DIA FORM 520 PURCHASE REQUEST

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R003000200019-7
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: November 4, 2016
• Document Release Date: November 5, 1998
• Sequence Number: 19
• Publication Date: February 10, 1992
• Content Type: FORM

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65- ORIGINAL AND 8 COPIES
4AU1u tho
JOHN T. BERBRICH, Office for & TI
Type Name " Date
4B. Name, Ext, and Signature of Designated Supply Coordinator
(DIAM 25-1)
SG1J
DIA
Washington D.C., 20340-6150
SG1J
?F7
5A. Funds are certified available and have been committed
Accounting classification
R/D:
I>1dd40.u'i 'in?. fZo3t 1 la.a,a- r03 7(/q
5C. Name and signature of Certifying Official
irector
RELEASE OF FUNDS FOR EXTERNAL RESEARCH
AND ANALYSIS.
I L /itt rig coMPFnTiVF S0A`ZRrc7-
g. ^ Recurring requirement Source:
GSA Schedule Number (if known) ._
10. Action Office if External to DIA: Other:
Interservice Support Agreement No: External POC:
Quantity Unit
$1,450,000.00
$1,450,000.00
$1,450,000.00
11.JustificationIRemarks The purpose of this request is to pursue general phenomenological research_
Funds for this effort are
in the approved FY 92 DIA budget as line item I.on`F for Congressional Directed
Programs. This request identifies new research required to fulfill the FY 92 Congressional
Direction. Follow-on research resulting from the same FY 92 Congressionally Directed action
is identified in PR 330/O25Z/92 as a modification to the existing contract (MDA 908-91-C-0037
12A. Requisition Numb g 13A. Coo i ons ^ CRR B ^ SADPO
Other DI-SF 14 GC OOC-4
Phone No. -
RILE-2 OOC-2 RSQ
Data ~
!
CO Contracting and Acquisition Office
C1 other:
1. Data of request 42. Delivery required by
2000/01/998 : CI -R9JR0789R003
10 FE
44-2)
IP
138. Approvals ^ Not required 13C. Budget Reporting Code
AAP (DIAR 44-4) R400
S ")o ACA ^ Yes El No
14A. Action Assigned To:
SG 1 J Contract Specialist:
Date Telephone No:
DIA FORM 5A 5 ved For Release 2000/08%08 :CIA-RDP96-00789R003000200Q19-7
 T~^1REFERENCE
803
REMARKS DATE I REFERENCE I uouvr+r was I BALANCE I REMARKS
NUMBER INCURRED
16. Summary Data for CRRB/SADPO Actions:
Purpose:
Intelligence Question/Objective:
List of Enclosures:
1 Procurement Package Access List
2 Uniform Contract Format (over $25K)
3 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
6-- Certification of Data Base
7 Government Independent Cost Estimate
DD 254. Security Classification Specification
DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1684)
Technical Evaluation Criteria
Technical Evaluation Plan
1 fl Logistical Support Plan (DIAR 25-4)
11 Other (s)
C n W,
12 Except to mnn is (nf C1 as
Approved For Release 2000/08/08: CIA-RDP96-00789R003000200019-7
FY 92
1,450,000 R&D