PROPERTY RECEIPT FOR EQUIPMENT TO BE RETURNED TO FACTORY.

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A002700030078-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: August 2, 2002
• Sequence Number: 78
• Publication Date: April 27, 1967
• Content Type: MEMO

Approved For Release 2002 2M. k tF fii?b4747AO02700030078-5
Surup_I.''/ O.L c
J:ECT Property receipt for equipment to be returned to factory.
I hereby acknowledge receipt of the following:
2 each I
IDigitize rs
STAT
(33)
,i5r.se return 2 signed copy(ies) of this receipt
:O^M NJ. 7 52 REPLACES FORM 36-66
f q'i, 55 / WHICH MAY BE USED.
2 each Metal covers fort chip comparator
. each Head Rest Assemble
igitizers
Up comparator
27 April 1967
DATE
STAT
STAT
STAT
Electronic Chassis
STAT
STAT
STAT
STAT
STAT
slt;Na/I,, ~C `/,'~ STAT
Electronic Chassis
STAT
STAT
STAT
ACKNOWLEDGEMENT OF RESPONSIBILITY
1 o ie:,e full responsibility for the protection and preservation of the above
c'r rty whi.le it is in my custody and am aware that I can be held pecuniarily liable for
toss or dry age ),which might be determined to be caused by ,my negligence.
STAT~
CMBODY RECEIPT - PROPERTY PASS
SEE INSTRUCTIONS ON REVERSE SIDE 27A7pril67
Declass Review by NIMA / DoD
Approved For Release 2002/08/20 : CIA-RDP78BO4747AO02700030078-5