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
File:
Attachment | Size |
---|---|
CIA-RDP79-00434A000200010046-8.pdf | 675.85 KB |
Body:
.~~?~
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
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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
~
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~---------
----------
------------
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---
ppr
ove
or a
ase
,~~
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.
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
-~-
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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
----------
----------
----------
------------
----------------------------------
--------------
------------
--------
--------
--------
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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
-~-
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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--
------------
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4
5
6
7
8
9
10
11
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13
14
w
15
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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
- - --
--------------------------
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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
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------- ---------------
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----------
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------------------------
-: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
----------
----------
----------
------------
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--------------
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----------
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8
9
10
11
12
13
14
15
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