INVENTORY SCHEDULE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP66B00728R000100020003-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 7
• Document Creation Date: December 9, 2016
• Document Release Date: June 7, 2001
• Sequence Number: 3
• Publication Date: July 15, 1963
• Content Type: FORM

Approved ~*&1geW i7M: "6- "j7i$g000100020003- orm Approved
(Pursuant to "Patent Rights" Contract Clause) Budget Bureau No. 22-8160
CONTRACTOR
A FINAL report shell be submitted as soon as practicable
after the work under the contract is complete and shall in-
clude (a) a summary of all inventions required by the contract
to be reported, including all inventions previously reported
and any inventions since the last INTERIM report; and (b)
any required information for subcontracts which has not pre-
viously been reported.
Subject Inventions required to be reported by the "Patent Rights" clause)
4. INVENTION DATA (check one)
?a. THERE WERE NO INVENTIONS WHICH REASONABLY APPEAR TO BE PATENTABLE
Ob. LISTED BELOW ARE INVENTIONS WHICH REASONABLY APPEAR TO BE PATENTABLE. ANY INVENTION DISCLOSURES WHICH
HAVE NOT BEEN PREVIOUSLY SUBMITTED TO THE CONTRACTING OFFICER ARE ATTACHED TO THIS REPORT.
INSTRUCTIONS TO
This form may be used for INTERIM and FINAL reports, and
when used shall be completed and forwarded to the Contracting
Officer in triplicate.
An INTERIM report shall be submitted at least every twelve
months, commencing with the date of the contract, and should
Include only those Inventions and subcontracts for which com-
plete information has not previously been reported.
CONTRACTOR CERTIFIES THAT THIS REPORT OF INVENTIONS AND SUBCONTRACTS INCLUDING ANY ATTACHMENTS,
IS CORRECT TO THE BEST OF THE CONTRACTOR'S KNOWLEDGE AND BELIEF
(Iv)
v
CONFIRMATORY
PATENT
CONTRACTOR
HAS FILED
LICENSE OR
APPLICATION
OR WILL FILE
ASSIGNMENT HAS
SERIAL NUMBER
U.S. PATENT
BEEN FORWARD-
AND CONTRAC-
APPLICATION
D TO CONTRAC
TOR'S DOCKET NO.
TING OFFICER
INFORMATION REQUIRED BUT NOT PREVIOUSLY REPORTED FOR SUBCONTRACTS. (It not applicable, write'None'.)
Approved For Release 2001/07/28 : CIA-RDP66B00728R000100020003-4
 FOR LOSE
OF CON-
AGENCY
ONLY
Approved For Release 24i/0.7/28: CIA-RDP66B00728R000100
Gear 64 tooth 4"pp PA-4416Y-G
Pinion 16 tooth 1"pd PA-44164-P
Brake, spring applied SAB-80-3-58-B
Transformer 60V-33-1/3A-2100W 1C22
Reactor R-210031 AC Load 1C23
Pulley-Timing 20XL037
Pulley-Timing 12XL050
Bodine Motor NOR-12RC
Bodine Motos. ISH-12RG
Ball Bearing =M653
IIEIIEIIEH~ No.
9031-1
0140 Olt
FROCEtM OF
SALE
25X1,
OF CON-
mRACTING
AGENCY
Or'Y
The widwsywed, iWnid.My sad as an ovNrerized npr.swHatiw of the Conkoctor, certifies that he
has examined this Iwr.alo , S., , ,s, p4 ftvwjw s to i dusiire, dstied
I IS w sad to Nse bust of his Ivtowle .9s, hosed span id.nsss-
and *i.t in the .sere. of his best I
tion believed by his I. be n iidus, said SdrsduIs has bum pnpa in otxwdante with app",
iwiewdions; that tlse weorMry darcnlwd Nrer.ia is alfoouM. b Nr. dosipaisd cOIMoct and is lacalsd
w the plot., specthd; if do pwpwly wporosd Nrsr.in is brarisdisa kaarry. Net the 4o.aNN.s s.
