REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP79-00434A000200010046-8
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
12
Document Creation Date: 
December 9, 2016
Document Release Date: 
July 14, 2000
Sequence Number: 
46
Case Number: 
Content Type: 
FORM
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PDF icon CIA-RDP79-00434A000200010046-8.pdf675.85 KB
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.~~?~ F I E NLY App ved For Reiloase 2000/08/23 :CIA-RDP79-00 REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE 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 25X1A9a ACCOII~'~ ~ `OTMENT N0. (S SPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL) - 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) -. , INO, STOCK N0. DESCRIPTION QUANTITY UNIT PRICE` AMOUNT '-- --------~----------------- -~ - - --- ma~y1 ----tr -------- --- ------------ - ~ --- -~'^---~f- ------~--- -- -------------- ------------------------ ~~ --------- ----------?---- - --~ae~-s-- -- ~ _ -#- --- ------------ -------- --- ----------- -~'~- ---------------- --------- - i~--- ~ ~ - -- .' - -- -------------------------- - 3 ,. _:. _, --.ate--~ ',~~^Ip- et ~#'-~~- -.--------- -------- -------------- ------------------------ w i ------ - ~ -------------- ------------------------ ~P ~~!+1~ q`S +~ ~ - tP --------------------------~ ~ ~-- pit `-+~- -' _ -~- ---------- --------------~.~ ?~ y~ : .. : - -~ - _ -9~P+ie~$ _ _ ,ads : - '_ i ._ ' , _. ---------- ~--- --------~ FOR SERVICES USE ONLY REQUI SITION NO. I REQUISIT ION DATE OFFICE REQUISITIONED BY _ T OTAL ..,? :.::. :;: .;, :;; SHIPPED BY SERVIC ES AUDIT FILLED BY CHECKED BY DEL. BY ~ FREIGHT ~ MAIL GOVERNMENT B/L NO. DATE BY EXPRESS PAC POST ' INSTRUCTIONS Complet ~~ ~r~ ~~e pi ? q isitions are contained in Administrative Instruction No. 40-1. FOR SERVICES USE ONLY REMARKS: ITEM PROGRESS PROC. DOC. DUE FOLLOW~UP DATE N0. 1 2 3 STOCK VENDOR NO. DATE 1 2 3 4 5 6 RECEIVED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 ~ ~~f--- ~--------- ---------- ------------ ---------------------------------- --- ppr ove or a ase ,~~ ,o , - e . FO R I E E NLY ? Approved For Ruse 2000/08/23 :CIA-RDP79-00 . REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE 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 25X1 Aga AC RGE ALLOTMENT N0. ESPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL) RECEIPT (lo be completed after delivery of items or service.) T certify that the quantities of items and/or services itemized below have been received in serviceable condition except as other- wise noted. (PATE) (SIGNATURE OF RECIPIENT) ITEM N0. STOCK NO. DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT -~- -------------------------- -. ~- ~.~~'---fir` ~~z- 91r-----~------------ ---~------ --~' - -~~Y - -- ----~-~i~ifr----- ---------------------- ----------- --? -------------- ------------------------ - '~~ ---------------- --------- ggyyp~ # -~i1~ ~~-- -- ------ - ------- ----------- --------- -- -------------- ----------------------- --~'~ -------------------------- aq -` ' ,fir- , ' - ~--- ------------- --------- -- -----?------- ------------------------ - ~~3~ -------------------------- - -- --------------------------------------------------------- - ---------- ---- M------------- ------------------------ - ~fialG~. ----------------- -------- -- - - #'-------------------- ----------- -- - ------------------------- - ,pper~ --------- -- -*; -------------------------- --. -_. ,~-ARID. ~ ,_;'.. ~--~-_ :-------;ilk-- --'~ -------------- - - ii -------------------------- -- ~- -~~-- -- R'- --- -------~-- -' ?------------ ------------------------ ~ ~~ i~ ~~ _ OR S RVIC USE ONLY REQUI SITION NO. I REQUISIT ION DATE OFFICE REQUISITIONED BY T OTAL .... ..::}:: 1...F .> .:.., HIPP S ED B Y SERVIC ES AUDIT FILLED BY CHECKED BY DEL. BY - ----- ~ FREIGHT ~ MAIL GOVERNMENT BrL NO. DATE BY EXPRESS PARCEL POST FORM N0. Apr 1950 3 6- ia-szioz-i Complet~'klkfi~fd~'i~I ~lh~t#i~rJ~i~e~6iflp?