to the
c. Second carbon to the Chief, Medical Staff*
?RA IL GIBSOU, JR., M.O.
Deputy Chief, Medical Staff
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100.,
./1;,,ICRA3DU4 yOrts
SUBJECT, Medical survey of ZRFLOPE and
1. Purpose
���PM1.01.0.111.0.0.
27 rwiareh 1951
a. During the period from 8 -2,areh throu0s 24 Verch 1951,
subject sur,eea was acoomplistied on a field trip with the
following prIflary objectives:
(1) Profesaional adviee snl aeatoteioo ti the pro-
curament, installation and activation of the aedical
facilities required for =ELOPE.
(2) Determination of the medical pareonnel and
supply revirements of
2. IntrodUation
a. bithout making a production number of this report, it
iasy seen to have included too much detail; however, it is our
belief that anyone who "needs to know", even the taxpayer if
aeoessary, should have the eatisfaottaa of knowing that our
activities have been duly recorded wv-.1 readily justifiable.
b. At the rick of uWing Eleanor goosevelt's column,
we have adopted the elemantary course of desoribin our pil-
grimage ohronoLazioally on a dayfttoadny basis, each date
being further considered as to place, contacts and order of
business, which vs have optimistically listed under
"accomplishment". Such an arranement will save the harassed
executive wasted time (even if he has taken the rapid reading
()curse).
0. Since this report is intendei to enlighten medical,
as well ea operatienal at administrative personnel, we have
taken the liberty of embellishing the traditionally terse
account with same personal observetiocs and impressions.
These reflections, like poison, will be clearly labelled aa
"oorationts", and may be taken or left aneoreagly,
d. It is sugosted that any 'clolicy..levai readers, who
have already bectomo impatient at this prolonged preamble,
skip the next cevera1 pages cad concentrate on our meat and
potatoes course in 7aaragraph 19, eatitied "Reco=eadations".
All those still mith us will be $�ml the details of the
uneventful
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uneventful traneetlaatio flieht,
elandeatine clinician at
3* Friday, 9 March
and may icic up the
(b)(1)
(b)(3)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
a. Place:
b. Contact:
(b)(3)
(b)(6)
c. Accomplishments
Disresed
Initial efforts
to select a seiteole
(b)(1)
site for
(b)(3)
Inaimuoh as heel arrived et the
d. Coenents:
station only a few weeks earlier, our conference was chiefly
valuable as Indoctrination in the reeceeiliatioe of the to (b)(3)
worlds known as The Wield" and "ftedquartere". Despite all
our efforte at geomedicel soehisticetion, we still gawk at (b)(6)
the seemingly conflieting
twee the"nerve endings"
hams office. As will be pointed
more apparent than real.
4. Saturday, 10 March
oon. which appear
to exist be..
at the
situation is
(b)(1)
(b)(3)
(b)(1)
(b)(3)
ta aa4 the "braln"
out later, this
a. Place:
b. Contaots:
end members of the
support
(b)(3)
eterf
(b)(6)
o. Accomeliohneat:
introduction to organic, etruoture
(b)(1)
of
reviewed
approximately
physionl
examie
(b)(3)
natieme an XeRay films
or
ZRFLCPB prospeo 0.
d. Comments: inane our initial contact with the Station
(b)(1)
staff was a most stimuleting
experience, the panoraea of
(b)(3)
destruction in was
forcibly impressive. There is no
question but that rebuilding, has progressed at an adnirable
rate, yet the very knowledge of this fact emphasizes the de-
gree of desolation which must have existed six yekrs 9120.