aM is .:assn of M re.eos, 1t arMfibtie. rNairoresaes of 11. Mrtairsalad pAi.a of Nee .wdredi
MAW or 25X1A
COST
(tor &Wad roduct
dww cm*wd price
iertead of car)
uwa
{e)
?alas
{ry
loose
03
2
ea
9.20
18.40
loose
03
2
ea
2.45
4.90
loose
03
2
ea
68.50
137.00
loose
03
1
. ea
95.00
95.00
loose
03
1
ea
126.00
126.00
loose
03
1
ea
2.92
2.92
loose
03
1
4.74
4.74
loose
03
1
.ea
51.52
51.52
loose
03
1
.ea
51.52
51.52
loose
03
13
8.82
114.66
abler work; that M assts shown on such Sch.dules or. in octordance with do Ccolvaclar's
Mbo Nif
i
th
d
so
sp
ou
a
Scar nt and that *w Priam shown in coluaw 9, r.prtsontarq the fnew.ds
home mvwr.d Mrw.ry, we fair and raaswwbla.
Tbu Canttaclsr apaw 1. inform the Conliewtia0 O*cer of any sabs .Iiol cimnge in Nre stalls of
the ia..Msry show in Nris Sdedale b.iw..a dw dole hw..f and *10 *01 disposition of such invwiswr.
S.bject 1. my oVlhorizod prier disposition, title 10 On ia+oala r listed in this Sdr.duM is burby
- -- is wwrmftd is be fine and Clow of all liens and wicawbranas.
party M
resaa or IlIfflltirtfo,,
Approved For Release 2001/07/28 : CIA DP66B00728R000100020003-4
July 15, 1963
t o.MswICAT ON (s.. M.erdi. M reveres)
Purchased Parts
awlger
July 15, 1963
DD 543 mmaN Or i mS I, th oflSOt4R.
 w S U P P L B X E R j4jplpved For Release 20
7/28: CIA-RDP66B00728R00010002(003-4
INVENTORY SCHEDULE B CONTINU TIA ON SHEET
U%W MAC (O*w raw AWA) ^ i ? NON-TERiM)NAYION
P
IROlI.SEO PARTS
GOVEW"Da
FI NSMW COWON&M POW OONTRAL7 NO. SIRwTRACT OR P. O. NO. El FINISi9ED PROOIx7 rft FROMM
ENO.
CIASSI'IGATION .. by-vdio. an DD 5.3)
Casiisd (S
9Q31-1
F01 USE
OF COIE
TUCTM
A
OP(v
MA
NO
11 Ball Bearing R6K3
12 Capacitor 10M 0600 DC F106K
13 Lens - Switar 25)04 F1.4
14 Lens - Pro Raptor F5.6 6 3/8
15 Alum Tubing 3/4"
16 Misc. Alua Stock
Approved For Relea
Purchased Parts
GO...e.r.M PAW o.
DAavsaa Na....
AM
Rev. "VMS"
(b l (
Tvrr OF P.cz,wp
(I bba.
O.Ax, .A:.)
(b2)
(c)
103
03
03
03
103
loose 103
loose
loose
loose
loose
loose
UNIT OF
rMEASIRIE
F.rw ayipre.ed
i.%.r 1.r... Na. 22-1075.
PAGE
July 15. 1963
COST
(For prede~d d~,?
Comkod
?ea 4.72
1 ? ea 9.11
1 ea 168.00
1 ?ea 94.50
3'711 lea 7.461
03-4.
18.8
9.1
168.0
94.5
7.4
CONTRACTOI's
ofm s1
Maim OF
ULE
No. OF
fAr
DD l r 7 5430 ucssorows.>-I. 1 ,. a, ws
 Approved For Release 200 Oct : C6- DP6D07WOMU 3-4
SHC65-9031-306
Copy No.
FINAL CLOSE-OUT
Approved For Relea$f t OE L AILRDP6Hok1Db(WdB-4
 SPECIAL
Approved For Release 2001/07/28: CIA-RDP66 0 93-4
Release
Assignment of Refunds, Rebates and Credits
.Certification for Percentage of Completion
Cost - Analysis at Recoverable Overhead and G & A Rates
Approved For Relea-5 E3t AC6-RDPW&7WFQL&hb i-4
 _ :'n tee Y+C'~ ~. .,. : .... .,~ .. .. ..... .... , a.:.