~'I~~~ contained in Administrative Instruction N'o. 40-1. ITEM PROGRESS PROC. DOC. DUE FOLLOW~UP DATE N0. 1 2 3 STOCK VENDOR NO. DATE 1 2 3 4 RECEIVED 5 6 1 2 ------ 3 ---------- ---------- ---------- ------------ ---------------------------------- -------------- ------------ -------- -------- -------- -------- -------- -------- ------------ 4 5 6 7 8 9 10 11 12 13 14 15 ppr ove or~Re~ lease T~~ o ~ - 4 FOR SERVICES USE ONLY Approved For Ruse 2000/08/23: CIA-RDP79-OO' REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE ~, APPROVED BY NOTE: See Instructions on rever:;e side. Page of Pages DELIVER TO THIS DATE I certify that the items indicated hereon are required for use in the public service. OFF[CE 25X1 Aga A('C6H ~ ' .' ALLOTMENT NO. ESPONSIBLE OFFICER) (5IGNATURE OF APPROVING OFFICIAL) "l'+3*'Ik ? ~ RECEIPT (To be completed after delivery of items or service.) Y 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) INO. STOCK N0. DESCRIPTION QUAPITITY UNIT PRICE AMOUNT -~- -------~ ---------------- --- -- --------------------------- ---------~------------ --------- -"~if -------------- -------- --------------- -.7rs-~- -------------------------- --- ~ M +~, ~- --------- ---------------- --- 4.~~- - ---------------------------------------- ----------- -!^ -------------- -----------------?------ ~1F- -------------------------- -~+~--~ 'fit--~~~---------------- l------- ----~ -i" -------------- ------------------------ a ~r a-- ---------- --------------- - ~ ~~-- -------------------------- -----?---- - -------------- ------------------------ ~- -------------------------- ~ sl----------------------------------------- ----~------- -i!!^ -------------- ------------------------ -~ar - --------------- --~~ ~-- --~-- -------------- -------- -------------- ------------------------ - - ---- - -------------------------- ------------------- - -------------------------------------------------------- -------------- -------- ----?-------- ------------------------ ~ a ~ ~! ~ FOR SERVICES USE ONLY REQUI SITION NO. REQUISIT ION DATE OFFICE REQUISITIONED BY I TOTAL .. .: .: .~ .. HIPPE S D BY E AUDIT SERVIC S FILLED BY CHECKED BY DEL. BY _ ~ FREIGHT ~ MAIL GOVERNMENT e/L NO. DATE BY ! _______ _~__'___!'~ EXPRESS ~ PARCEL POST ,~___ AA /AA/AA _ AAA !\I'~. l~-lA r~ ~ ~ I ~~~~~ ./~A~~~-- FORM N0. Apr 1950 36- INSTRUCTIONS Comple ,~1~'d~( h ~~ ~ ~~~e pi n -e s o - isitions are contained in Administrative Instruction No. 40-I. FOR SERVICES USE ONLY REMARKS: _. ITEM PROGRESS PROC. DOC DUE FOL'LOW~UP DATE NO. 1 2 3 STOCK VENDOR . NO. DATE ~ 2 3 4 5 6 RECEIVED 1 p ~----- 3 ---------- ---------- ------'r-- ------------ -----------------------------?--- -------------- ------------ -------- -------- -------- -------- -------- -------- ------------ 4 5 6 7 8 9 10 11 1z 13 14 w 15 ----------- -------- -------- -------- -------- -------- -------- ------------ r pp ove or e lease TING - 4 Approved For Ruse 2000/08/23 :CIA-RDP79-00' ,,,ylf~F,~S ~I~E,QNLr REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE 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 25X1 Aga ACCOU LOTMENT N0. (SIG NSIBLE OFFICER) (SIGNATURE OF APPROVING GFFICIAL) 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 N0. DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT - - -- -------------------------- -'~ i+ g~~, -fle -------------------------- - .-- ~-- -~-I-~--------------------- - ---------- -"it -------------- ---------------------- ' ~ -------- --------------------------! gy, , L ~d~ - ~y -. ~ ~Ad-~'. ,,'-,fir ~ ---- ----- -'---- --+~ ---------'---- ------------------------ ~? ~~ :~ -~~ - ~~: - ---------------- ---------~--- --~31t -------------- ------------------------ ~ ~' ~~ ~ ~~ a~~ ~g id.+ifl ------------------------- - ~ ~~J~4 .~ FOR SERVICES USE ONLY REQUI SITION N0. I REQUISIT ION DATE OFFICE REQUISITIONED BY _ T OTAL ..~. ..... HIPPED S BY ERVIC E AUD T FILLED BY CHECKED BY DEL. BY ~ FREIGHT ~ MAIL GOVERNMENT B/L N0. DATE BY EXPRESS PARCEL POST FORM N0. Apr 1950 3 6- INSTRUCTIONS Complet ~~w t~~ a pie i e s q isitions are contained in Administrative Instruction No. 40-1. FOR SERVICES USE ONLV REMARKS: ITEM PROGRESS ~ PROC. DOC. DUE FOLLOW-UP DATE NO. 1 2 3 STOCK VENDOR NO. DATE 1 2 3 4 5 6 RECEIVED 1 . 