SURVEY REPORT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00878R001200030005-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 12, 2016
• Document Release Date: August 10, 2000
• Sequence Number: 5
• Content Type: FORM

Approved For Re eas -
ABER
SURVEY REPORT
DATE
VOUCHER NO.
LOCATIO O SURVEYED ITEM LOCATION OF ACCOUNTABLE: RECORD
2 Pasadena Ave.., Pasadena, Calif. 370 S. Fair Oaks Ave., Pasadena, Calif.
ACCOUNTABLE OR RESPONSIBLE INDIVIDUAL (
AME)
N
Hycon Mig? Company
STOCK
NUMBER
DESCRIPTION OF ARTICLES
QUANTITY
UNIT
COST
TOTAL
COST
DISPOSITION
None
Dejur Stenoretts w/mikes
2
$16Q
. 50
339.0
Lost
STATIN
L
TOTAL
39.00
CIRCUMSTANCES (INCLUDE NAMES. DATES AND LOCATIONS)
-BEING DULY SWORN. DEPOSES AND SAYS. THAT THE ARTICLES OF
PUBLIC PROPERTY SHOWN ABOVE AND/OR ON ATTACHED SHEETS WERE LOST. DAMAGED, OR DESTROYED WHILE IN THE PUBLIC
SERVICE. THE CIRCUMSTANCES BEING AS FOLLOWS:
7 g ~s
The units described a
bove were purchased Hycon Mfg. Company on
y,~
,,
Purchase Order #62259 dated 17 May 1956 and
received at Z9 S.Pasadena Ave.
j 9
on, 21
ay 9
56, Receiving Inspection Report #110429. (These units were never
m
^
assigned a Hycon part number) i o the best of ray knowledge and belief one of
the units was sent to }".het. A and one maintained at 29 S. Pasadena Ave. so that
tapes could be exchanged via Courier and technical and operational information
could be transmitted that would benefit the Project. STATINTL
(see attached sheet)
SUBSCRIBED ANDSWORN TO BEFORE ME THIS 24th DAY OF August
1957
-,-_
AT Pasadena, California Cli.f
STATINTL
SIGNATURE (N ARY PUBLIC OR SUMMARY COURT)
REVIEW BOARD
FINANCE DIVISION My Commission Expires Mar. 271 1963
APPROVED
Approved For Release 2001/07/27 _CI
-RDP81 B00878RO01200030005-6
SIGNATURE (CHAIRMAN)
SIGNATURE (CHIEF)
FORM NO. 39) 1 REPLACES FORM 36- 18. AUG 53
1 FEB 56 WHICH MAY OF US. 4141
 FINDINGS
__ _ Approved-For-Re- lease-2001/OT/27 CA-RIIP81Bo0878R0012000-36005=g-
I HAVE PERSONALLY INVESTIGATED ALL AVAILABLE EVIDENCE AS SHOWN IN EXHIBITS TO AND
IT IS MY BELIEF THAT THE ARTICLES LISTED HEREON AND/OR ON ATTACHED SHEETS. TOTAL COST
SIGNATURE (INVESTIGATING OFFICER)
CERTIFICATION (PROPERTY ACCOUNTABLE OFFICER)
CERTIFY THAT THE ITEMS LISTED HEREON AND/OR ON ATTACHED SHEETS APPEAR ON MY STOCK RECORD ACCOUNT AND WERE
ISSUED ON M/R TO RESPONSIBLE PERSON INITIATING THIS SURVEY.
SIGNATURE (ACCOUNTABLE OFFICER)
RECOMMENDATION (CHIEF OF INSTALLATION OR DIVISION)
INVESTIGATION OF ALL AVAILABLE EVIDENCE DOES OR DOES NOT) SUBSTANTIATE THE FINDINGS OF THE INVESTIGATING
OFFICER.
SI GNATURE
RECOMMENDATION (PROPERTY SURVEY OFFICER - HEADQUARTERS OR FIELD
SIGNATURE
MOTE: -4FSP ACE QIS INADEQUATE. ANOTHER SHEET MAY BE USED MAKING REFERENCE IN THE SPACE PROVIDED AS FOLLOWS: (SEE
. ATTACHE,) SHE ipproveAF,9 Rpp V 2001/07/27.: CIA-RDP81 B00878RO01200030005-6
 Approved For Release 2001/07/27 : CIA-RDP81 B00878RO01 200030005-6
The last known location of the units were: one (1) at Detachment
d one (1) at 29 So. Pasadena Ave. All efforts to locate the units has
coed are three (3) statements that can be used to subs
this report of survey.
Approved For Release 2001/07/27 : CIA-RDP81 B00878RO01 200030005-6