oY^ATK!A^lpW8lNun?OPo^ApIA"R^P96 "00792R00011 '014QQ2fciflpi-oved
(RESEARCH AND DEVELOPMENT)
Dudiel Bureau No
.
22-ROIOO
This form is for use when (i) submission of cost or pjri-cing duta ("see ASPR 3-807.3) is
page no.
required and (ii) substitution for the DD Form 633 is authorized by the contracting officer.
NO. OF PAGES
NAME OF OFFEROR
SUPPLIES AND/OR SERVICES TO BE FURNISHED
SRI International
Research
HOME OFFICE ADDRESS (Include ZIP Code)
333 Ravenswood Avenue
Menlo Park,
California
94025
DIVISIONS) AND LOCATIONlS) WHERE WORK
IS TO BE PERFORMED
TOTAL AMOUNT OF PROPOSAL
GOVT SOLICITATION NO.
As above
$
74,986
-
-
-
DETAIL DESCRIPTION OF COST ELEMENTS
1.
DIRECT MATERIAL (Itemize on Exhibit A)
EST COST (t)
TOTAL
REFER
EST COST*
ENCE
.
PURCHASED PARTS
.
SUBCONTRACTED ITEMS
. OTHER
- (1) RAW MATERIAL
”
(2) YOUR ST ANDARD COMMERCI AL ITEMS
(3) INTERDI VISIONAL TRANSFERS (At other than coat)
TOTAL DIRECT MATERIAL
2.
MATERIAL OVERHEAD 3
(Rate
% X t base = )
3.
DIRECT LABOR (Specify)
TOTAL DIRECT LABOR
4.
LABOR OVERHEAD (Specify
department or cost cehterJJ
TOTAL LABOR OVERHEAD
5. SPECIAL TESTING (Including field work at Government Installations)
TOTAL SPECIAL TESTING
6,- SPECIAL EQUIPMENT
(It direct charge) (Itemize on Exhibit A)
7. TRAVEL
(If direct charge) (Give details on attached Schedule)
.
TRANSPORTATION
.
PER DIEM OR SUBSISTENCE
8.
CONSULT ANTS (Identity
- purpose
- rate)
9. OTHER
DIRECT COSTS (Itemize on Exhibit A)
TOTAL TRAVEL
TOTAL CONSULTANTS
10.
TOTAL DIRECT COST AND OVERHEAD
11. GENERAL
AND ADMINISTRATIVE EXPENSE (Rate
%
oi coat element Nob.
) 3
12.
ROYALTIES 4
13.
total estimated cost
See Part Two-
14.
FEE OR PROFIT
Provisions
Nc
ls -
TOTAL ESTIMATED COST AND FEE OR PROFIT
This proposal is submitted for ubb in connection with and in response to (Describe REP,
etc.)
and reflects our best estimates as of this date, in accordance with the
instructions to offerors and the footnotes which follow.
TYPED NAME AND TITLE
Philip
J.
’ DonnOll'
'
SIGNATURE
'
~
Manager
.
)/
}
0~~lr
N AMG OF FIRM
SRI International
FORM
I APR 00
DATE OF SUBMISSION
633 **
REPLACES EDITION OF
I JAN 07, WHICH
IS OBSOLETE.
1978 SEP g
z?aT3??^?TSyZ!T?^7t!TcffiTgtTf??T!^^
COST EL NO.
ITEM DESCRIPTION fSee tootnote
5)
I.
HAVE THE DEPARTMENT OF DEFENSE, NATIONAL AERONAUTICS AND SP AC E ADMIN
I ST RATION
, O R THE ATOM
I C ENER G YC O M -
MISSION PERFORMED ANY REVIEW OF YOUR ACCOUNTS OR RECORDS IN CONNECTION WITH ANY OTHER GOVERNMENT PRIME
CONTRACT OR SUBCONTRACT WITHIN THE PAST TWELVE MONTHS’
YES
[
|
NO
It yea,
identity below.
TELEPHONE N UMB E R/ E X. T E NSI ON
NAME AND ADDRESS OF REVIE WING OFFICE
(Include ZIP Code)
TELEPHONE NUMBER / EXTENSION
Defense Contract Audit Agency,
SRI Resident
415
326-6200, X2089
II
WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS PROPOSED CONTRACT?
VES
[X-]
NO
K yes,
identify on a separate page.
Ill
DO YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?
YES
QQ
NO
if yes, identify:
(^] ADVANCE PAYMENTS
PROGRESS p ayments OR Qj GUARANTEED loans
IV.
