PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400030012-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 11, 2016
• Document Release Date: April 8, 1999
• Sequence Number: 12
• Publication Date: November 2, 1955
• Content Type: FORM

Standard-Form No. Io n ized Apr 4-00360FtAU0~4DD030A12- ------
C I orm prescribed by ~~~uFC
ptroller General 8 E~~ E
om II
(Clan. R geo nlcr1upp. No. li) a RVICES OTHER THAN PERSONAL
Bu. Vou. Na. _------- 101-----------------
U. S.._______________________ Cost Reimbursable
------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- ------ 5a6____
To ---------------------------------------------------------------------------------------------------
(Payee)
---------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (Mate)
No. and Date 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 ^
9,908.
Cts.
61
9,908.
Shipped from to Weight Government B/L No. I Total
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
Differences _________________________________
.11
Date?`24-
25X1A
' II
25X1A
Per -_ Title
Contract No. A101 Date Req: No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
25X1A
SIGN
ORIGINAL
ONLY
------ - --------- -----
Account verified; correct
Date
---------------
---------------
---------------
61
va ---Offi-
- cer ---------------
Title ------- --~.~_-o--- -'---------
- -- Date --------- 25X1A -----?-------------------------------------------
Check No. /__p___~_C_ ly ~ dated ----------------- 19_6 S, for $-__ Z o U~ ~L ! 9 __________ on Treasurer of the United States in
Paid by I / 1 favor of payee named above.
? When a voucher is signed or rcceipted in the name of a company or corporation, the name of the person
caeiting the company or corporate name, as well as the capacity In which he signs; must appear. For example:
Per ----------------------------------------------------------------
tIf the ability to coxtify and t ve a Ig
essam; otherwise.the 1
approvin RD PB*-003-SO R00040043D0-1.22 ------
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n. or f'roj't.
Amount
Appropriation
Amount
------------------------------------
------------------------------------
--------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
-------------------------
-------------------------
-------------------------
-------------------------
tment s
mbol
All
ount
A
Obligations
COST ACCOUNT
OBJECTIVE CLASSIFICATION
o
y
m
.liquidated
Symbol
Amount
Symbol
Amount
------------------------------------
------------------------- ----------
---------------------
---------------------
---------------------
---------------------
---------------------------
---------------------------
-------------------
--------------------
-------------------------
-------------------------
---------------- ---------
-------------------------
Cash, $------------------------- on ------------------------------------- 19-----. Payee -------------------------------------------------------------------------
(signu6eho1 only)
 IStanclard Form No. 1035--Revised
Form prescribed by
Comptr
se;Mwjt d? - Appro d)i r WJW:IIPAI Ph* OFI000400030012-2
((len. Reg. No. 61, 8upp. N0. 11) ervices Other Than Personae
CONTINUATION SHEET
U. S_ _______________________Cost _Red.mbursable---------------------------------------- Sheet No. 1--------- of Bureau Voucher No. 101
(Department, bureau. or establishment).
No. and Date
of Order
25X
CK
13350
Date of
Delivery
or Service
hA
PO
9898
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
PAYROLL SYSTEM III
Direct Labor Costs properly chargeable
to Contract A1O1 for the period 10/10/55
thru 10/16/55,
Week Ending 10/16/55
Total Labor and Overhead
OTHER COSTS
NAME
Ducomm.un Metal
Total Labor, Overhead and Other Costs
VAN-
ITY
57?
Sanitized - Approved oc AZIITPI IUWG - , ao i -00360
96V
 4890 So. Alameda S'San itizedo.Appro
LU dlow 8-0161
JeIO4MJ44O3eROOO4oo
METALS & SUPPLY CO.
P. O. BOX 2117, TERMINAL ANNEX
LOS ANGELES 54, CALIF.
P
SOLD
TO
L
SHIPPED
TO
9096
RAMO ' OOLR I DGE CO
5u2O BF-ILLANCA ST
1._ A 45 CALIF
? ? ? ? ? ? ?
? ? ? ? ? ? ? ?
? ? ? ? ? ?
TERMS CODE
Uncoded Amounts Take Same Discount As Next Coded
Amount Below.
T-2% - 10th Prox. R-1% - 10th Prox.
E-% OF 1% - 10th Prox. M-Net Cash - 30 Days
SHIPPED
FROM
INVOICE AND PACKING LIST NO. ROUTE PREPAID - COLLECT SHIPPIN13 DATE INVOICE DATE
923 417
1 ROLL 116 IN PACIFIC DURO BRONZE
i V4 I R SCRELN CLOTH
APPRGVtD FOR"
PRICES AND
tX1 ~'ION8-
1 - ROLL 59 14 T
CLAIMS- All claims ~ kfo~yr ~defective mq~aterial are waived unless made in writing within five days from the date of shipment. Our liability Is limited CUT MATERIAL, w6etJPA1I latfs~lciy=~ `, r'~I} l r ?? ?fl e1'ease la'CIA-RDP64-003608000400030012-2
cSMEN cannot authorize the return of merc a dise.
will be charged on Past Due Accounts.
by Warrant that there has been no violation of any of the provisions of the Federal Fair Labor Standards Act of 1938, as amended,
/ofar as the transaction represented by this Invoice Is concerned.
9/23/55 9/2x/55
 ACCOUNTING COPY
Sanitized - A rov l0 : 11~~~
pp 6E&V : ~I~i ~6j0360R00040030012-2
VENDO
SHIPPER
PACKING SLIP NO.
QUANTITY
RECEIVED
DAT 'or
P. 0.N 0.~ f x..277
? ? ? ? ? ? FREIGHT BILL NO.
II V'? ' ? '_ ? NO. OF CONTAINERS
QUANTIT?
J- 2
M-w
cQ 1-5
STATINTI
-oa-oo
SATIN
DELI
TO: