PUBLIC VOUCHER FOR PURCHASES AND SEVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400010020-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 14
• Document Creation Date: November 17, 2016
• Document Release Date: June 29, 1999
• Sequence Number: 20
• Publication Date: June 27, 1955
• Content Type: FORM

Staud+' cl Form NQ-1034- Rovised
Form prescribed b
Oot ollcr GenerPJ
(Oen. [~~dgglrodpp'~l`Jp~l`r7SZl~ 1~Fo' ReleaW
(Amended February 20, 1952)
U. S.
-- --------- ----------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------- --------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ___323 _---_-
----------------------------------------------------------------------------------------------------------------------------------
(Payee)
------------------------------------
- ------------------------------------ -------
------- --------------------------------------------- -
(Address) (City) I (State)
No. and Data of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description Item number of contract or Federal supply
schedule
and other informati
d
d
QUANTITY
UNIT PRICE
AMOUNT
,
on
eeme
necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Cost
$13,021
95
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No. Total
1 021
95
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
STATINTL (Sign original only)
Differences _________________________________
---------------
-----
STATINTL
--------
---------------
-----
Date 1_ *
-------------------- ----------
---------- -------------
t rooulred wh ed bill or 6illn)
Amount verified; correct for ____-___-__
---------------
-----
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
j' Approved
SIGN
ORIGINAL T'tl
I e
.
.
--!
,
. ---
~3~~R000400010020-SON $ of 3
(Signature or initials) -----------------------------------------
Date Invoice Rec'd.
----------------
ONLY 4` i
fying Officer
------------
-
0--//-
Title _CGntraa#ing-.ffic r------------------- STATINTL Date ------ ss ------------ STATtftII ----
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
APPROVED:
STATINTL
Approving Officer I
Check No, ________________________ dated ------------------------------ 19------ for $-------------------------------------- on Treasurer of the United States in
Paid by { favor of payee named above.
Cash, $----------------------- on ------ Y
----------------------------- -------------------------------------------
(sirn orl?lnni only)
hen
che
or recei
is
d i
h
f
,,
u vou
r
signed
pte
n t
e ,.or.,. o
a company o )oral ion, i he name of Ille person
Per________________________________ _
writing the company orcorporae me,a ell sthecaPeci c c s - t ) "Kan
"John Doe Or, 1[y]/j[~j eA~m9 03608000400010020-v
----------------------
t if the ab' It chtXy~ oTft t dC Lfor 'oPie rtial,'obc algnaCure only is nec-
essary; otherwise the approving officer will s gas on the line below "Approved for $------------------- ', and
over his official title.
a& TIM 1r
D. O
Vou
No
4i
Tt
 .$trxnd4d Form No. 1O3 -Revised
Form prescribe b Relea gbb9/(TOPWh@T44 8JrL R0Dd400010020-5
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than PersoAl
CONTINUATION SHEET
U. S. _ GaSt:_ Reim?1 ~ ------------------------------------------------------------- Sheet No. ---.------- of Bureau Voucher No. -19_?------
(Department, bureau, or establishment)
No. and Date
of Order
STATI NTL
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
CONFIDENTIAL PAYROLL .
Direct Labor costs properly chargeable
to Contract A101 for the period 5/16/55
thru 5/22/55.
.leek Ending 5/22/55
Overhead computed at interim rate
of
STATIN
QUAN-
TITY
STATINTL
OTHER COSTS
Check No.
P.O.
Name
ount
7451
5254
Railway Express Agency, Inc.
3.2
7488
5589
Raymond De-Icer snd Engineering Co.
468.0
7490
5678
S.&S. Machine Ship
355.4
7497
6426
Kierulff Electronics Inc.
151.0
V
7560
5637
Plastic Age Sales, Inc.
96
0 73 9
o7
.qd"
6
Total Labor, Overhead and Other Costs
wl3,021~
95 "
Approved For Release 2000/ i ..;. a 8
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400010020-5
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400010020-5
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400010020-5
i *W0, ,
STATINTL
'IQ
For Train
onager
R IL CHARGES
AIR CHARGES
ldn:ncea
I
Ads-anew
I
Value Charge
Air Value Charge
To Airport
Rail Exp. Chgs..
Air Express
To Airport
Ch
Value Charge
Total Air
From Airport
I
Charges
I
Rail Exp. a
nd Other
Total Rail
Chgs. From
Airport
Charges
C. 0.
D.
Total
1 and it
Tax
0
"c C
`
es
Total
s
I
3
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400010020-5
J
Declared Value
Class I Actual Weight
CONSIGNEE'S
RECEIPT
FOR C~HAR.GE9
 Apprgwed F
0
SOLD TO.
80UE-V ahdRLNjI"NEE0,R G 40001002001-k
Co.
5300 Pacific Boulevard Huntington Park, Calif.
lOgan 5-5378
The Ramo-Wooldridge Corp.
8820 Bellanca Ave.
Los Angeles, Calif.
Payment-.
1% 10 days
QUANTITY
DESCRIPTION PRICE EXTENSION TOTAL
Tooling for parabllic reflector.
jm~
or
Pric: ah.d
__ $415.00 $115.00
/ V
Account: ..................... ...
DATE 4-13-55
OUR INVOICE NO. HP 491
YOUR ORDER NO. 5589
CONTRACT NO.
SHIPPED VIA
WAYBILL NO.
GOV'T. B/L NO.
TERMS
........ qo .a--------------
ved For Release 2000/04/11 : CIA-RDP64-0036OR000400010020-5
-.,..- ..., l o, pr,otiuced J'.n
 Approved FRXM8Rd0gJJ0 &1: and F 8fi1 fi9Rpp0tff010020-5
5300 Pacific Boulevard Huntington Park, Calif.
LOgan 5-5378
SOLD TO,
The Ramo-Wooldridge Corp.