After a few days, one becomes less and less aware of the
rubble, until it blends unnoticed late the landscape; evente
uully the ruins became a monotonously accepted fact, just
as the news reeeorts of the origleal bembines became daily
common place items In the news, without personal signifie
canoe. Yet it is not difficult, even for an individual of
cold, svientific persuasion, to visualize the sheer horror
whicee uust have soceepained the !actual deveetatlen. This
contemplation, bordoring on the emotional, is not prompted
by any remorse over the punishment or aggression; rather it
impressed us as a sober lesson it the grim seriousness of
our minor eart in the organization's eission. In the lieht
or current
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(b)(3)
(b)(1)
(b)(3)
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of current world tension, it is not ear-feteeed to the
the wreekage of in terms of New fork, 'eashiegton or
Los Angeles. rehythor it be meet:Laity CT herd-headed reality,
visual absorptive of the efeeete of tots' war strikes us es
a north-while oonditioner for any Readquerters elaener; nee
any eugeestion of eeeetiousness appearing la title report has
been introduced oenscieusly eull realisetion of the
Pandementally solenn aspects of our sob.
b. Sunday, 11 earch
se Place: 'Nowt of
b. Coateot:
C. eecomellehment: Frankly, erimerily personal and
eociell seoonderily, haekground ladoctrieletio,! in USAFE
views,
(b)(1)
(b)(3)
(b)(1)
(b)(3)
(b)(6)
(b)(1)
d. Ceemeats: Altheueh the field is undoubtedly oe e (b)(3)
more avtael seven-day week than .geedquartere. there seemed
to ee no eivaztaee In demanding a Saebath Interview with the
Being e business mevegement
,
edmluistrator rather than a flyer, furnished us
with a lucid InsiEht Into the bread military wad :mote-
loeicel problems la that portion of
with which he
was familier. A drive alone pre-
seated a reereshine contraat to the s het deereoaiae
vistas of the metropolitan ereas.
G. londat, 12 parch (moraine session)
a. Place:
e. Accomplishments 5ne officially received, debriefed
and briefed by the above executive eontacts. Stated our
miseion, distuesed their respective views ce the subject and
:tempted the planning of our itinerary. In reference to the
latter point, we want t* eephasize that we offered to eo any-
where. and that our visitations were selected solely by the
field Chiefs.
d. Coements: It is possiae that we might have been
eisteken for
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(b)(3)
(b)(6)
(b)(1)
(b)(3)
(b)(3)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
(b)(1)
(b)(3)
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Tigtalzen. for Dr. Kiase7- or aye the motth's qurta of
visitinc Federal aremen may heio locCU alretly exceAed;
it will suffice to say that sur reception oy the Mission
Chief wan characterized htefl v Inr4r ^f
nesa.
ODA
lid not really take offense at Oricidity of
our fUtial eneounter, sirice mumbers of our !,.1rofosa1on are
conditioned to ot,:otIcaol !iejoot.fen based upon. iamature 4080..
ofatii,n nnpleasantralms, crein or loath, all of whioh pre
ofte:7 regrettabif: ,,ocom?animiJAt9 of our ministrations.
7. (zonday. 12 'rs,arch (evening
seasion)
or the traimint
for medioa/
ODX1)
ODA
(b)(3)
ODX6)
ODX1)
Piece:
b Contact:
o. ,AaeonPliehment:
Discussed piens
SInea no bra/felons
eite nuar
ties hail bawl made,
roco;.oendod inclusion of a dispensary
ODA
of at lent 411 sco:,nre feet, mith atnt, nl an adjelnin,;
toilet of at least 36 square feet. tochnician (re)istered
mele nurse) is currently bofnE olenred for assigmicat to this
Inc-halation. A modicial aunply end equipment ltat will be
prener�d apl ,ubmitted t%q.thin three days Pilor this ranort.
ODX1)
ODA
1. ecnments:
is naid to
be -the l':-RzA r!cmatEed
of the eitiee in
Occupation
hits fniled te elter its
ODX1)
(wld .orld
oven our
vieit to the
ODA
not merrod whc; the chiin&
pianis trt.c u the
in or honor.
ODA
o. Tuesday., 13 F.erch
ODA
ODX1)
a. Places
ODA
Staff iembers
b. Contnetss
a. Aceocpliehment: Aseertelned Individual employee
reactions to locel medicol care. Cnneral Inprosnic 17-4e that
the Army turned over ;ost pettents to indigenous physicians.
