REPORT OF INVENTIONS AND SUBCONTRACTS

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00820R000400030016-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 14, 2016
• Document Release Date: October 23, 2002
• Sequence Number: 16
• Publication Date: November 10, 1964
• Content Type: FORM

Approved F4; Release 2002/10/30 : CIA-RDP67B0O OR000400030016-2
REPORT OF INVENTIONS AND SUBCONTRACTS
(Pursuant to "Patent Rights" Contract Clause)
This form may be used for INTERIM and FINAL reports, and
when used shall be completed and forwarded to the Contracting
officer in triplicate.
An INTERIM report shall be submitted at least every twelve
roontba, commencing with the date of the contract, and should
Include only those inventions and subcontracts for which com-
plete information has not previously been reported.
THE PERKIN-ELMER CORPORATION
Main Avenue
Form Approved
Ilud et Bureau No. 22-kibO
A FINAL report shall be submitted as soon as practicuitle
after the work under the contract in compete anri shall in-
elude (a) a summary of all inventions required by the contract
to be reported. Including all inventions previously reported
and any inventions since the last INTERIM report: and (b)
any required information for subcontracts which has not pre-
viously been reported.
 Approved For Release 2002/10/30 : CIA-RDP67B0082OR000400030016-2
Nan.., o f
Inventor
Title of
Invention
Contractor
Serial Number Has or Will
Contractor's No. File US Appln.
Confirmatory
License or Assgnm-
has been forwarded
Yes No
STATIILTI
Approved For Release 2002/10/30 : CIA-RDP67B0082OR000400030016-2