PE C
A rc3v~d for Fe(ease 4f11/t1i28 ;;CIA- IDP& D AR 6 J 2 -4
h
Pursuant to the terms of Contract No. BB-425 Task 2 2
and in considti
f
h
t
e
era
on o
t
e sum
of thirt -two thousand, six hundred forty-nine dollars and eighty-three cents
which has been or is to be paid under the said contract to
cal
he
na
-
d th
?ei
f-
4
le
e 4vnEracLor) or its assignees;
n y. the ontrar~hnr_ tfnnn na.r..e.,- .?F .h.. -ice _ t__
- --- r -j ---?- - -?-?- vw,a,-. ouR, LPy L.LIe uniLeu states of America
(hereinafter called the Government) does remise, release and discharge the Government,
their officers, agents and employees of and from all liabilities, obligations, claims
and demands whatsoever under or arising from the said contract, except:
1. Specified claims in stated amounts or in estimated amounts where the
amounts are not susceptible of exact statement by the Contractor, as follows:
2. Claims, together with reasonable expenses incidental thereto, based upon
the liabilities'of"the Government to third`p$Yties arising 'out of the per-
formance of the said contract which are not known to the Contractor on the
date of the execution of this release and of which the Contractor gives
notice in. writing to the Government within the period specified in the said
contract.
3. Claims for reimbursement of costs (other than expenses of the Contractor
by reason of its indemnification of the Government against patent liability),
including reasonable e
xpenses incidental thereto, incurred by the Contractor
under;th
eprovisions of the said.contract relating to patents.
The Contractor agrees, in connection' with patent matters mid with .'claims which areV
not .released as set.forth above that, it_ will _cpmply with `all of the .provisions of
the said contract,includingwithout.limitat ion those 'provisions relating to
notification to the'Government and. relatingIto the defens eor
prosecution yo?
litigation.:,
eta
4z. - IN WITNESS WI~REOF th release has been executed `this eighth rda
Y
65" d
25X1A
25X1,A
Title _ Corporation Controller
(Official Title 25X1A
of the corporation named as Contractor in the foregoing release; that
who signed said release on behalf of the Contractor, was then Secretary
Official Title _
of said corporation; that said release was duly signed for and in behalf of said
corporation by authority of its governing body and is within the scope of its
corporate powers.
(Corporate S.al)
Approved For Rele ci/.8`1A-RDPkd N I N 3-4
 Appr- ue~d For Rele~s ~l. 7~ ~_ Q-RDPB" M(P'LOOp -4
ASSIGNMENT OF REFUNDS, REBATES AND CREDITS
25X1A
Pursuant to the terms of Contract No.,
of the reimbursement of costs and payment
W&M ment thereunder,
(hereinafter ca
A
tract
1. Assign, transfer, set over and release to the'United States of America
(hereinafter, called the Government) all right, title and interest to all
refunds, rebates, credits or other amounts (including any interest thereon)
.arising out of the performance of the said contract, together with all the
rights of-action accrued or which may hereafter accrue thereunder.'
2. Agree to take whatever action may be necessary to effect prompt collection
of all refunds, rebates, credits or other amounts (including any interest
thereon) due, or which may become due, and to promptly forward to the Govern-
ment checks (made payable to the Treasurer of the United States) for any
proceeds so collected. The reasonable costs of any such action to effect
collection shall constitute allowable costs when approved by the Contracting
Officer as stated in the said contract and may be applied to reduce any
amounts otherwise payable to the Government under the terms hereof.
3. Agree to cooperate fully with the Government as to any claim or $uit
in connection with refund
b
s, re
ates, credits, or other amounts due (including
any iritPrP~r rf,.,~?~,,,1. - -
any caring, trig , or other proceeding arising out
of.. such"claim
then o ati n Controller of said corporation; that said release was duly
Official Title
signed for and in behalf of said corporation by authority of its governing body
who signed said rP9 naaa n- i. i-:., c -Z ~t-
certify that I am'the Secretary.
and is within the scope of its corporate powers.
- 25X1A
and in consideration
(Corporate Seal)
Approved For Rele e0ftj/~WJ80CIA-RDPP
_TAO 7~9 FAOp1Q0ki 0~1Q3-4
Contract No. BB-425, Task 2