'ATARY INTERDEPARTMENTAL PURCHASE REQUEST PAGE OF PAGCS
C 6 - '__W_
3
. OUTOUD 543--
SG1J 3 Sep &1 81-1001
ROM: (Afl.-IlY, 7011-
Iwn@ ."Mf- .1 o'lklinwo')
Intelligence Agency CDR, USAINSCOM
ATTN: RTS-6B,J IAOPS--SA
;@Iashington, D.C. 20301 FIL Meade, MD 20755 (AV) 923-7829
IT 6-_@qS ARE ARC NOT INCLUDED I N I HE INTERSERViICE SuPPLY UPPORT PROGRAM AND REQUIRED INTERSERVICE
SCR@@ENING HAS HAS Nor BEEN ACCOMFILISHrIj.
DESCRIPT ION ESTIMATED EST IM A r C o
lFederal stock number, nomenclafti,re, SPecilicatiort andlo, d,nivrtir rv-, efr.) QTY UNIT TOT AL
UNIT PRICE P R I C E.
. ..... - ----- --
Additional services to be performed on behalf
ot HQ INSCOM as part of joint contrrict between
DIA/INSCOM and SRI-I (Project Grill Flame)
for 17Y81 Contract No. MDA 908-81-c--00o4,
Direct fund citation of fund cite in item 14
@is, authorized.
Request 3 acceptance copies be forwarded to
address in item 13..
Request amended contract, with fund cite added,
be distributed R!11y to the following address:
CDR, USAINITSCOM
ATTN: Chief, Special Actions Office
ADCSOPS-111TT@,IINT
Ft Meade, ND 20755
jORDERING OFFICER:
BILLY1. MILLER
Colonel,, GS
ADCSOPS-IWMINT
1$60,000.00
RAND TO TAL
E X-T I A'_IAED PAGES FOR DELIVERY SCHEDULES. PRESERVATiON AND PACKAGING INSTRUCTIONS.
INS-1 @3(JCTIONS AND INs'rRUCTIONS FOR DISTRIOUTION OF CONI RACIS AND RELATED DOCUMENTS. __I.$60,000.00
-!@@SFIC,-4TATION ALLOTMENT (Used i( FOB Contrnctor'n plant) 13. MAIL I NVOICES TO (Payment -ill be mode b.-,)
HQ, INSCOM
IARM-B-FM
Ft Meade, MIDAY207ft5 E)L,1DAAL)
FG;, PROCUREMENT ARE PROPERLY CHARSEA13LC TO THE ALLOTMENTS SIJ FORIH DLLOW, TIJE AVAILAULE
FtAl OF WHICH ARE SUFFICIENT TO COVER THE E@JIMATED TOTAL PRICE.
SUPPLrNIENTAL. AI@COUNTING CLASSIFICATIot AMOUNT
2112020 25-2037 11381,321.03250-2572
s18128 2P29 60, 000. 0 0
OFF ICER (Type name and lifle)
or UR E 17. DATE
@OM, FG1
Off,INSC 3 Sep 81
DD, FORAA 448
PREVIOUS tDITION 15 (JUSOLETE. S,N 01.0@
Approved For Release 2003/09/10 : CIA-RDP96-00792ROO0100140054-3