CONTRACT INSPECTION REPORT ANAMORPHIC ZOOM EYEPIECES

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04770A000200030014-3
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: October 28, 2004
• Sequence Number: 14
• Publication Date: October 11, 1965
• Content Type: FORM

SIGNATURE
I ~~~ USE
FORM PRE
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CONTRACTW. MW
TASK NO.
CONTRACT INSPECTION REPORT
I
TO:
DATE
ENGINEERING SECTION/CB/PD/OL
INSPECTION REPORT NO. (If final, so state)
.3
ESTIMATED COMPLETION DATE
31 f965
NAME OF CONTRA
TYPE OF COMMODITY OR SERVICE
THE CONTRACTO IS ON SCHEDULE
TOR WILL PROBABLY REMAIN WITHIN ALLOCATED
THE CON
W
FUNDS YES 0 NO IF ANSWER IS "NO" ADVISE REC?
YES ^ No
,
OMMENDATION AND/OR ACTION OF SPONSORING OFFICE. ON
REVERSE HEREOF. IF KNOWN. INDICATE MAGNITUDE OF AD-
PER CENT OF WORK COMPLETED J p
DITIONAL FUNDS INVOLVED.
PER CENT OF FUNDS EXPENDED ? ~~ ~~~~ ~_,*~//J
HAS AN INTERIM REPORT, FINAL REPORT. PROTOTYPE. OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD? ^ YES NO (If yes, give details on reverse side.) CSV"
X NO
GOVERNMENT-OWNED PRO ERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? YES Imp NO
JL7-
(If yes, indicate items, quantity, and cost on reverse side.)
INCENTIVES
IS THIS AN INCENTIVE CONTRACT 0 YES No
NOTE:
IF YES. CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
^ COST 0 PERFORMANCE 0 DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
OVERALL PERFORMANCE OF CONTRACTOR
1. El OUTSTANDING 3. ABOVE AVERAGE 5. 1-1 BELOW AVERAGE 7. ID UNSATISFACTORY
2. 1:1 EXCELLENT 4. ' AVERAGE 6. El BARELY ADEQUATE
IF OVERALL PERFORMANCE OF CONTRACTOR IS UNSATISFACTORY OR BARELY ADEQUATE, INDICATE REASONS ON
REVERSE SIDE.
RECOMMENDED ACTION
CONTINUE AS PROGRAMMED ^ WITHHOLD PAYMENT PENDING
Declassification Review by SATISFACTORY PERFORMANCE
NGA/DoD
^ OTHER (Specify)
T
T
ERMINA
E
IF TERMINATION IS RECOMMENDED OR IF THIS IS A FINAL REPORT PUT COMMENTS ON REVERSE IN NARRATIVE
FORM ON CONTRACTOR'S PERFORMANCE AND CERTIFY THAT ALL DELIVERABLE ITEMS UNDER THE CONTRACT HAVE BEEN
RECEIVED. THESE INCLUDE. WHERE APPLICABLE. THE FOLLOWING:
ITEM
RECD
DOES NOT
ITEM
RECD
DOES NOT
APPLY
APPLY
PROTOTYPES
MANUALS
DRAWINGS AND SPECIFICATIONS
FINAL REPORT
PRODUCTION AND/OR OTHER
SPECIAL TOOLING
END ITEMS
OTHER GOVERNMENT PROPERTY
DATE OF LAST CONTA T WITH CONTRACTOR
Oct
DIVISION
INSPECTOR'
2
Approved For Release
-RDP78BO477OA000200030014-3
0 UNCLASSIFIED N I DENT IAL U SECRET
UNCLASSIFIED
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