REQUEST TO PROCUREMENT DIVISION FOR SERVICES

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B05171A000600010089-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: March 31, 2004
• Sequence Number: 89
• Content Type: FORM

UNCLASSIFIED
OFFICE/DIV/BR
N1 IC %TSSG /R.~D
2 _ 1JECT TITLE
XX 11
5
R l_ P A I R
X
= C( FIDENTIAL [X] SECRET
DATE OF REQUEST CERTIFY THAT FUNDS IN THE ESTIMATED
(specify)
R Q U ST TO PROCUREM~PI Ill I(J~-F(~{~1g00600010089-6
(other than property or building maintenance and repairs)
AMOUNT OF $ 1 ARE
!25X1
AVAILABLE. CHARGE TO FAN
SIGNATURE OF BUDGET OFFICER DATE
APPLICABLE ONLY TO REPAIRS AND MODIFICATIONS
TECHNICAL INSPECTION IS REQUIRED DY
TRANSFER OF FUNDS TO
OTHER GOVT. AGENCY
(specify if applicable)
N/A
ISHORT SUBSTANTIVE TITLE AND/OR DESCRIPTION OF SERVICE TO BE PERFORMED
N/A
Change-in-Scope to supply experimental Dry Process Photographic Reproduction
materials to be used in the operational introduction of prototype processing
equipment. When regular production materials are available, these materials
can be obtained through normal supply channels.
Declass Review by NIMA/DOD
(See reverse for specific information
reaaired on R&D requests.)
,;DATE RECEIVED IN PD
SERVICES PERFORMED AT;
REPLACE.. FORM 00 89-6 s eci?
3.. 67 2420 UNCLASSIFIED CONFIDENTIAL ( p y)
367 2420 AND 2416 (5.12.38)
 Ii;f UNCLASSIFIED
CC'"IFIDENTIAL ATTACHMENTS OR STATEMENTS 1? J SECRET = (specif )
JUSTIFICATION FOR AoiFo ddCFa*' Iease 2004/05 - y
Contractor is the sole supplier of these special photographic dry
process materials.
2. PROPOSAL
LI
MONTHLY O INTERIM O QUARTERLY
Supplies of special dry process photographic materials
1.4. GFE REQUIRED
LI UNCLASSIFIED
~~ ...vI vI iv-_I 4 i IFtL Ix J JI LKt I LI
LI
(specify)