DO YOU NOW HOLD ANY CONTRACT for, do you have any independently financed (IR & D) projects) FOR THE SAME OR SIMILAR WORK
CALLED FOR BY THIS PROPOSED CONTRACT 7
„
nr
,
|
I
YES
(X!
NO
/* yes >
laenfffy
V.
DOES THIS COST SUMMARY CONFORM WITH THE COST PRINCIPLES SET FORTH
IN ASPR, SECTION XV (See 3-807.2 (c) (2))?
[~X]
YES
[
| NO
// no, explain on a separate page.
INSTRUCTIONS TO OFFERORS
.
The purpose of this form is to provide a standard format by
When
alt
which
tiie offeror submits to the Government a summary of in-
form
is impr
curred and estimated cost
(and attached supporting information)
and describe
suitable
for detailed review and analysis.
Prior to the award
available to
of a contract resulting from this proposal the offeror shall,
request
under the conditions stated in ASPR 3-807.3, be required to
submit a Certificate of Current Cost or Pricing Data (see ASPR
T
The form
3-807.3(e) and 3-807.4).
n t;ul require
3.
When attachment of supporting cost or pricing data
to this
form
is impracticable, the data will be specifically identified
and described (with schedules as appropriate),
and made
available
to the contracting officer or his representative upon
request
2.
As
part of the specific information required by this form,
the
offeror must submit with this form, and clearly identify as such,
cost or pricing data (that
is, data which
is verifiable and fac-
tual and otherwise as defined
in ASPR 3-807, 3(e)).
In addition,
he must submit with
this form any information reasonably requir-
ed
to explain the offeror’s estimating process, including:
a.
the judgmental factors applied and the mathematical
or other methods used in the estimate including those
used
in projecting from known data, and
b.
the contingencies used by offeror in his proposed
4.
The format
for the "Cost F-lements"
is not intended as
rigid requirements.
These may be presented
in different
format with the prior approval of the contracting officer
if
required
for more effective and efficient presentation.
In
all
other respects this form will be completed and submitted
without change.
5.
Ry submission of this proposal^offeror,
if selected
for
negotiation,
grants to the contracting officer, or his author-
ized representative,
the right
to examine,
for the purpose of
verifying the cost or pricing data submitted, those books,
records, documents and other supporting data which will
permit adequate evaluation of such cost or pricing data, along
with the computations and projections used therein.
This
right may be exercised in connection with any negotiations
prior to contract award.
FOOTNOTES
Enter in this column those necessary and reasonable costs
which in the judgment of the offeror wilt property be incurred
in the efficient performance of the contract.
When any of the
costs
in this column have already been incurred (c.g., on a
tetter contract or change order), describe them on on attached
supporting schedule.
Identify alt sales and transfers between
your plants, divisions, or organizations under a common con-
trol, which are included at other than the lower of cost to the
original transferror or current market price.
When space in addition to that available in Exhibit A is
required, attach separate pages as necessary and identify in
this "Reference " column the attachment in which information
supporting the specific cost element may be found.
No stand-
ard tormat
is prescribed; however, the cost or pricing data must
he accurate, complete and current, and the judgment factors
used in projecting from the data to the estimates must be stated
in sufficient detail
to enable the
contrac ting officer to evaluate
the proposal.
For example, provide the basis used for pricing
materials such as by vendor t/uotntions, shop estimates,
or
invoice prices; the reason for use of overhead rates which
de-
part significantly from experienced rates (reduced volume, a
planned major
rearrangement,
etc.); or justification for an
in-
crease in labor rates'(anticipatcd wage and salary increases,
etc.).
Identity and explain any contingencies which are inc luded
in the prot>oscd price,
such as anticipated costs of rejects and
defective work, or anticipated technical difficulties.
Indicate the rates used and provide an appropriate explana-
tion.
Where agreement has baen reached with Government rep-
resentatives on the use of forward pricing rates, describe the
nature of the agreement.
Provide the method of computation
and application of your overhead expense, including cost
breakdown and showing trends and budgetary data a s neces-
sary to provide a basis for evaluation of the reasonableness
of proposed rates.
If the
total
royalty cost entered here is in excess of $250
provide on a separate page (or on DD Form 783, Royalty
Report) the following information on each separate item of
royalty or license fee: name and address of licensor; date of
license agreement; patent numbers, pafenf application scnal
numbers,
or other basis on which the royalty is payable; brief
description, including any part or model numbers of each con-
tract item or component on which the royalty is payable; per-
centage or dollar rate of royalty per unit;
unit price of contract
item; number of units! and total dollar amount ol royalties.
