PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400050014-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: June 21, 1999
• Sequence Number: 14
• Publication Date: November 16, 1955
• Content Type: FORM

-iggsyndard Form No. 1034-Revised
Form prescribed b ~
Com m d? For Rife
(Quo. Reg. No. 11, Supp. No. 11) 1
9 9 Llr%
I HAY'
fill,
D. O. Vou. No. -------------------------------
00040P0g0014-
Bu. ou. o- ---------------------------------
U. S ---------------------------------------i?-bursable-----------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------------------- --------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ___55?_______
To -------------------------------------------------------------------------------------------------------------------------------------
(Payeo)
------------------------------------------------------------------------------------- _-----------------------------
(Address) (City) (State)
OR SERVICES
ARTICLES
No. andDateof Date of Delivery (Enter description item number of contract or Federal supply QUANTITY
Order or Service schedule, and other information deemed necessary)
Discount Terms
SAPC Z SGa {
Copy / OS-
UNIT PRICE
AMOUNT
ll
C
Cost
Per
ars
Do
ts.
Cost
1.2, 757?
24
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No. Total
12
Y4
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
STATINTL (Sign original only)
-----------------------------------------------
---------------
-----
STATINTL
-----------------------------------------------
---------------
-----
Date 7/155 On *Paves ~r - ' - --
awee? a u oa bia or uat.>
--- ---------------------------- ---- ----------
Account
---------------
19 r~ j
-----
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
(Signature or initials)
Date
t Approved for $
x.24 ----------- STATINTL
SIGN
ORIGINAL
ONLY
t ------
Title
r---------------------
Date ----------- C_0ntrB C- i
STATINTL
STATINTL
[l
Q1f1.cer----------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n. or Proj't.
Amount
Appropriation
Amount
------------------------------------
-------------------------------------
----------------------------------
-
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------
-------------------------
--------------------------
------------------------
- ---------------------
_
Obligations
COST ACCO
UNT
OBJECTIVE CL
ASSIFICATION
Allotment symbol
Amount
liquidated
Symbol
Amount
Symbol
Amount
------------------------------------
---------------------
---------------------
----------------------------
--------------------
--------------------------
-------------------------
Check No. --------------------- favor dated ------------------------------ 19------ for $--------------------------------------- n Treasurer of the United States in
{ fo avor of payee named above.
Paid by I Cash, $------------------------, on ------------------------------------- 19--___. Payee ----------------------------- ------ - ------------------ ---------------
six?oriam:.i o,ivl
? When a vo cher is signed or receipted in the name offga company or corporation, the name of the person Per ________________________ _ _ __ -
rtinhocoiy s}r~aPo6el~l~yA~tfl61cA,5dma~/1' e:
JohngD r S i ,~S eery- F P'6> - 03608000400050014-8
tIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title __________________________-._..__________________-_-___-
essary;, otherwise the approving officer will sign on the line below "Approved for $___ _______________", and
over his official title.
ACCOUNTING CLASSIFICATION (For completion by Administrative Office)
 $tanlaara worm IN V. lvpyo.o- v-bu
Comptrollpel i , Mod For u N00 *MfOCIRLR R000400O`50&14-i+F"
September 1950 4 ,
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal t '.. 3v1, (
CONTINUATION SHEET
U. S- -------------------------- C9_11123?. ---------------------------------------- Sheet No. ---I------ of Bureau Voucher No. -2]-1----
(Department, bureau, or establishment)
TATINTL
S
Date of
ARTICLES OR SERVICES
QUAN-
UNIT P
RICE
AMOUNT
No. and Date
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
PAYROLL SYSTEM III
Direct Labor Costs properly chargeable to
Contract A101 for the period 10-24-55
thru 10-30-55
STATIN
L
Week Ending 10-30-55 STATIN
L
Overhead computed at interim rate
of
Total Labor and Overhead
12,737
56`
OMER COSTS
PO.'
NAME
11368
P.S.P. Engineering Ccanpany
i
.68 1
Total Other Costs
190
68
Total Labor, Overhead and. Other Costs
12,757 .
2i
e
itrr OR000400050014
T
-8
E
a
 or Wdac 2000/04/ 1 CIA-RDP64-003 000400050014-8
IiP engineering co pany
?
8420 OTIS STREET, SOUTH GATE, CALIF RaIlt ? ILOG*N 1-8141
? RAMO-WOOLDRIDGE CORP,
5651 w, 96th St,
Los Angeles,, Calif,
-114VOICE NO.
9867
? RA D..WOOLDRIDGE CORP.
5651. WEST 96th STREET
LOS ANGE,,ES, CALIF.
VIQI RCEL POST
DATE
10/1.7,/55
CUSTOMERS ORDER NO.
11368 I
TERMS
-IRESALEF-ITAXABLE 1% ?~ 10 days net 30
hCOLLECTn PREPAID
WORK ORD R NO.
5015
ITEM
QTY. THIS SHIPMENT
BALANCE DUE
D E 8 C I PTIO N
Il rovod for
UNIT PRICE
EXTENSION
---------- ----
tcn.>i on?
11ccrnint: S' ! L 3
1
1
0
SD 72A Solenoid ' -------- _
---------------
19.50
19,50
--3 - p
~,, ,:.-.._
19.88
CONTRACT NO. Destination
6 J?
SHIPMENT NO.
Materials furnished on this order are manufactured in accordance with all applicable, instructions and specifications. Physical and chemical data pertaining to this
order are available for inspection.
v e~3 i v i e w mpl' cq }~. g y~]~, $~a ards Act, as amended,
We hexebp certify aolr~~/ At e ood&~e ~p~
including Sections@id~~]Qkiq~p~A~dl~ID11 t17s ri{>~lt7rip~~~1!i6h of. /~
11~Ftt(dre
FORM NO. PSP 40- SUNSET BUSINESS FORMS OAKLAND LOS ANGELES C-38488-9 INVOICE
 ACCOUNTING COPY
,Approved, Fo(ReleasesO ~G MLDfif~ Va~AglAKC ;~ FS 60R0004000?14182839
VENDO
!/
SHIPPER
/
REC'D VIA_ V
PACKING SLIP NO. 004- 7
- - .DATL" 1&=- D - e
---~ i
? ? FREIGHT BILL NO.
NO. OF CONTAINERSL
T NO
A
QUANTITY
DESCRIPTION
WEIGHT
ITEM
QUANTITY
RECEIVED
.
P
R
ACC.
REJ.
NET
GROSS
-
-
,,ma~yy
V
't$-- CC) -10c
TATI NT
REMARKS:
A-7,4l Aw.e[9 - ...wd .. r9c_.C~.re s~rL~~