DIA FORM 520 PURCHASE REQUEST

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R003000460006-3
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: December 7, 1998
• Sequence Number: 6
• Publication Date: February 10, 1992
• Content Type: CONT

1. Date of request
P_uRcA ' W"r Release 2000/08/08 : C
INSTRUCTIONS -ORIGINAL AND 8 COPIES
v U
o17w0w,c L7 S I c%,-L.
JOHN T. BERBRICH, Office for ~ & TI
Type Name Date
48. Name, Ext, and Signature of Designated Supply Coordinator
(DIAM25-1) SG1J
Type Name Date
7A. Ship To: Director
DIA
WIA iton n r 2O3an_h150
Description of Supplies or Services
2. Deli%wry required by
A-RPg?789R00
RELEASE OF FUNDS FOR EXTERNAL RESEARCH
AND ANALYSIS.
3. Purchase request number
4}?-3
10. Action Office if External to DIA:
External POC:
Interservice Support Agreement No:
1.JustificationIRemarks The purpose of this request is to pursue general phenomenological research_
? Funds for this effort are
ca for Congressional Directed
in the approved FY 92 DIA budget as line item 1? `t
Programs. This request identifies new reseaarc hrequireFYt92fulfill Cothe FY ngressionally 2 Directed saction
Direction. Follow-on research resulting from
is identified in PR 330/025Z/92 as a modification to the existing contract
`Z$A 908-91-C-0037 .
^snDD
13A. Coo diry~t ons ^ CRRB
12A. Requisition Num Other SG 1 J DI- GC OOC-4
v C~9 SF _
Phone No.
OOC-2 RSQ
LXj Contracting a
^ other:
12D. Received By: (Signature)
14A. Action Assigned To:
Contract Specialist:
Telephone No:
DIA FORM AIP1red For Release 2000/08/08 : CIA-RDP96-00789R003000460006-3
 Approved For Release 2-0
OBLIGATION RECORD
REFERENCE
NUMBER
OBLIGATIONS
INCURRED .
UNOBLIGATED
BALANCE
16. Summary Data for CRRB/SADPO Actions:
Purpose:
Intelligence Question/Objective:
WWeW"qqM
eut u
OBLIGATIONS , UNOBLIGATED
FY 92
1,450,000 R&D
REFERENCE
NUMBER
INCURRED
17. 1-?estof Enclosures: Procurement Package Access List
1_ Uniform Contract Format (over $25K)
Statement of Work/ Specifications
_ 4 ___ Justification for other than full and open competition
SADPO Acquisition Authority
Emergency Justification
5 services Questionnaire
List of Recommended Sources
Certification of Data Base
7 Government Independent Cost Estimate
R DD 254, Security Classification Specification
DO 1423, Contract Data Requirements List with Data Item Description (DD Form 1664)
_ Technical Evaluation Criteria
Technical Evaluation Plan
n Logistical Support Plan (DIAR 25-41
Other(s)
12 Excep
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000460006-3