PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400020013-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: December 15, 1999
• Sequence Number: 13
• Publication Date: March 31, 1955
• Content Type: FORM

-cr Keiease -kru ~~aT 4' ~~,KCa~y uc~c c u~~-z .....................
3?&b14------------------------------------------ --------------------- ----------------------------
(Department, bureau, or establishment)
red at ---------- ------------------------------ (Give -- -------------
place and date)
THE UNITED STATES, Dr., Payee's Account No. -_238 -------
TO -------------------------------------------------------------------------?- -------------------------------------------------------
(rayee)
----------------------------------------------------------------------------------------------------------------------------------------
Address) (City) (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 information deemed necessary)
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to Weight Government B/L No. Total
STATI NTL (Sign original only)
Check No- ------------------------ dated ------------------------------ 19_=___, for $----------------------------------- = ---I on Treasurer of the United States in
Paid by I favor of payee named above.
Cash, $ on 19 Payee ------
. When a voucher is signed or receipted in the name of a company o r e ar oration, i ho name of the person
writing the c e c s~ mu~!~ 1 r. e:
"John Doe ~ e~ 1 51 s 'r ~e~sd may~}Jt! btWR00040II02001-3=2-----------
tIf the abilitv to certify and authority to approve are combined in one person, one signature only is nec-
"Approved Title
otherwtse the approving nfacer will sign on the line boiow for $------------------- nnd ----
essary
,
over his official title. 16-YY90e-5
 i &ria,~~arveAFeri5ReIease 2000/04/11: CIA-RDP64-0036OR000400020013-2
Form prescribed by
Comptroller General, U. S. September 7, 1950 t- 4
(Gen, Rog. No. 51, Sapp, No. 11) cervices Other Than Persona
...... t Rurle U.S------------------------------------------------------------------------- __Sheet No. ____________ of Bureau Voucher No. ------------
(Department, bureau, or establishment)
CONTINUATION SHEET
No. and Date
Date of
li
D
ARTICLES OR SERVICES
A
UNIT PRICE
AMOUNT
of Order
of
e
very
(Enter description, item number of contract or Federal supply schedule,
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
CONFIDENTIAL FAYROLL
Direct Labor Costs properly chargeable
to Contract A101 for the period
2/28/55 thru 3/6/55.
Week Ending 3/6/55
2,517
20
TATOTHR
3,524
08
6,041
28
Approved For Release 2000/04/11 : CIA-RDP64-00360R0.00400020013-2