RECEIVING REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04770A001600020003-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: June 6, 2005
• Sequence Number: 3
• Publication Date: September 23, 1966
• Content Type: FORM

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0ApprAed FGRele. a 200006/23, CIA-R)P78ED477.0490160OD200001_.
RECEIVING DISCOUNT TERMS
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PURCHASE ORDER NO.
RECEIVING V UI(:Fjtr~kNd?
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-47
64-5772
67-51313
ISSUING OFFICE CONTRACT NO.
ACTIVITY PREPARING THIS REPORT
SHIPMENT NO.
PDCS
821
993
yZX PARTIAL FINAL
REQUISITION NO.
REQN. OFFICE COPY TO
CHARGE ALLOTMENT NO.
CHARGE COST CENTER NO
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15500-8006-64 A#L1 ?
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x755-2127
VENDOR t'. DELIVERY TO (CAR
N IC
INVOICE NO. 82
V
ITEM STOCK NO.
NO. DESCRIPTION QTY. UNIT UNIT
TOTAL
ACCEPTED ISSUE PRICE
PRICE
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acturilg Specifications and Drwnga.
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Operation and Maintenance Manual
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I CERTIFY THESE SUPPLI
ES OR SERVIC ERE RECEIVED/INSPECTED IN THE QUALITY AND QU
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EXCEPT AS N
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WAREHOUSE RECEIVING UNIT
DATE RECEIVED PIECES WEIGHT CUBE CARRIER
9/23/66 1 45 1f. RDA
F
T ECHNICAL INSPECTION (REQUIRED YE
DATE RECEIVED
INSPECT. ACTIVITY
INSPECT. NO.
INSPECTION
SIGNATURE OF INSPECTOR
11=0
ACCEPTED REJECTIONS
ON LOCAL DELIVERIES RECIPIENT WILL SIGN COPY 7 AND RETURN TO SUPPLY DIVISION
DATE RECEIVED
FORM
NAME. BUILDING, ROOM NO., OFFICE SYMBOL
SIGNATURE OF RECIPIENT OF SUPPLIES OR SERVICES
2-62
595 USE PREVIOUS EWpprr.ved For Release 2005/06/2600OWDP78B04770A001600020003-1
NGA Review Complete
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