In addition,
if specifically requested by the contracting
ollic.e'$
a copy of the current license agreement and identitication of
applicable claims of specific patents shall be provided.
Provide a list of principal items
within each category in-
dicating known or anticipated source,
quantity,
unit price,
competition obtained, and basis of establishing source and
reasonableness of cost.
roved For Re
:
t»
..
V'v
V
Approved iraTAReJeaseF266€a0ffi10
: CIA-RDP96-00792R00
CONTRACT PRICING PROPOSAL
(RESEARCH AND DEVELOPMENT)
•HiIiiri.I.KCtl
Form Approved
Budget Bureau No
. 22*R0100
This form is for use when (i) submission of cost or pricing data (see ASPR 3-807.3) is
pace no.
required and (H) substitution for the DD Form 633 is authorized by the contracting officer.
NO. OP PAGES
NAME OF OFFEROR
SRI International
SUPPLIES AND/OR SERVICES TO BE FURNISHED
Research
HOME OFFICE ADDRESS (Include ZIP Code
)
333 Ravenswood Avenue
Menlo Park, California
94025
DIVISION(S) AND LOCATIONS) WHERE WORK
IS TO BE PERFORMED
TOTAL AMOUNT OF PROPOSAL
GOVT SOLICITATION NO.
As above
$
74,986
-
-
-
DETAIL DESCRIPTION OF COST ELEMENTS
1.
DIRECT MATERIAL (Itemize on Exhibit A)
a.
PURCHASED PARTS
.
SUBCONTRACTED ITEMS
c. OTHER
- (1) RAW MATERIAL
(2) YOUR STANDARD COMMERCIAL ITEMS
(3) INTERDIVISION AL TRANSFERS (At other than coat)
TOTAL DIRECT MATERIAL
EST COSTfW
TOTAL
REFER- 2
EST COST 2
ENCE
2. MATERIAL OVERHEAD 3
(Rate
% X * base = )
3.
DIRECT LABOR (Specify)
estimated
HOURS
RATE/
HOUR
EST
COST
($)
9. OTHER
DIRECT COSTS (Itemize on Exhibit A)
10 .
TOTAL DIRECT COST AND OVERHEAD
11. GENERAL
AND ADMINISTRATIVE EXPENSE (Rate
12.
ROYALTIES 4
% of cost element Nos.
total estimated cost
See Part Two4-Contraqtual
14.
FEE OR PROFIT
15.
TOTAL ESTIMATED COST AND FEE OR PROFIT
This proposal is submitted for use in connection with and in response to (Describe RFP,
etc.)
and reflects our best estimates as of this date, in accordance with the
instructions to offerors and the footnotes which follow.
TYPED NAME AND TITLE
Philip
J.
0 ’ DOnil#lT
Manager
N AME O F FIRM
SRI International
DATE OF SUBMISSION
1978 SEP f
n FT
.
“ A
REPLACES EDITION OF
I JAN 87, WHICH
IS OBSOLETE.
APR 66 u^pprcR/ed For Release 2003/09/10
: CIA-RDP96-00792R0001 001 40026-4
EXADttToVeWPepRBte&Sei«HI8/e9fil>0cif£IAf-R©P96><GO79>2R08O45<MM4DO26e4s)
COST EL NO.
I
I
ITEM DESCRIPTION (See footnote
5)
[
EST COST (t)
TELEPHONE NUMB ER/ EXTENSION
415
326-6200, X2089
I
HAVE THE DEPARTMENT OF DEFENSE, NATIONAL AERONAUTICS AND SPACE ADMINISTRATION, OR THE ATOMIC ENERGY COM-
MISSION PERFORMED ANY REVIEW OF YOUR ACCOUNTS OR RECORDS IN CONNECTION WITH ANY OTHER GOVERNMENT PRIME
CONTRACT OR SUBCONTRACT WITHIN THE PAST TWELVE MONTHS?
|
%|
yes
|
1 NO
If yea, Identity below.
NAME AND ADDRESS OF REVI EWING OFFICE
(Include ZIP Code)
Defense Contract Audit Agency,
SRI Resident
II. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS PROPOSED CONTRACT?
yes
[2t]
NO
If yes,
identity on a separate page.
III.
DO YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?
I
|
YES
[X]
NO
if yes, identity
:
:
[[[]
ADVANCE PAYMENTS
[[[] PROGRESS PAYMENTS OR
[[[] GUAR AN TEED LOANS
IV.