8820 Bellanca Ave.
Los Angeles, Calif.
Fiberglass parabolic reflector per
Ramo-Wooldridge Spec. #105
$57.80
Approved
Payment__ - --
Prices and
~.
Extensions ................
Paid ------------------------ ------------
........
Account:/61,9/ ....
5 7, S o
$57.80
hereby certify teat these grica", werH [as uuu+~c:;.u -LAI
compliance with all possible requirements of Seution3
Approved Igo R 3 et2?0 ?f04 ?rG A #` :~ A04000"I4610-5
amended, and of rez;intions an or ers o
States Department of labor issued under Section 14 thereof.
DATE 4-13-55 p
OUR INVOICE NO. HP 490
YOUR ORDER NO. 5589
CONTRACT NO.
SHIPPED VIA RDI Del
WAYBILL NO.
GOV'T. B/L NO.
TERMS
$57.80
1% 10 days
 ACCOUNTING COPY
R-W Fcrm 4Q R-1
- x Approved For. W ease 20'Ogh0k)1'1l.%A`R`DFQ%360R000400CW1b20-3 3 9 S
VENDOR RAYMONt) nE-IGER ID ENGINEERING C0DjA1`TV DATE__MAYG _..955
SHIPPER SAME P. O. NO.5589 REQ 1946
REC'D VIA THEIR DELIVERY FREIGHT BILL NO.
PACKING SLIP NO. NONE RECEIVED / SUBSTITUTE MADE NO. OF CONTAINERS
ITEM
QUANTITY
PART NO
D E S C R I P T I 0 N
WEI
GHT
.
NET
GROSS
1. ~
-
1 EACH
-
# 105
-
FIBERGLASS PARABOLIC REFLECTORS PER R-W
SPECIFICATIONS #105.
2,-
cry
'!0
TOOLING FOR ITEM NIBMER 31._ -__-
.--
,1.
STATINTL
}
-PEEL. A. V. 0. FROM DATED 5-2-5
_
- -
cn w d For_-R.e.l_ease 2000/04/11 :I CIA-RDP64-0036OR00040001082OIINTL
DELIVER RECEIVED CHECKED VERIFIED
TO RN 152 BLDG 1 BY: BY: BY:
 INVOICE] NEwmark ' '3I9
Approved Fooelease 2000/04/11: CIA-RDP6440360RO
S. & S. Machine Shop
2709 NORTH SANTA FE
COMPTON, CALIFORNIA
F
Ramo Woolridge Corporation
TO 8820 Bellanca Ave.
Los Angeles 45, California
L
40001K?b-5 558
4-30-55
5678
519
QUANTITY
PARTS NO.
D E S C R I P T 1 0 N
UNIT
AMOUNT
8
#50401085
Block
31.00
248
00
4
#50401039
Bracket
27.75
111
00
359
00
-3
6-
Approved f
6f
3s 5
'I I
pa'f :~Cn~
Prices ~n
l
tl /
Exi~ ngicna
...-
DISCOJNT 1% TEN DAYS
-,----------
I
y~ r
Job #116
Acc punt :.._
--.-----
__
............
......... ............. -
X
00
1
pproved For
elease 2000/04/11 CIA-RDP64-00360R0
0400010020-
 R-W Fgrm 46 9-1 , . ACCOUNTING COPY
'Approved For,please 201b61 W IP A L-p0360R000400q~OD20-599
VENDOR S_ & S. MACHINE COMPANY DATE MAY 10, 1955
SHIPPER S40 P. O. NO. 567-8 RE 2215
REC'D VIA OUR WILL CALL FREIGHT BILL NO.
PACKING SLIP NO. 619 NO. OF CONTAINERS 1
--4
_.5P401O85-----
_50401039-
REMARKS: STATINTL
Co iui ic#%ppmed For ReleaseS'M(F10=1 : CIA-RDP64-00360R00040 ~
D
TO - EELI 1 BYCEIVED I BY: CHECKED ( Y
 6+26
1 1 1'
1
1 1 ? 1
STATINTL
WyjRIIT~~TTtEN~ABpY
CREDIT O. K..
.(fJ~ 9 -
. O * - /f .
L B
Q
N ,b / TERMS
~'D 88
TAXABL
RESALE
DATE SHIPPED
iX I ~t
~
!
T
Tf
X
~~
LOS ANGELES k5
CALIF . \
L
,
.
O SHIP I
O
COL.
P. PAI
NO.
WE
IGHT
SHIPRE
/
L_
PACKAGES
BACK ORD.
ORDERIED
MAKE
MODEL OR
PART NO.
SERIAL OR DESCRIPTION
/
QUANTITY
SHIPPED
UNIT
PRICE
PER
EXTENSION
~ r P. ,
20
G.E.
29F-+I
CAP
7
55
EA
/S/
O C
Paymen ........ ............
Prices i
ns ----~ -.
-
I
TAXABLE 3 ?Io
~"""`" -' - .,.~,I~ved Far Rel~~T~QY~~/11 :CIA-RD~6~~06J38.OR000400010020-5
DELIVER RECEIVED CHECKED VERIFIED
To L,AB #152 BLDG ]i, BY- ___ BY: -- _ I BY:
 AIRCRAFT ENCLOSURES PHONE: EMPIRE 1-0136 EXPERIMENTAL WORK
PLASTIC FURNITURE CUSTOM WORK
DISPLAY,~IX?URESApprOV@d For. Release 2000/04/11 :CIA-RDP64-003608000400010020-5 LAMINATING
TOYS
MODELS
PLASTIC AGE SALES, INC.
649-657 ARROYO AVENUE INVOICE l~l A
SAN FERNANDO, CALIFORNIA ?
SOLOD URAmo