PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400020010-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: December 15, 1999
• Sequence Number: 10
• Content Type: FORM

`IWURor Releas
((3en. Reg. No. 51, 9upp. No. 11)
(Amended February 20, 1952)
EfflTive-M
~~jjpp
THAALK
D. O. V01. No- ------------------------??---
400020010-5
U. S. ---oST REIMBUSABLE
----------------- ------------- --------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
THE UNITED STATES, Dr.,
(Clive place and date)
Payee's Account No. ---235-_----
To -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(A ddress) (City) (State)
No. and Date of
Order
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
Date of Delivery
or Service
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
STATINTL
Check No- ------------------------ dated -------------------_-----_ 19---- for $--------------------------------------r on Treasurer of the United States in
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person
writing th gq~p~a~~ri~~grr~p~ ~~eii1 s cc,,~poyy~p hye~ Pis, lyeipg~xepu~1
"John Do~JlcbriB5~11h,1>Se[7t~>C"l~dELi]t~/d0 ~ee~eAY-FIf-1[ rv~F-~
t If the ability to certify and authority to approve are combined In one person, 'one signature only Is nee-
essary; otherwise the approving officer will sign on the line below "Approved for $-----_--__--------- , and
over his official title.
360R000400020010-5
Title -------------------------------------------------------
1 e-22900-5
 Standard Form No. 1035-Revlstd
? Ca; 'i0 1*d.For Rele
September 7, 1950
(Gen. Reg. No. 61, Supp. No. 11)
Mv,p,p l~r,f*,R Apse 0400020010-5
ervices Other Than Persona
CONTINUATION SHEET
U. S. ...... ---------Cost--Reimbursable ------------ ------------------------------------------- Sheet No_ ____________ of Bureau Voucher No. _-____
-------------------------
(Department, bureau, or establishment)
and Date
No.
Ordor
of
Approved Release ?.5iE CI RDR64-0O+60R000400020010-5
ARTICLES OR SERVICES
UAN-
Q
UNIT P
RICE
AMOUNT
Date of
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule.
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
CONFIDENTIAL PAYROLL
Direct Labor costs properly chargeable
to Contract A101 for the period
2/7/55 thru 2/13/55
Week Ending 2/13/55
1,630
65
immmm
i
2,2$2
91
-
3 , 913
56
STATOTHR