DO YOU NOW HOLD ANY CONTRACT (or, do you have any independently financed (IR & D) projects) FOR THE SAME OR SIMILAR WORK
CALLED FOR BY THIS PROPOSED CONTRACT?
|
I
YES
IX] NO
It yes, identify
V.
DOES THIS COST SUMMARY CONFORM WITH THE COST PRINCIPLES SET FORTH
IN ASPR, SECTION XV (See 3-807.2 (c) (2))?
rs
YES
|
|
NO
If no, explain on a separate page.
INSTRUCTIONS TO OFFERORS
INSTRUCTIONS
1.
The purpose of this form is to provide a standard format by
which the offeror submits to the Government a summary of in-
curred and estimated cost (and attached supporting information)
suitable
for detailed review and analysis.
Prior to the award
of a contract resulting from this proposal the offeror shall,
under the conditions stated in ASPR 3-807.3, be required to
submit a Certificate of Current Cost or Pricing Data (see ASPR
3-807. 3(e) and 3-807.4).
2.
As part of the specific information required by this form,
the
offeror must submit with this form, and clearly identify as such,
cost or pricing data (that is, data which is verifiable and fac-
tual and otherwise as defined
in ASPR 3-807. 3(e)).
In addition,
he must submit with this form any information reasonably requir-
ed
to explain the offeror’s estimating process, including:
a.
the judgmental factors applied and the mathematical
or other methods used in the estimate including those
used in projecting from known data, and
b.
the contingencies used by offeror in his proposed
price.
3.
When attachment of supporting cost or pricing data to this
form
is impracticable, the data will be specifically identified
and described (with schedules as appropriate),
and made
available to the contracting officer or his representative upon
request.
4.
The format for the “Cost Elements”
is not intended as
rigid requirements.
These may be presented in different
format with the prior approval of the contracting officer if
required for more effective and efficient presentation.
In
all
other respects this form will be completed and submitted
without change.
5.
By submission of this proposal^offeror,
if selected for
negotiation,
grants to the contracting officer, or his author-
ized representative, the right to examine,
for the purpose of
verifying the cost or pricing data submitted, those books,
records, documents and other supporting data which will
permit adequate evaluation of such cost or pricing data, along
with the computations and projections used therein.
This
right may be exercised in connection with any negotiations
prior to contract award.
FOOTNOTES
Enter in this column those necessary and reasonable costs
which in the judgment of the offeror will properly be incurred
in the efficient performance of the contract.
When any of the
costs in this column have already been incurred (e.g., on a
letter contract or change order), describe them on an attached
supporting schedule.
Identify alt sales and transfers between
your plants,
divisions, or organizations under a common con-
trol, which are included at other than the lower of cost to the
original transferror or current market price.
When space in addition to that available in Exhibit A is
required, attach separate pages as necessary and identify in
this "Reference” column the attachment in which information
supporting the specific cost element may be found.
No stand-
ard format
is prescribed; however, the cost or pricing data must
be accurate, complete and current, and the judgment factors
used in projecting from the data to the estimates must be stated
in sufficient detail
to enable the
contracting officer to evaluate
the proposal.
For example, provide the basis used for pricing
materials such as by vendor quotations, shop estimates,
or
invoice prices; the reason for use of overhead rates which
de-
part significantly from experienced rates (reduced volume,
a
planned major
rearrangement,
etc.): or justification for an in-
crease in labor rates\anticipated wage and salary increases,
etc.).
Identify and explain any contingencies which are included
in the proposed price, such as anticipated costs of rejects and
defective work, or anticipated technical difficulties.
Indicate the rates used and provide an appropriate explana-
tion.
Where agreement has been reached with Government rep-
resentatives on the use of forward pricing rates, describe the
nature of the agreement.
Provide the method of computation
and application of your overhead expense, including cost
breakdown and showing trends and budgetary data as neces-
sary to provide a basis for evaluation of the reasonableness
of proposed rates.
If the total royalty cost entered .here is in excess of $250
provide on a separate page (or on DlD Fqrtn 783, Royalty
Report) the following information on each separate item of
royalty or license fee: name and address of licensor; date of
license agreement; patent numbefs, patent application serial
numbers,
or other basis on which the royalty is payable; brief
description, including any part or model numbers of each con-
tract item or component on which the royalty is payable; per-
centage or dollar rate of royalty per unit;
unit price of contract
item; number of units; and total dollar amount of royalties.