Sines house calls 'sore not orevIded, we were req,;entd to
propere s. 1i5t et "approved'. indisenous practitioners.
a.Ce%ments: aithout drsriio. tiny conclusions, it was
interestiar to note that tile hi0er-roaking officers vzre
not particularly enthusiastic about the need for
intrsergAnizattonal
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ODX1)
ODA
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intraorganisetional Uedicel Officers to care fir our own
employees, whereas the lower eche4on people themselves were
warmly receptive to the idea. This obeervation may be of no
significance, exoept that oossibly one's state of health
overseas tnproves in direct proportio.. tc; one's oracle. In
any event, no ceaclud�d that assi=lott of intraortnise..
tiO4-P51 Physicians solely for the benefit ot our e.lployees
wee deuatable; however, such services All ao adequately pro-
vided coincidentally with the medical support proT,ni.:m for
indigenous persoanol.
9. aednesday, 14 ilarch
a. Place'
n. Cent et:
e. Accomplishments Discussed .medical requirements for
subject :Attica. Considered follewint possibilities
for screening candidates:
(1) Ivecuate prospeets by plane to suitable etc
where they eoul0 b prenptly evalnateri or returned if
disqualified
ilave eandidetee extmined at a safo illase in
(3) Nave the candidates exallted locally in
by the Army.
gOns Plan (1) above, after consideration, wao believed
to be the moat feasible.
d. Comments: If ono had become Walla� to the signs of
destruction in would orevide a stcrtling
reminder of the inoredible thorecrhaess of modern bambinr.:.
Althguzh le ver,.; much in hostile territory, there
was no evident sUosphere of danger. As a matter of feet,
the soldiers we glipsed did not seem nearly co men-
acint! as the Customs Ins7ectors at dew York. Eevertheless.
our
and our cratitude end reseset are accorded and
Me wife for their rattiousness end kindness t( us.
11. ThurSdny.
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10. Thursday, 1 Larch
(b)(1)
(b)(3)
(b)(3)
S. Places
(b)(6)
b. Contacts
(b)(3)
c. Accomplishment:
Plan
to obtain
medi oal items
(b)(1)
(b)(3)
a
d. Comments: i4e had honed to obtain
for
study, but
advised
diffioult
rigid
(b)(3)
US that this would
be extremely
k11.
rules against
fraternisation of its soldiers with indi.
lie agreed to attempt acquisition of those
(b)(6)
genoua personnel.
items.
(b)(3)
11. Friday, 16 garoh
a. Place:
b. Contact:
to HTEXOTIC
o. Acompliehmeatt General discussion ooncerning
mounting of &MOPE..
d. Comments: The trip was uneventful except ror the
fact that we ran out oe gas, and thus were obliged to est in
the counterpart of Dixie Diner. in his beat
accent, proceeded to order ae elaborate dinner, but
company might all have starved except for our expressive re.
quest for "beefsteak" delivered lo a
12. Saturday, 17 4arch
a. riTAXOTTC and environs
b. Contacts' and associates, local real estate
agent. Psychological assessment team.
a. Aocomplishmentt Inspected tentative ZULOTT pro.
pertyl seleoted space for medical facilities.
(b)(3)
(b)(3)
(b)(6)
(b)(3)
(b)(6)
(b)(1)
(b)(3)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
di, Comm:antes It had been almost 21 yore since we
had last seen the but the effect of their (b)(1)
macoiflosnoo is as powerful as ever. 2ven it this site (b)(3)
lacked other practical adventeaes. the view alone would
strongly recommend it. This includes (b)(3)
sultaAs rooms for diagnostic and dispenser use, and ade.
quate hospital facilities are available about 14 miles away.
