PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400020037-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: December 15, 1999
• Sequence Number: 37
• Publication Date: August 18, 1955
• Content Type: FORM

Standard Form No. 10334--Revised
r ~)
Cr General bU. S. P ~~~C~ ~y,Q H
((JenA- f)/ ? JoQJ Release 2 3!'ICV' MW MA
(Ame ded February 2n. 10.42)
D. O. Vou. No. ________
-----------------------
( &QG4OQ020037-f A
L Bu. Vou. No: ------ 447
--------
U.S. ------- --------------------
(De
t
par
ment, bureau, or establishment)
Voucher prepared at
(Give place and date)
Payee's Account No. ___1i4$
To
---------------------
--------------------------------------------------------------------
(rayee)
-----------------------------------
-------------------------
(Address) ----
No. and Date of
Order '
PAYMENT:
Complete ^
Partial ^
Final ^
Date of Delivery
or Service
(Enter description Item number of contract or Federal supply
schedule- nn.-l ..,i. ..
y
Shipped from to
Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received. I (Payee must NOT use this space)
STATINTL
Dollars I Cts.
$8,070.
800.
(( Check No. 1.0*Q y-;/_V____ dated ___________, 19-135-for $__i_?on Treasurer of the United States in
Paid by { fT .F............. f
favor of payee named above.
on ------- 5+----------------- 19 ------ Payee ---------------
Cash, $ ____________ --------- { ---------------------------------
------------........
---
' When a voucher is signed or receipted in the name or a company or corporation, the name of k&6- s;rn udef~u cdy7
writing the com any or corporatAe a as w s t e~ca J eci p ' y' P
?Joh Doc Co ~Ug 'Ffl~ I~ d s ' i I11tWiE# 't , ,~rl/1F -0O OR 004eOo2Wa~7-Fi
tIf the abilit t e ; y n u ority 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 $ Title
over his official title, and
Use continuation sheet(s) if necessar
THE UNITED STATES, Dr.,
Differences ------------
 Standard Form No. 1036--Revised
^,E rmprescribedby S C-l
A y..iptro]ler C3engrpL U. s. I MA ~' -ch do 8020037
( , n per. ease ervices Otner i nan nal ! COPY / of 3
CONTINUATION SHEET
U. S. Cost Reimbursable- ------------------------------------------------- Sheet No. --1------- of Bureau Voucher No. -_44-----
(Department, bureau, or establishment)
ARTICLES OR SERVICES
(Enter description, Item number of contract or Federal supply schedule,
and other information deemed necessary)
Direct -Labor Costs properly chargeable to
Contract A101 for the period 7/25/55 thru
7/31/55.
Week Ending 7/31/55
STATOTHR
L)UUIU.41-
LAN' 1: PRINTING OFFICE 16-e25M-1
0 3,16b.