In addition,
if specifically requested by the contracting officer,
a copy of the current license agreement and identification of
applicable claims of specific patents shall be provided.
Provide a list of principal items
within each category in-
dicating known or anticipated source,
quantity, unit price,
competition obtained, and basis of establishing source and
reasonableness of cost.
Approved For Release 2003/09/10
: CIA-RDP96-00792R0001 001 40026-4
COST EL NO
lTove^PePTOMag6^gDoa/eap^’0
^<?<eia
ITEM DESCRIPTION (See loomole
S)
,
uAuc tmF nFPARTMFNT OF DEFENSE
NATIONAL AERONAUTICS AND SPACE ADMINISTRATION, OR THE ATOMIC ENERGY COM-
MISSION PERFORMED ANY REVIEW OF YOUR ACCOUNTS OR RECORDS
IN CONNECTION WITH ANY OTHER GOVERNMENT PRIME
CONTRACT OR SUBCONTRACT WITHIN THE PAST TWELVE MONTHS'
l Xl
VES
C]
NO
H W
identity below.
NAME AND ADDRESS OF REVI WING OFFICE
(Include ZIP Code)
TELEPHONE NUMBER/EXTENSION
Defense Contract Audit Agency,
SRI Resident
415
326-6200, X2089
II. WILL YOU REQUIRE THE USE OF ANY GOVERNMENT PROPERTY IN THE PERFORMANCE OF THIS PROPOSED CONTRACT'
I
|
yes
[X
NO
U yes,
identity on a separate page.
Til
00 YOU REQUIRE GOVERNMENT CONTRACT FINANCING TO PERFORM THIS PROPOSED CONTRACT?
1^]
YES
[X]
NO
it yes.
identity
:
[3]
AD V AN C E P A YM EN TS
L7] PROGRESS PAYMENTS OF
GUARANTEED LOANS
IV
DO YOU NOW HOLD ANY CONTRACT
(or, do you have any independently tinanced (IR &. D) projects) FOR THE SAME OR SIMILAR WORK
'
CALLED FOR BY THIS PROPOSED CONTRA CT'
j~~j
Y E 5
[%] NO
It yes, identify
‘
^
DOES THIS COST SUMMARY CONFORM WITH THE COST PRINCIPLES SET FORTH
IN ASPR, SECTION XV (See 3-80 7.2 (c) (2))?
fX
YES
[
1 NO
It no, explain on a separate page.
INSTRUCTIONS TO OFFERORS
1,
The purpose of this form
is
to provide a standard format by
When attachment of supporting cost or pricing data
to
thii
which the offeror submits
to the Government a summary of in-
form is impracticable, the data will be specifically identifiei
curred and estimated cost
(and attached supporting information )
and described (with schedules as appropriate),
and made
suitable
for detailed review and analysis.
Prior to the award
available
to the contracting officer or his representative upo
of a contract resulting from this proposal the offeror shall,
request
under the conditions stated in ASPR 3-807.3, be required to
.....
i
i
=
submit a Certificate of Current Cost or Pricing Data (see ASPR
4.
The format
for the
‘ Cost Elements
is not intended as
< ar>7
T an7
d-i
rigid requirements.
These may be presented
in different
3-807. 3(e) and 3-807.4).
annrnun i
, he contracting officer
if
TELEPHONE NUMB ER/ EXTENSION
2.
As part of the specific information required by this form,
the
offeror must submit with this
form, and clearly identify as such,
cost or pricing data (that
is, data which
is verifiable and fac-
tual and otherwise as defined
in ASPR 3-807. 3(e)).
In addition,
he must submit with this form any information reasonably requir-
ed to explain the offeror’s estimating process, including:
a.
the judgmental factors applied and the mathematical
or other methods used in the estimate including those
used
in projecting from known data, and
b.
the contingencies used by offeror in his proposed
3.
When attachment of supporting cost or pricing data
to this
form is impracticable, the data will be specifically identified
and described (with schedules as appropriate),
and made
available
to the contracting officer or his representative upon
request
4.
The format
for the “Cost Elements”
is not intended as
rigid requirements.
These may be presented
in different
format with the prior approval of the contracting officer
if
required
for more effective and efficient presentation.
In
all
other respects this form will be completed and submitted
without change.
5.
By submission of this proposal^offeror,
if selected
for
negotiation,
grants to the contracting officer, or his
author-
ized representative,
the right
to examine,
for the purpose of
verifying the cost or pricing data submitted, those books,
records, documents and other supporting data which will
permit adequate evaluation of such cost or pricing data, along
with
the computations and projections used therein.
