PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000400010034-0
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
4
Document Creation Date:
November 17, 2016
Document Release Date:
June 29, 1999
Sequence Number:
34
Case Number:
Publication Date:
May 17, 1955
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 180.53 KB |
Body:
Standard Form l4o. -034-Revised
F
orm greribc by
Oomptroller General, L' :?s. rTBLIC V U R 1
(Gen. R"A kj d.Fjpr Release A?
(Amended February 20
1962)
,
ii Cost Reimbursable-
Ds O. Vou. No_ ______________
-----------------
R000400010034
0
7
8u. Vou. No..._____-__
---------- ------------ ?------- ----------
-------------------
(Department, bureau, or establishment)
"Voucher prepared at ____________________________________
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _____3.94___:__
To
-----------------------------
(Paycc)
No. and Date of
Order
ARTICLES OR SERVICES
Date of Delivery (Enter description item number of contract or Federal supply
or Service schedule, and other information deemed necessary)
Discount Terms
Cost
PAYMENT:
Complete ^
Partial ^
Final ^
$12,988
Use continuation sheet(s) if necessary
Weight Government B/L No. ~- - - 9'311
STATINTL
Date ___5
Pursuant to authority vested in me, I certify that this account is correct and proper for pay
f Approved fo? iR 12
Title _ COnt1'QCttn$--QCe`!Z~' -
STATINTL
Date -----------/ 414--y +
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE/IR SERVICES SECURED WITHOUT WRITTE REEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Sy of must be shown; other classification optional
STATINTL
Pllanraing and Coordination/Approving Offic
JnP -
(Check No. 2O1,fQ9_ dated _____ _______ f on Treasurer of the United States in
Paid by { -- ----- - _ l
l
Cash favor of payee named above.
. $ on l9---__. Payee ----------
(s,en or,dnnl onlr)
? When a voucher is signeedq orgreeepiipteddsin the name of a company oor~ corporation ,he na ~jo tl Q~ P~ /~~!~y~ D /~/~ /1/./~ /~ /~
writing the comp;ryrt~pq{, D6kIrY Wie,ISL a FoF9 e y or ;Q$&0 cir
"John Doe j 0 4LV V 3 V 07 -OGG400 0-1 0 0 3 4-
Com t
# If the ability to ce t, and authority to approve are combined in one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for $----------------------- nd Title _____________________________
over his official title.
68
Amount verified; correct for -----------
(Signature or initials) -----------------------------------------
Standard Form No. 1031 --Revised
Form plbd ~
?A ecr 0Fbr ReleasA. e / osel 400010034-0
(Gen. Reg. No. Si, Supp. No. 11) ervices Other an Person
U. S. Cost-_Reimburg4Lbl&------------------------------------------------------------ Shed No- ----- I----- of Bureau Voucher No. --.Z------
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
CONFIDENTIAL PAYROLL
Direct Labor Costs properly chargeable to
Contract AlOl for the period 4/25/55 thru
5/1/55.
TATINT
Week Ending 5/1/55. STATIN
L
ATINTL
Overhead computed at interim rate
of
12,752
7
OTHER COST
Name
Globe Industries, Inc. Ck.#6829
$236.
1
Total Other Costs
236
31"/
otal Labor, Overhead and Other Costs
12,988
8/
Approved For Release 2000/D4/44NMeeIA4OP6440860R000400010034-0
Approved For Release 2000/044'fV1t46q164-00360R00040~ 100,34-0y I
Phone HEmlock 3741
GLOBE INDUSTRIES, INC. 1784 Stanley Ave., Dayton 4, Ohio
? Ramo-Wooldridge Corp.
8820 Bellanca
? Los Angeles 45, California
TERMS:
1/2% 10 DAYS, N/3-F.O.B. DAYTON, OHIO
5937
Approved f r
Payment --------------------------
Prices
Extensio ---
Paid ...............................
Account: .1G.7 ........
..................... Za.Ir ....,......
S04379-1
? Ramo-Wooldridge Corp.
571+0 Arbor Vitae
? Los Angeles, California
5937
$1,-7.50
AMERICAN PRODUCTION'AND LABOR STANDARDS HAVE BEEN COMPLIED WITH.
PRICE FOR THAT ARTICLE.
STATINTL
R- 46 ISM 111141 ?? ACCOUNTING COPY
.
-THE RAM0-WO0&W&6gRPA' ase f M /l 0IPAE R
1 r-I I I a
VENDOR- L-F1
SHIPPER `+
REC'D VIA 114) 1 _y X f el_s
ITEM PART NO.
DESCRIPTION
QUANTITY
WEIGHT
~
NET
GROSS
SO
- -
r
DELI RE EIVVEE
TO aryl , BY:
STATINTL
-W360R00040001 04-0 417 47
FREIGHT BILL NO.
DATE--
-~ 7~~y-~-gym 1
P.O.
NO. 3 -Jtc.' n
NO. OF CONTAINERS /