REQUEST TO PROCUREMENT DIVISION FOR SERVICES

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A002200030008-7
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: July 8, 2003
• Sequence Number: 8
• Publication Date: January 24, 1967
• Content Type: FORM

Z(specify)
-
Approved rokfib ase - OCUREMENT DIVISION FOR 22 _'ZVICES
TO PR
r
G ,
(other than property or building maintenance and repairs)
INSTRUCTIONS: (1) As appropriate, refer to Contract, Task Order, Proposal Numbers and attach any proposals, specifications or justifications.
Obtain hereon or attach evidence of R & D a
rov
l
e
pp
a
as r
quired by DDCI Memo of 23 December 1963, ER 63-8811. (2) Obtain Technical
O d fveryaoprova or concurrence uctionsas. appropriate. (3) Include in the narrative portion amplification of particular security requirements and any
REQUEST NO.
DATE OF REQUEST
PROCUREMENT DIV. ASSIGNMENT
DATE RECD IN PD.
SS-8636-67
24 Janes 67
TYPE OF SERVICE REQUESTED
REQUESTING OFFICE
Plc
RESEARCH/DEV. (1) (2) (3) OTHER-SPECIFY (2) (3) CONTACT OFFICER TELEPHONE
GRANT (1) (2) (3) HKI
REPAIR (3)
1 CERTIFY THAT FUNDS, ESTIMATED AMOUNT OF
MAINTENANCE (3) ARE A
7
"'
VAILABLE. CHARGE TO FAN
-
MODIFICATION (1) (2) (3)
ATE
5X1
1 A N 19E 7
STERILITY CODE I I O I 1 11 11 2 APPLIES
REPAIR OR MAINTENANCE SERVICE HAS SIGNAT DATE
BEEN SATISFACTORILY COMPLETED
MATERIAL LOCATED OR SERVICES TO BE PERFORMED AT
NARRATIVE DESCRIPTION OF SERVICES REQUESTED
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DECLASS REVIEW by NIMA/DOD
C J uo1067
0 UNCLASSIFIED
E~U CONFIDENTIAL