15. Sunday.
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16. Sunda:, 16 .',arch
a. V'leco:
I trm'smbors
Payoholocical asneseaeut re)resentst!vas
stair;
a. tcootbliahmonti Ma-ina7 ettnined puflent slti-
tvide tdiscuaa really we discusscl. allotment
of spao er:; tho blueprints of' the '.:rorsei.1
Gommentst e will suppress n strcriT, !m3ulso to
desoirbe the scenery, but will observe th;At skiing mishaps
alone, will probably Wzo a considerable .ortion of our
medical offer's time.
14. eonday, 19 March
eir Place: 1TEMTIC
b. Centsetst
o. .11:comk:Ilishmaatt fl. cussed medical requirements of
the inlvTIC arcs with Jo nrced thpt tile -loatool
(i.ffiper servin -,LRin could uleo ti,, mo,io ovellable to other
conte: :eted stics, most of wAoh will be located 4ithin
a re:due of UTTI-1. ie alao suggested a saro house
be ma n steed in the vicinity for rentralized disc,eabory
facilitiee.
U. Tumsday, 21 c=areh
a* Place: 0,
b. Cnt,,rte:
site near V7k,TIC
eo Accomplishment; Confirmed tho acute need for on
introorganisationel physleiao An this area ne soon an possible.
d. Goments:
infOrlOd Lail that tn. one io
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candidates,
of'
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candidates, seven out *f sixteen at2re fC: 6 to have active
tuberculosis. Aside freA the alerniaL healt hazard, the
obvious disposal problem ia atireed wtth
and in welccointT the services of a Stationiad
()Moor to serve his 7reject sa well as the .ther act17itles
in the rneral area.
1C. rednesday, 21 iarch (ruint; aossion)
6. Places
b. C-Altactt
c. Accc7A-Ilishments DatersAned actual availability of
itemised list of medical su?plies and equipment criFAnelly
submitted to home cfrie, on 27 February 1961.
d. Comments: Ifany of the key items, notooly the X...y
0,,ulp:ilent, are sossirically designated or defe tactical
units, and cannot be issued to us.
17. Wednesday, 21 Marsh (afternoou session)
s. Places
b. Contacts:
04 ACOOMpl18h1ftentS Coordinated 'zaa,c,76 supply pro...
curerJent wt sn'itted to him list of the items
procurable a Agreed to have home office procure
and ship unavailacila Uwe imedifesly (see rewilaitions
attached tc: oriinal copy of thte re9crt). Alsvi verbally
sivised of rug- basic ft,!Alass arcl
recommendations, in Which they concurred. Assured then hems
office would send copy of this report (Attached). Deported
for home.
18. Thursday, 22 larch
a. ?lace:
b. Ctct ot pplies:As
C. A-000liehMentaltf appliceble
d. Co-mentst
ag was only one day old
but
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is
(b)(3)
(b)(6)
(b)(3)
(b)(6)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
(b)(3)
(b)(6)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
(b)(3)
(b)(3)
(b)(3)
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I. Rocommondations
a. It is our !'irm conviction that the fellowin room-
htch have 2,e)o,, coori.lnated with t!le rompotIcible
rigid officers, should be .2ropt1y and precisely followed
in order to assure the success of to Zl1f,'03 and other
missions.
(1) Transfer he e ical officer, now trained
end intended for to the field, to srrivr. no
Later than 15 Apr 0 .
(2) Instruct hiz to report to the Chief
as a member cf hie staff, with. the understandingth
his initial taska will has
(m) To establish mad maintain the medical.
facilities required for ZP.E.TXPE
(b) To provide diagloctic and therapeutic
services to other_rojGotl, oarticularly those
located in the root.
(0) To further survey and analyse additional
Ixtreo-Ancl Enri supply requirements for all
activities, anl to advise this effice,
throuch pros- chnnnele, nr hSe recmmeadttiono.
(3) Transfer the medical toohaicia71, no en duty,
to the field approximately two weeks after the 2edice1
Officer, to uho;: he shool,i ro:ort for instructions.
(4) As additional technicians report hero for
duty, cumin the: to the AdNinistration Course and
coordinate their teohnieal indoctrination and egnot
assignment with
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assignment with this office..
