A"roved For Release 2000/08/08 : CIA-RDP96-00789ROO3000420003-0 MILITARY INTERDEPARTMENTAL PURCHASE REQUEST PAGE OF PAGES 2. 3. CONTROL 4. S. 6. AMEND FSC SYMBOL DATE M NO. NO. PREPARED IPR NUMBER 12 HHM440 JULY -1 1991 7. 8. TO: FROM: U.S. (Agency. Departuent name, *f telephone FjWrgy number of originator) Intelligence Defense Disseraination Intelligence Division Agency ATM; ATTN: Barbara Logistics Mayers, (=~M) (Irv-40) P.O. Washington, Box DC 23865, 20340-3205 GA-301 Unahingtan, - Phone: - (202) 90nn'70; 373-2890 Autovon 243-2890 9. ITEMS F-] ARE-[---] ARE NOT INCLUDED I N THE INTERSERVICE SUPPLY SUPPORT PROGRAM AND REQUIRED INTERSERVICE SCREENING HAS L-] [_j HAS NOT BEEN ACCOMPLISHED. ITEMDESCRIPTION ESTIMATED NO d ESTIMATED . (Fe QTY UNIT eral UNIT stock TOTAL number, nomenclature, specification andlor drawing No., etc.) PRICE PRICE a b c d e tunds are hereby certified available in the a t of 4250.000.00 for external Research and rnua-atto Lla~_- Analyzis."This -t- a-greement is entered into P ~7 -1-M 'd , uthority (31 of 1 ij i535), the -;.- Lcouo-my Act of 1932, as azzande to FeAeral nill r fe-4-rill Acquisition Othe Requlation (FAR) 6.002 a and the rk rai-1--st-r- requlatione. wc li~~i To the best of our knowledge, 0 ~vp t1m n u-11XIa-cc DOE -cr and ne ;~_ its ~t" coutractor in direct cuWatitio Los ysicalre!-nArc7, Alamos aac. National Laboratory, (LK-TL) for bioph IZICL.* Statement of work i41FR CAmtrol Provisions and Guidance THE D. S EX)IRE MIPR FUNI FOR ESTIMATE OBLIGATION IN BLOCK 11 MAY NOT BE EXCEEDE ON 30 SEPTEMBER 19 914" . SG1J MIPR : SG1A ACCEPTANCE: PROVIDE FQUR COPIES AS FOLLOW$ SG1J FOUR DIA INT COPIES PO OF TO: CONTACT: Director NAME- Defense Intelli ence A enc ATTN: OFFICE: D A/ !fie!-JA Washington, PHONE: DC 20340-3205 FOR EA, : OC-4 CAT ATT11 WASHINGTON, I ACCEPTANCE: DC MAIL SF 1080 BILLING TO D 20340-3035 FOR rION T (FkR CAT LIS 4.201(c)) II ONE ACCEPTANCE: COMPLETE ADD TO CONTRACT DISTRIBU COPY TACH ROPRIATION OF APP CITED THE HEREIN CONTRACT AND AND ALL MODIFICATIONS FOR ONE OC-4 COPY C OF WASHINGTON, EACH D I RECEIVING r, REPORT 20340-3035 TO: DIA, ATTN: INVOICES E CONT*ACT- WILL 1 BE FORWARDED IN ACCORDANCE WITH t 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. -1 *2 J~L) 00i'j A)i i 12. 13. TRANSPORTATION MAIL ALLOTMENT SF (Used 1080 it TO FOB (Payment Contractor's will plant) be made by) Defense Intelligence Agency ATTN: OC-4 Washington, DC 20340-3035 14. FUNDS FOR PROCUREMENT ARE PROPERLY CHARGEABLE TO THE ALLOTMENTS SET FORTH BELOW, THE AVAILABLE BALANCES OF WHICH ARE SUFFICIENT TO COVER THE ESTIMATED TOTAL PRICE. ACRN SUPPLEMENTAL ACCTGSTA AMOUNT APPROPRIATION ACCOUNTING DODAAD LIMIT/ CLASSIFICATION SLIBH E A 0 9710400 1~41 6F(i3t)l 44 122? 5,13744 SG1J mme 16. 17.DATE and SIGNATURE title) .H. I j" ica ___I 'jUa-7AAMved For Release ZUUU/U81UU. RUU;3UUU42GU~3_U004-650I