DIA FORM 520 PURCHASE REQUEST

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R003000200018-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: February 24, 2003
• Sequence Number: 18
• Publication Date: April 21, 1993
• Content Type: FORM

Approved For ReleaWOW d : CIA-RDP96-00789R003000200018-8
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PURCHASE REQUEST
INSTRUCTIONS - ORIGINAL AND 8 COPIES
21 April 93 , 31 March 94
Author"aed Approving official or Designee (DIAM 44-2)
e
1. Purdwse request num
5A. Funds are certified available and have been committed
Accounting classif"
5C. Name and signature of Certifying Official
SG1J
(DTI-S:
RELEASE OF FUNDS FOR EXTERNAL ANALYSIS
Sole Source with SAIC for foreign data
assessment and support (phenomenologica
.170./C 022
10. Action Office if External to DIA: -
Interservice Support Agreement No:
Office Symbol
DTI-S
SGJ
SG1
80. Total
11. Justification/Remarks
Funds for this effort are provided by
This request permitsAevaluation/exploi,tation of new foreign data. It is a modification
to existing line it~tns in the existing over-all phenomenological effort (PR 330/026Z/92).
13A. Coordinations ^CRRB ^SADPO
AAP
WWI
ACA
DTI-3D
DPS-2
DTO-2B
GC OC-4
pc-5 -?B-
OC-2 DPP-1
13B. Approvals F1 Not required
13C. Budgetlieporting Code
R400
^ yes ^ No
12D. Received By: (signature;
Approved For Releal2003/04/18 ? C10n789R00300020001R R" 1
Director
DIA
Washington, D .C. 20340-6150
. ' ?.'?trsr,.'1 F~ ~''I?
ion Is Obsolete
V90-
 Approved For Release 2003/04/18 : CIA-RDP96-00789R003000200018-8
15. OBLIGATION RECORD
AMOUNT OF COMMITMENT
$
DATE
REFERENCE
NUMBER
OBLIGATIONS
INCURRED
UNOBLIGATED
BALANCE
REMARKS
DATE
REFERENCE
NUMBER
OBLIGATIONS
INCURRED
UNOBLIGATED
BALANCE
REMARKS
16. Summary Data for CRRB/SADPO Actions:
Purpose:
17. List of lnclosures
iprocurement Package Access List
2 Uniform Contract Format (over $25K)
3 Statement of Work/Specifications
Sole Source Justification
4 Justification for!other than full and open competition
Emergency Justification.
5 Services Questionnaire
6 Certification of Data Bast
7 Government Independent Cost Estimate
Economic Analysis/Cost Comparison Analysis (DIAR 45-8) $50K+
$ DD 254, Security Classification Specification
9 DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1664)
Technical Evaluation Criteria
Technical Evaluation Plan
Logistical Support Plan (DIAR 254)
0 Other(s)
ApprnxiPri For Release 2003/01/18 : CI ; RDP96-00789R003db626'001>#->
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