2 ------ 3 ---------- ---------- ---------- ------------ ------_---------------------------- -------------- ------------ -------- -------- -------- -------- -------- -------- ------------ 4 5 6 7 8 9 10 n 12 13 14 15 ----- - -------- -------- ------------ ppro ve or e ease Tw~ o ~ - ~ FOR SERVICES USE ONLY ? Approved For Rekiese 2000/08/23 :CIA-RDP79-00` REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE APPROVED BY NOTE: Sce Instructions on reverse side. Fage of Pages _ DELIVER TO THIS DATE I certify that the items indicated hereon are required for use in the public service. OFFICE 25X1 Aga r~ ACCO - ' ~ OTMENT NO. RESPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL) s RECEIPT (1'o 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 N0. STOCK NO. DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT -~- --------- ---------------- -~i ---,-~fi------------------- ----------------------- ---------- -'i5t ~-------------- ------- --------------- _ -~- -------------------------- -~~~~--- ~~ -~------------------ - ----------- ----------- -------?-- -~~7I~ ------------- - ------------------------ ~g - r~J s ---------------- ---------. .. _....-lItF3.~- _ -. ~ `----- ---------- --~ ~-------------- ------------------------ -:M - -------------------------- ~ -~~n` --wi7Lf--r~--~-------------------- ----'~----- -- -------------- ------------------------ FOR SERVICES USE NLY REQUI SITION NO. I REQUISIT ION DATE OFFICE REQUISITIONED BY T OTAL -~i SHIPPED BY '' _ SERVICES AUDIT FILLED BY I CHECKED BY DEL. BY FREIGHT ~ MAIL __ GOVERNMENT B/L N0. DATE BY EXPRESS PARCEL POST INSTRUCTIONS Complet p~'d0l~(? ~~ ~,se pi ~ ~ sitions are contained in Administrative Instruction No. 40-1. FOR SERVICES USE ONLY REMARKS: ITEM PROGRESS PROG. DOC. DUE FOLLOW-UP DATE N0. 1 2 3 STOCK VENDOR NO. DATE 1 2 3 4 5 6 RECEIVED 1 2 3 a 5 6 7 8 9 10 11 12 13 la i5 - - -------- -------- -------- ------------ ppr ove or e lease Twc 0 1 ~~ Approved For ReJl~ase 2000/08/23 :CIA-RDP79-0 F ~~ywhrvEVy~~E~NLv REQUISITION FOR SUPPLIES, EQUIPMENT, OR SERVICE APPROVED BY NOTE: See Instructions on reverse side. Page of Pages DELVER TO THIS DATE s I certify that the items indicated hereon are required for use in the public service. OFFICE 25X1 Aga , ACCOUNT NO. CHARGE ALLOTMENT N0. (SIGNATURE OF ACCOUNTABLE OR RESPONSIBLE OFFICER) (SIGNATURE OF APPROVING OFFICIAL) RECEIPT (1o be completed after delivery of items or service.) Y certify that the quantities of items and/or services itemized below have been received iri-'serviceable condition except as other- wise noted. (DATE) (SIGNATURE OF RECIPIENT) INO STOCK NO. DESCRIPTION QUANTITY .UNIT PRICE AMOUNT ~ ~' ~~ ~ ~, -- ----------- -------- , ~3 __ _____ __ ____~~_________________ is ~ may} '~____~~'_ ____'-~ ~ W _---~ ------------- ------------------------ FOR SERVICES USE OHLY REQUI SITION NO. REQUISIT ION DATE OFFICE REQUISITIONED BY T OTAL _ .. SHIPPED BY ERVICES AUDIT __ S FILLED BY I CHECKED BY DEL. BY _ ~ FREIGHT ~ MAIL GOVERNMENT B/L NO. DATE BY EXPRE S C OST INSTRUCTIONS Complet pi~~~a y~C ~iA~e pie e q sitions are contained in Fldministrative Instruction No. 40-1. FOR SERVICES USE ONLY REMARKS: ITEM PROGRESS K V PROC. DOC. bUE FOLLOW-UP DATE N0. 1 2 3 STOC ENDOR NO. DATE 1 2 3 4 5 6 RECEIVED ---------- ---------- ---------- ------------ -------------------------------?-- -------------- ------------ -------- -------- -------- -------- -------- -------- ------------ ---------- ---------- ---------- ------------ ---------------------------------- -------------- ------------ -------- -------- -------- -------- -------- -------- ------------ 8 9 10 11 12 13 14 15 --_ _r~ ---- -------- --?------ '---------- ------------'-'---------'-'------ --'?---____ ' _______----- '---__-_ _------- ------- -------- ----'-- -------- -------- -------- ------ ---'------ ~ '? ~ pr ov~lce " ~or~e lease ~ rwr, . _ rn. r '~