INTEGRATED INFORMATION SYSTEM

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B05703A000300020016-4
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: December 16, 2003
• Sequence Number: 16
• Publication Date: November 6, 1970
• Content Type: FORM

UNCLASSIFIED C-.CONFIDENTIAL [X] SECRET
Approved For RRUDA/OOI~R~IJ~~RDBYB~D601035 l$J~S16-4
(other than property or building maintenance and repairs)
-(specify
25X1
OFFICE/DIV/BR
REQUEST NO.
DATE OF REQUEST
I CERTI ED
2It f-( I
AMOUNT 5X1
-
# y. 1970.
?
AVAILABLE. CHARGE TO FAN - S'~
PROJEC TITCE PROJECT OR CONTACT OFFICER
E
Inte ted lnfor
PROPOSAL NO. AND DA"E CONTRACT & TASK ORDER NO. (if known)
fl Eaher 2.970
APPLICABLE ONLY TO
TYPE OF SERVICE REQUESTED
ECHNICAL INSPECTION 19 REQUIRED BY
RE EARCH/DEV TRANSFER OF FUNDS TO RECEIVING DEPOT T & I TECHNICAL MONITOR
OTHER GOVT. AGENCY
GRANT (specify if applicable) Q ITEMS TO BE PICKED UP OR I SERVICES PERFORMED AT:
REPAIR
MAINTENANCE ITEMS TO BE REDE_IVERED TO:
MODIFICATION
STERILITY
CONTRACT CLASSIFICATION
WORK CLASSIFICATION
HARDWARE CLASSIFICATION
REPORTS CLASSIFICATION
SC 0
SC 1
SE
NA
NA
sc 2
SHORT SUBSTANTIVE TITLE AND/OR DESCRIPTION OF SERVICE TO BE PERFORI4ED
The above stmt is to cover an over due
to a change in their indirect Tate. Ofound t able to crams ,e e the Tpmint
of required progrwgs der funding levels est lited, has provided quality s
and effective project mariagerent. The a t 0 is available frma FY 69
Declass Review by
NIMA/DOD
(See reverse for specific information
required on R&D requests.)
APPROVAL
DESIGNATION
DATE
Chief AID/Al
l
"z 7 r7e
Chief
7
6Nov1910
DATE RECEIVED IN PD
RECORDED BY
SECTION ASSIGNED T)
NEGOTIATOR
FORM 211A0 REPLACES FORMS
9.87 ''TTLL 2 Approvet3'? AgCab&d 92/1 1 E0X9W~d1d3A00[ f 0520899-4
WHICH MAY BE
USED.
(specif)