Approved For Releas CIA-RDP96-00789ROO3000200018-8
_W_@ +_
SG1
SG
	
I Date of request	
z Dellvwry required by	3. Purchase request ntumcnbe
PURCHASE REQUEST	21 April 93
I	31 March 94	C) 0
IrwMUCTIONS - ORIGINAL AND 8 COPIES			C)
4A.	thortred Approving Official or Designee (DIAM 44--2)
Au	5A. Funds are Wrtified available and have been committed SG'
J				
			Accounting clatzi		5B. Amount
Signature __Dim-ec-ter
JOHN_j,=9EgRR_fe4r-0Tf -jc-dqWr--@S-_& TI				
T
pe Nam				
y
2@._				
48. Nan". Ext, arid Signature of Designated Supply Coordinator			
(DIAM 25-1)	SC. Name and signature Of Certifying Official	
Signature	Signature	
J		
		

Type Name Date	
Type Name	Data
6_ cc-t PCW1jrrQTR SG1J office Symbol

1
@
@
@	DTI-S
_
7S
or 7B. Mark for:
w*To-
irec	SG1
DIA (DTI-S:	
Washi qton, D.C. 20340-6150	
8A.					Estimated
Stockl(tem No.	Description of Supplies or Servic"	Quantity	Unit	Price	Amount
	RELEASE OF FUNDS FOR EXTERNAL ANALYSIS					$-1-7e-,-00 @.00
	Sole Source with SAIC for foreign data					
	assessment and support (phenomenologica*	)				
						
	0					
						
						
						
9. E] Recurring requirement Source:		8B. Total
GSA Schedule Number (if known)

n Pl
N
i
i
i		
--COT
.00
an
o.
t
o
Acqu
s		
10. Action Office if External to DIA: Other:	
Interservice Support Agreement No: External POC:	
11. Justification/Remwks	
Funds for this effort are provided by	
This request permitsevaluation/exploi,ta'(tion of new foreign data.	It is a modification
to existing line it s in the existing over-all phenomenological effort (PR 330/026Z/92).
P@ :.. -" 4- _L
Y:
-Klk
+	
i	
12A. Requisition Number/Other	13A. Coordinations EICRRS	EISADPO,
	DTI 3D	OC
4
	GC	-
12-8 L Io0istics Branch Action Officar/Phona No.	DPS-2 OC-5	DTO-2B-
Date	DTO-2B OC-2	DEP-1
12C. Method	130. Appr .ovals Not required	13d. Budget-Tteporting Code
	AAP JOIAR "4)	R400
Contracting and Acquisition Office			
0 other:	ACA		0 Yes El No
12D. Received BY: (Signalture)	14A. Action Assigned To:		148. Dvite

Approved For Releao&2003104118: C1	Contract Specialist:
W4"W9(ftN789R00300020n	
Qj	
DIA FORM 620 ("21 (on Is Obsolete.
Virg_ MPMr
Approved For Release 2003/04/18 CIA-RDP96-00789ROO3000200018-8
OBLIGATION RECORD	AMOUNT OF COMMITMENT	$
DATE	REFERENCE
NUMBER	OBLIGATIONS
INCURRED	UNOBLIGATED
BALANCE	REMARKS	DATE	REFERENCE
NUMBER	OBLIGATIONS
INCURRED	UNOBLIGATED
BALANCE	REMARKS
																	
																	
																	
																	
																	
								El									
																	
									11								
16. Summary Data for CRRB/SADPO Actions:
Purpose:
Historical Summary:
Intelligence Ouestion/Objective:
V
17. List of '17 closure'@rocurement PaCkag@ 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+
A DO 254, Security C4assif kation Specification
9 DO 1423, Contract Data Requirements List with Date Item Description (DO Form 1 Wf
Technical Evaluation Criteria
Technical Evaluation Plan
Logistical Support Plan (DIAR 254)
10 Oth"(s)
Appmvpd Fnr Release 900310448 : GhAc-RDP96-00789'R06 b6i6bbiM
@r L