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: 
AttachmentSize
PDF icon CIA-RDP64-00360R000400010034-0.pdf180.53 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 /