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MILIT ARYINTERD EPARTMENTAL PUR CHASE REQUEST
PAGE OF PAGES
2. FSC 3. CONTROL SYMBOL NO. 4. DATE PREPARED BER 6. AMEND NO.
15. MIPR NIM
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SG1 J V/
IR (Type name and title) 16. S1 NATURE 17. DATE I
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7. TO: ij6 arw ;@*cUtel Research and Develop- 8- FROM- (Agency. name, telephone number of originator)
t4mt commoad Defense Intelligence Agency
ATTN*. Jean V. Sulth, sGID-AcQ ATTN: Logistics (RTS-6B) SG1
rert 0striek Washington, DC W301@"Glll
&142=4k ND 21781-5W2 LjLan e J.
ITEMS F-1 ARE [:] ARE NOT INCLUDED I N THE INTERSERVICE SUPPLY SUI
.
9.
SCREENING 0 HAS 0 HAS NOT BEEN ACCOMPLISHED.
ITEM
NO.	DESCRIPTION
(Federal stock number, nomenclature, specification andlor drawing No
etc
)	
QTY	
UNIT	ESTIMATED
UN	ESTIMATED
	.
.,			IT	TOTAL
				PRICE	PRICE
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to I@Irrwae g'l@rwral.	SG1
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	Y Statement of Vwrl- (1/'F-F)	
	contral Provie-torz @=41 f;UV.'aM6 (D)	
	THE MIPR ESTIMATE IN BLOCK 11 MAY NOT BE EXCEED	ED. FUNIS Ex)IRE FOR OB"IGATION
	ON 30 SEPTEMBER 19--	
		ILLEG
	MIPR ACCEPTANCE: PROVIDE FOUR COPIES AS FOLLOW	S:
	FOUR COPIES TO:	D P CONTACTJ
IA
	Director, Defense Intelligence Agency	N
AME
	ATTN: RTS-6BI	0 FI
F
	Washington, DC 20301-@6111	PHON
	FOR CAT I ACCEPTANCE: MAIL SF 1080 BILLING TO D	[A, ATT R C-4 WASHINGTON, DC
	4M'01'-16111 '- @ @ ' ' @- '7.;7--'	
	FOR CAT II ACCEPTANCE: ADD TO CONTRACT DISTRIBU	FION LIST (F@R 4.201(c)) ONE COMPLETE
	COP7 OF THE CONTRACT AND ALL MODIFICATIONS FOR	EACH APPROPR-ATION CITED HEREIN AND
	ONE COP7 OF EACH RECEIVING REPORT TO: DIA, ATTN	: RCC-4 WASH-NGTON, DC 203,01-6111.
,	INVOICES WILL BE FORWARI)Q IN,A,(:CQRDANCE.WITH.T	IE CCONT CT.,
10. SEE ATTACHED PAGES FOR DELIVERY SCHEDULES, PRESERVATION AND PACKAGING INSTRUCTIONS, SHIP-	11. GRAND TOTAL
PING INSTRUCTIONS AND INSTRUCTIONS FOR DISTRIBUTION OF CONTRACTS AND RELATED DOCUMENTS.	
12. TRANSPORTATION ALLOTMENT (Used it FOB Contracto,-a plant)	13. MAIL SF 1080 TO (Payment will- Se M@
	Defense Intelligence Agency
	ATTN: RCC=4.-
	Washington, DC 20301-,,6111 F
FUNDS FOR PROCUREMENT ARE PROPERLY CHARGEABLE TO THE ALLOTMENTS SET FORTH BELOW, THE AVAILABLE
14.
BALANCESOF WHICH ARE SUFFICIENT TO COVER THE ESTIMATED TOTAL PRICE.
LI MIT, ACC TAG STA
ACRN APPROPRIATION SLJBHF SUPPLEMENTAL ACCOUNTING CLASSIFICATION AMOUNT
_AD DOD AD
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