(5) inmediately initiate procurement and shipment
on the attached requisitions for 61CLOPV. Upon its
delivery at the station, notify this cMce so that a
trained XeRay technioisn can be sent on TDY to properly
install MBA,
(8) Procure an additienal Aedicsi Offieer
ferably trained fa surgery, to supplement the
medical serviette at sowetime during the next six months,
depending upon the recoenendations of the Station lqedicei
Officer.
(7) Cheolc with regardiae the epeolal
iteas he was to attsa0t to procure for us; if he has
mot been successful, request the Chief in the other
appropriate major station to make a similar effort.
O. Conolusions
a. Ae approached this survey trip with the attitude
that the visiting Headquarters man is not apt to find ?ere
faction in the field; but neither is he likely to enoounter
perfection if he objectively examines ht u own shop at home.
During our Assaf:dation with the organization, it has often
been difficult or us, as must be the case with many indi-
viduals accustomed to stereotyped. traditional pursuits, to
ocestantly realize how recently and hastily those missions
were created. Unless this consideration to left in vim,
it would ho easy to criticize eroceduree and to minimize net
results, particularly if the comparative criteria used were
these of orgaaisatiens, such az the Army, which hale had
generations of trial and error on which to build their
structures.
o. If we detected a lost chord in ecordination or some
paranoia in the paramilitary, these are universal failings
which exist along the Potomac as well as the riverc of
and we would not choose to be the first to oast s (b)(1)
rock into the elr ody riepled waters. (b)(3)
a. In our humole opinion, the breach which is evident
between the field end home office is not based upon actual
hostility or disagreement, but is rather em?loined by the
simple feet that many field employees have never experienced
the peculiar stresses of Headquarters rospeneibility, nor
have many home office people aotually operated in the field.
(post-wer version) ideally, there wculd ultimately be an
(b)(1)
(b)(3)
(b)(3)
(b)(6)
exchenge of
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exchange of assignments, until overyone had been gi-4an the
opportunity to taste each side of the ocean. aut Per various
and obvious reasons, such an arren4ement is extronely un.
likely, so we can continue to expect to reooncile two point�
of view, fundamentally designated us those of the planners
and the operators. This will demand a greater mutual rearmost
and understanding, an effort in which either side of the
house should oontribute equldly.
d. Ue realise that these uneolioited observations
may setm rather pontifical, but the:/ serve to express our
philosophy tz: developing a technical service which we believe
is destined to became vital, integral support to virtually
all operations.
e. Us wish to thank all those, at hame and abroad, who
assisted us in =king this survey, and it is our hope that
this report may contributo,in someway,to the ultimate sucoess
of the organisation's mission.
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FOR SERVICES US t ONLY
REQUISITION FOR SUPPLIES, EQUI
OUISITION NO.
.., ROVED BY
NOTE: See Instructions on Reverse side.
Page of Pages
DELIVER TO
THIS DATE
ite v2:arotq Mi.
I certify that the Items indicated hereon are required for use in the public service.
OFFICE
ACCOUNT NO.
CHARGE ALLOTMENT NO.
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been r
except as otherwise noted.
DATE SIGNATURE
ITEM
40.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
680,074400
Caliper, yo (ntietralesa of Prart
aa4
8.0106.010
Olaseette, 10 a le, iti-W1 a :LiAll.t � li,40
tazasi. G
2
6,..t
g.altigiato
C:aaratta, 14 a lro , 3 00,glitin, apiad
arrowts
auo
6.11.2.32.)
Qhest. RA.Zuy '.11s,s. Letli
Iea*
34419.019
triln, _i m* Iialii.art 4t3 14 a tr. 25e
3.414043,41
P:- * ' -.vs ?ladle ,rapaia 10 2 zr.", 268
3
Plt.
Ell ro�gei 1-0 .;,; 12"
,-
0
cc V
I
6�00Z14117/3 .
7,, x..... Film* P$ t' 4 a 1?