This
right may be exercised in connection with any negotiations
prior to contract award.
FOOTNOTES
Enter in this column (hose necessary and reasonable costs
which in the judgment ol the olferor will properly be incurred
in the efficient performance ol the contract.
When any of the
costs in this column have already been incurred (e.g., on a
letter contract or change order), describe them on an attached
supporting schedule.
Identify all sales and transfers between
your plants, divisions,
or organi zations under a common con-
trol, which are included at other than the lower of cost to the
original translerror or current market price,
When space in addition to that available in Exhibit A is
required, attach separate pages as necessary and identify in
this "Reference" column the attachment in which information
supi>urting the specific cost element may be found.
No stand-
ard format
is prescribed; however,
the cost or pricing data must
be accurate, complete and current, and the judgment factors
used in projecting from the data to the estimates must he stated
in sufficient detail
to enable the
contracting officer
to evaluate
the proposal.
For example, provide the basis used for pricing
materials such as by vendor (tuotations, shop estimates,
or
invoice prices; the reason for use of overhead rates which
de-
part significantly from experienced rates (reduced volume,
a
planned major
rearrangement,
etc.); or justitication tor an
in-
crease
in tuber ratcs\anticipatcd wage and salary increases,
etc,).
Identity and expluin any contingencies which are included
in the pro/tosed price, such as anticipated costs ol rejects and
defective work, or anticipated technical dillicultics.
Indicate the rates used and provide an appropriate explana-l
tiOn.
Where agreement has been reached with Government rep-
resentatives on the use of forward pricing rates, describe the
nature of the agreement.
Provide the method of computation
and application ol your overhead expense,
including cost
breakdown and showing trends and budgetary data "s neces-
sary to provide a basis tor evaluation of the reasonableness
of proposed rates.
If the total
royalty cost entered here is in excess of S2S0
provide on a separate page (or on DD Form 783, Royalty
Report) the lollowing information on each separate item of
royalty or license fee: name and address of licensor; date of
license agreement; patent numbers, patent application serial
numbers,
or other basis on which the royalty is payable; brief
description, including any part or model numbers of each con-
tract item or component on which the royalty is payable; per-
centage or dollar rate ol royalty per unit;
unit price of contract
item; number of units; and total dollar amount ol royalties.
In addition,
if specifically requested by the contracting office^,
a copy of the current license agreement and identification of
applicable claims ol specific patents shall be provided.
Provide a list ol principal items
within each category in-
dicating known or anticipated source,
quantity, unit price,
competition obtained, and basis of establishing source and
reasonableness ol cost.
Approved For Release 2003/09/10
: CIA-RDP96-0079
?U.S
: GOVERNMENT PRINTING OFFICE:
1 974 - S5a
- 057
,his
IU^<
fgft E
'1
—- Pr° POnent aB,ncy
th ° O ««»’
Ch ie< Of
Staff fa,
2 Oct
7o7
"
SECTION A
- GENERA L
'
’
—
TfROM:
MAJ STONER,
DAMI-ISH
(date received
hand carried
Faction officeisi
"suspense dateisi
C
Srhle
L
no
OG
C
c
L
a
A
t
S
,
S
0^
1 "
.
CATION
COPIES
REGISTER OR CONTROL
NO.
date of
DOCUMENT
ORIGINATOR
letter
w/SRI Proposal
No.
ESU 78-100
28Sep78
SRT
(3 cys)
DD Form 633-4
(3
Cys)
ep78
|
SRI
NOTHING FOLLOWS
SECTION B
- ROUTING
COPY NO.
I
DATE
PRINTED NAME
SIGNATURE
^^3isCRIBi^rEUN HAS BEEN^
1 '0
'N
destroyed
OFFICE SYMBOL
(Chech appropriate block)
SIGNATURE
[DESTRUCTION RECORD NO.
~
'dATE~
™^™1^eof certifying/dIstr7
PAGE OR COPY NUMBER
DATE"
SIGNATURE
wInTEdT^ME OF WITNESSING OFFICIaIT
SIGNATURE
NUMBER OF COPIES TO BE REPRODUCED™
SECTION D
REPRODU CTION Aiithopitv
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FOR MATERIAL DESCR.BED ABOVE
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HAS NOT BEEN RECEIVED.
(COMMENTS
SIGNATURE
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Approved For Release 2003/09/10
: CIA-RDP9(
DA FORM 3964,
1 Nov 72
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