REQUISITION FOR SUPPLIES, EQUIPMENT OR SERVICE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79-00434A000200010044-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 11
• Document Creation Date: December 9, 2016
• Document Release Date: July 14, 2000
• Sequence Number: 44
• Content Type: FORM

Approved or a eat,
-
il
c
SERVICES USE ONLY
.,
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if
7-,A;s r .,.rtfiiax Qp,
REQUISITION FOR SUPPLIES
EQUIPMENT OR M
UISITION NO. 25X1A6a
,
AP
PROVED BY
NOTE: See instructions on Reverse Side.
Page of Pages
DELIVER A9a 1 -~T'
THIS DATE
I certify that the Items indicated hereon are required for use in the public service.
OFFICE
4-WISMI
25X1A9a
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
ACCO NO.
CHARGE ALLOTMENT NO.
RECEIPT. (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been received in serviceable condition
except as otherwise noted.
DATE SIGNATURE OF RECIPIENT
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
1
Baw. amp (emu)
as
10
22
w*A>
,-
!s* TM s
90
J3
6*W
?
AL i
.. ti
50
*'
Sol
.
5.,
40
?*
k
{ ' .. '
d[
w
FOR SERVICES USE ONLY
REQUISITION NO.
REQUISITION DATE
OFFICE
REQUISITIONED BY
TOTAL
SHIPPED BY
SERVICES AUDIT
FILL. BY
ICHECK. BY
DEL. BY
FREIGHT I MAIL
EXPRESS II PARCEL POST
GOV. B/L NO.
DATE
BY
FORM NO...., Approve or Release - - -
 Approved For Release 2000/08/23 i 1Q: 9ARRDPM00434A000200010044-0
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Administrative Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
ITEM
PROGRESS
PROC
DO
FOLLOW-UP
DATE
NO.
1
2
STOCK
VENDOR
.
C.
NO.
DUE
AT
1
2
4
6
REC'D.
1
2
3
4
5
6
7
9
9
10
11
12
13
14
15
Approved
For Release 2000/08/23 CIA-RDP79-0
0434A000200010044-0
 Approved For Relea ,;2000/0 - -
SERVICES USE ONLY
REQUISITION FOR SUPPLIES
EQUIPMENT OR SERVICE
REOUISITION NO.
,
APPROVED BY
NOTE: seeinstructions on Reverse Side.
Page of Pages
DELIVER TO
THIS DATE
I certify that the Items indicated hereon are required for use In the public service.
OFFICE
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
ACCOUNT NO.
CHARGE ALLOTMENT NO.
RECEIPT (To be completed after delivery of items or service.}
I certify that the quantities of items and/or services itemized below have been received in serviceable condition
except as otherwise noted.
DATE SIGNATURE OF RECIPIENT
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
1"twl"kt r t
*W
I 4w
31!L
%Ibex -
6
*a
430
060
40
l 2b)
5*W
6*
cwl~p a7
2
ow
170
6
201
M
,
Pnlwo be 6
6
In
...
o , WataTroxitt 218 X 5 yd
30
24
es
*112
I
3A b
100
Taiivilso hift!
30
*27
FOR SERVICES USE ONLY
REQUISITION NO.
REQUISITION DATE
OFFICE
REQUISITIONED BY
TOTAL
SHIPPED BY
SERVICES AUDIT
FILL. BY
CHECK. BY
DEL. BY
-
FREIGHT I1 MAIL
EXPRESS II PARCEL POST
GOV. B/L NO.
DATE
BY
lease 2000/08/23 : - - -
FORM NO...., Approved or Re
 Approved For Release 2000/08/23 1 I IARFr3?'I7t#?0434A000200010044-0
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Administretive Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
ITEM
PROGRESS
PROC
DO
FOLLOW-UP
DATE
NO.
1
2
STOCK
VENDOR
.
C.
NO.
DUE
DATE
1
2
4
6
REC'D.
1
2
3
4
5
6
7
A,
9
10
11
12
13
14
15
Approved
For Release 2000/08/23 CIA-RDP79-0
0434A000200010044-0
 Approved For Relea?IW2000/08/23 : CIA-RDP79-00434A0002
FDR SERVICES USE ONLY
REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE
1 I ON NO.
APPROVED BY
NOTE: See Instructions on reverse side.
Page of Pages
DELIVER TO
THIS DATE
I certify that the items indicated hereon are required for use in the public service.
OFFICE
(SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL)
ACCOUNT NO.
CHARGE ALLOTMENT NO.
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been received in serviceable condition except as other-
wise noted.
(DATE) (SIGNATURE OF RECIPIENT)
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
. --------------------------
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FOR SERVICES USE ONLY
----------
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-----------------------
REQUIS
ITION NO. I
REQUISIT
ION DATE
OFFICE
REQUISITIONED
BY
T
OTAL
-~ ?-~~???+
SHIPPED BY
SERVICES AUDIT
FILLED BY
CHECKED BY
DEL. BY
^ FREIGHT ^ MAIL
__
GOVERNMENT B/L NO.
DATE BY
^ EXPRESS PARW+-Pq;~-~
;99-4&4&4AQG024004.W
M4-0
 Complete a or
ITEM
PROGRESS
PROC DOG
DUE
FOLLOW-UP
DATE
NO
STOCK
VENDOR
Nb.
DATE
1
2
3
4
5
6
RECEIVED
.
1
2
3
1
-
-
-
--
--------------
------------
--------
--------
-------
--------
--------
--------
------------
------
2
----------
----------
---
------
------------
----------------------------
-
-
-
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------
3
----------
----------
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-
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4
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-
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5
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6
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 Approved For Relea&Q000/08/ 3 : - -
SERVICES USE ONLY
REQUISITION FOR SUPPLIES
EQUIPMENT OR SERVICE
REOUISITION NO.
,
APPROVED BY
NOTE: See instructions On Reverse Side.
Page of Pages
DELIVER TO
THIS DATE
I certify that the items Indicated hereon are required for use In the public service.
OFFICE
SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER SIGNATURE OF APPROVING OFFICIAL
ACCOUNT NO.
CHARGE ALLOTMENT NO.
RECEIPT (To be completed after delivery of items or service.)
I certify that the quantities of items and/or services itemized below have been received in serviceable condition
except as otherwise noted.
DATE SIGNATURE OF RECIPIENT
ITEM
NO.
STOCK NO.
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
AMOUNT
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FOR SERVICES USE ONLY
REQUISITION NO.
REQUISITION DATE
OFFICE
REQUISITIONED BY
TOTAL
SHIPPED BY
SERVICES AUDIT
FILL. BY
CHECK. BY
DEL. BY
FREIGHT MAIL
(-~ EXPRESS PARCEL POST
GOV. B/L NO.
DATE
BY
FORM NO. pprove or a ease - -
APR 1950 36.7
 1 DPYeN 90434A000200010044-0
Complete this form with typewriter only. The number of copies required and the addressees
for various types of requisitions are contained in Administretive Instruction No. 40-1
FOR SERVICES USE ONLY
REMARKS:
ITEM
PROGRESS
P
FOLLOW-UP
NO.
1
2
STOCK
VENDOR
ROC. DOC.
NO.
DUE
DATE
1
2
4
6
DATE
REC'D.
1
2
3
5
6
7
9
10
11
12
13
14
15
Approved
For Release 2000/08/23 CIA-RDP79-0
0434A0
00200010044-0
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