4orl�
80040.=
11.1 -4 ''
4.aater, or--
Pe-rx91 110 val.
643%6405
;.larmr 4:4/Ity ,-9.�
t3.11142b
_
,gaaterela* 4...04, ) "J 5- C�
7
81.121.33-4
e.�064_,,e,
list- 71 xta -�, i J-1--f-1
, ,......e.
,,,,-e=--e--------7-_-;-_-__ ,
FOR SERVICI
'EQUISITION NO. REQUISITION DATE
OFF ICE
SNIPPED BY
FRE IC
EXPRE
'I LL. BY jCHECK. BY DEL. BY
DORM NO.
96.7
tPR 1950
(b)(1)
(b)(3)
(b)(3)
(b)(1)
(b)(3)
(b)(3)
(b)(6)
(b)(3)
(b)(6)
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FOR SERVICES USt ONLY
REQUISITION FOR SUPPLIES, EQUIP
EDUISITION NO.
I
w �
(b)(1)
APPROVED BY
(b)(3)
NOTE: See Instructions on Reverse side.
Page of Pages
DELIVER TO
THIS DATE
2111 Uninsn MI
I certify that the items Indicated hereon are required for use in the public service.
OFFICE
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFI
�
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been
except as otherwise noted.
7
, DATE SIGNATURE
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
47clE
r-
AMOUNT
6.001.000
i3alipori K..444,0 -.S,'Istmess oi rt
1
es,
0.010.000
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2
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FOR SERVICES USE ONLY
REQUISITION NO.
REQUISITION DATE
OFFICE
REQUISITIONED BY
TOTAL
SNIPPED BY
SERVICES AUDIT
FILL. BY
CHECK. BY
DEL. BY
FREIGHT MAIL
GOV. B/L NO.
DATE
BY
I IEXPRESSI !PARCEL POST
FORM NO.
96.7
APR 1950
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235
INSTRUCTIONS
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Administrative Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
_
. _
ITEM
NO.
pROGRES4
STOCK
VENDOR
PROC. DOC.
NO.
DUE
DA
FOLLOW-UP
DATE
RECD.
1
2
3
1
2
3
, 14
5
6
1
2
3
5
6
7
9
-
, .
I-
10
-
11
12
l
4 -
-
13
14
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15 '
,
_
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Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235
.
FOR SERVICES USt ONLY
REQUISITION FOR SUPPLIES, EQUIPMENT OR SERVICE
REOUISITION NO. I
APPROVED BY
NOTE: See Instruct ions on Reverse Side.
Page of Pages
DELIVER TO
THIS DATE
126 ;2t31,04.1- Ian
I certify that the items indicated hereon are required for use in the public service.
OFFICE
ACCOUNT NO.
CHARGE ALLOTMENT NO.
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been received in serviceable condition
except as otherwise noted.
DATE SIGNATURE OF RECIPIENT
ITEM
NO
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UN IT
PRICE
.
AMOUNT
V./4
a.m.IPAteericl
�Amlalorv4.1rm UgliVWtiult 144 It 11%. Ms
3
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3.
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44
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FOR. SERVICES USE ONLY
TOTAL
REQUISITION NO.
REQUISITION DATE
OFFICE
REOUISITIONED BY
N N.
SNIPPED BY
SERVICES AUDIT
FILL. BY
CBECK. BY
DEL. BY
1 1 FREIGHT MAIL
GOV. B/L NO.
DATE
BY
I EXPRESS I 1 PARCEL POST
FORM NO. 36.7
APR 1950
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235
1 NSTRUCT I OHS
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Administretive Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
S
ITEM
PROGRESS
STOCK
VENDOR
PROC. DOC.
NO.
DUE
DATE
FOLLOW-UP
DATE
RECD.
NO.
1
2
3
1
2
3
It
5
6
1
,
2
3
r-
r-
L.
,
6
7
H
9
,
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10
11
...
12
13
I.
14
15
..
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235 --
,
.
FOR SERVICES USE ONLY
REQUISITION FOR SUPPLIES, EQUIPMENT OR SERVICE
REQUISITION NO.
APPROVED BY
NOTE: See Instructions on Reverse Side.
Pao of Pages
DELIVER TO
THIS DATE
20- r-le_relas-
I certify that the items indicated hereon are required for use in the public service.
.11941.
OFFICE
ACCOUNT NO.
CHARGE ALLOTMENT NO.
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services Itemized below have been received in serviceable condition
except as otherwise noted.
DATE SIGNATURE OF RECIPIENT
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
/7�030611330
404 t - ital. ildjwittaole
1
41-44.
4
7.42o4a5
apt Plate. 2 II Gr._ 110 volt. e.tU.01.:
1
cm.
7,4$70,936
jr :,t'raivii_PiXti, tituatim Llele
2
C4,14.
74.83,141GS
ameeyttaele. 'Lest., 8o-emit:ow-ILL._ C21. 5 ..;.-742.11=6
1
ChAt
,
9041.144430
L4adiClui Yield Zee VI
1
set
9474420
L,etiieral Vield Get 42
,
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set
9�2741.240
Nedicaa1 asid Set 4 4
1
set
9.4874410
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Aik 0 Jo
'
h
FOR SERVICES USE ONLY
TOTAL
REQUISITION NO.
REQUISITION DATE
OFFICE
REQUISITIONED BY
s..�;N, X N
SNIPPED BY
SERVICES AUDIT
FILL. BY
CHECK. BY
DEL. BY
I 'FREIGHT'. IMAIL
GOV. BfL NO.
DATE
BY
I lExPRESS I !PARCEL POST
_
.'ORM NO.
36.7
PR 1350
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235
INSTRUCTIONS
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Admiwistretive Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
ITEM
NO.
PROGRES
STOCK
VENDOR
PROC. DOC.
NO
DUE
DATE
FOLLOW-UP
DATE
RECD.
2
3
4
5
6
1
2
3
4
5
6
7
9
10
11
12
13
14
15
�
-
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235�
REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE
J'IR SERVICES US -)11
REQUISITIGN NO.
APPROVED BY
NOTE: See Instructions on reverse side.
Page of Pages
DELIVER TO
THIS DATE
29 March tost
I certify that the items indicated hereon are required for use in the public service.
OFFICE
ACCOUNT NO.
CHARGE ALLOTMENT NO.
(SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL)
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been received in serviceable condition except as other-
wise noted.
(DATE) (SIGNATURE aFAIE
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
il 13505k
Vertteal Common� %Anne11 tiodoLO
422P0 Vienerea Clactrigt 110.4aw
Item)
1_
.
WU
.
FOR SERVICES USE ONLY
TOTAL
REQUISITION NO. 1 REQUISITION DATE
OFFICE
1 REQUISITIONED BY
SHIPPED BY
SERVICES AUDIT
FILLED BY
CHECKED BY
DEL. BY
. FREIGHT MI MAIL
II EXPRESS MI PARCEL POST
GOVERNMENT B/L NO.
DATE
BY
FepR,191% 36O. -7
le-62102-1
Approved for Release: 2023/03/10 C06913235
Approved for Release: 2023/03/10 C06913235
INSTRUCTIONS
Complete this form with typewriter only. The number of copies required and the addressees for-various types of requisitions are
contained in Administrative Instruction No. 40-1.
- FOR SERVICES USE ONLY
REMARKS:,
- - - - --- -
. _ . -- - ,
_.
ITEM
NO.
PROGRESS
STOCK
VENDOR
PROC. DOC.
NO.
DUE
DATE
FOLLOW-UP
DATE
RECEIVED
1
2
3
I
2
3
4
5
6
1
2
3
4
5
r-
6
7
8
9
10
.
11
12
13
14
15
�
U.'- GOVERNMENT PRINTING P-04E 16-02102-1
Approved for Release: 2023/03/10 C06913235