PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400060018-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 11
• Document Creation Date: November 11, 2016
• Document Release Date: April 22, 1999
• Sequence Number: 18
• Publication Date: December 20, 1955
• Content Type: FORM

13tsts,tti rppr scrib db nThzed - ,Rjg[PAIF& ?E?I"@fSfpA -oog6'OROOO4OOO6aei$-3----
ComtrollerGeneral, S.
______________
(Ciao. a~R~ tt ai,T,upp?No, il) ` SERVICES OTHER THAN PERSONALS Bu. Veu. No. ______ 126
(Amen(led bruary 20, 1962)
U. S. ------- CQat_JResimkursable--------------------------------- ------- ----------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------..---------------------------------------------------------------------------------------
THE UNITED STATES, Dr.,
(Give place and date)
Payee's Account No. _____602____
To -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
and Date of
No
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
.
.
der
O
or Service
schedule, and other information deemed necessary)
Q
r
Cost
Per
Dollars
Cts.
Discount Terms
Cost
29,491
6
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
l j
-61-
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
STATINTL
---------------- ------------------------------
---------------
-----
Date
g
Amount verified; correcV6or ___________
/
ag o
Contract No.
(Signature or initials
Pursuant to authority vested in me, I certify that this account is correct and proper for payment,
Date
STATINTL t ---------------
SIGN
Officer)
-- Certi~g--t .tre-p ----
Title .... a'AntriDti _ Q G8x---------------- Date --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
APPROVED:
STATINTL
( Check No. ________________________ dated ------------------------------ l9_____, for $-------------------------------------- ~ on Treasurer of the United States in
Paid by favor of payee named above.
` Cash, $------------------------ , on ----------------- ------------------ 1 19-----. Payee ---------------------------- ------------------------------
_ _ _ _ (eirn ori?inal only)
STATINTL
--------------
' YVhon a voucher is signed or recelpted In the name of a company or corporation, 1 he name of the person Per _______________
writing the company or corporate name, as well as tbo capacity in which he signs, must appear, For exemple: --------------------------------'_---_-----------
"John Doe Company, i,ar John Smith, Secretary", or "Treasurer", as the case may be.
P88ary;. OtheriRise the approv = 0~e ` ' ~ ~ RDP64-OO3-6ORO0440006OO48.3------
..1,, 18--22800-5
 Btandartt Form No. 1035-Revised ?
Form prescribed b
Comptroller General Sanitized - iGv'V@*4MelQasPeur 0360R000400060018-3
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Nw, Services Other Than ersona -
CONTINUATION SHEET
u. s. Cost Reimbursable ---------------------------- Sheet No. -__ 1------ of Bureau Voucher No.
(Department, bureau, or establishment)
No. and Date
of Order
STAT
Date of
Delivery
or Service
i NTL
ARTICLES OR SERVICES
supply schedule,
(Enter description, deemed necessary)
Direct Costs properly chargeable to
Contract A101
for the period 11-13-55 thru 11-20-55
Week Ending 11-20-55 STATIN
Overhead com uted at interim rate
of
Total Labor and Overhead
OTM -COSTS
QUAN-
TITY
Cts.
STATINTL
28,1I80 87/
ITEM# CK#
1820
M1734
NAM,
Calif. Electronics Supply
175
60 '
14832
11568
Associated. Industries
424
-10
,64 -~
~ 5a
t
14915
C. Cashier .
61o
~- 74.
Total Other Costs
d and Other Costs
h
O
29;? 91
.61:
ea
ver
Total Labor,
ani i e - pp roved ForvrReleeser!cCIiA&ROP64-0036OR000400060018-3
 .nn14ullu 1-14u0
BR adshaw 2-2126 SUPPLY
Ganitize A ~V -~FF ~~~ leace I~ P6_ QOR~OOl40 0
Teletype _WiJ 7592' We ~l'ic~ rBivc - ~1V est os" Angel iforrua u. 8
SOLD [.)820 '-ellanea
TO Los &n,eles );=', Cal:ii'
L
11734
J
DATE OF INVOICE
RESALE
TAXABLE
CODE
SHIPPED VIA
TERMS
OM
CUSTOMERS NUMBER
16- 27-5,'
'.
';;
2 1Ot1~
11
,
734
ITEM
P. O. NUMBER
QUAN.
ORDERED
BACK
ORDERED
D E S C R I P T I O N
QUAN.
SHIPPED
PRICE
UNIT
TOTAL
1 Cr'7I~>
10
80
1
FtiID
ACCOUNT 1 ' r
ORDER CLERK
SHIPPED BY
RECEIVED BY
DELIVERY CHGS.
FILLED BY
WAYBILL NO.
TAX
-
-
CHECKED BY
PRICE AND
TOTAL
~ ,I
CONFIRMATION
. . FA
04 CAP A-nnnrnRQnn4l
nooraai
 VENDO
RECD VI
,
PACKING SLIP NO. -_"
' P. O. NO
??i ? ? ??
~,; ?L4 ~F eONTAINERS_ _-_
QUANTITY
PART NO
QUANTITY
D E S C R I P T 10 N
WEIGHT
ITEM
I
.
ACC.
REJ.
NET
GROSS
f n-,
9OLrOF
n
REMARK
Sanitized - Approved Forte I I.*"P64-00360R0004nnn%00~ 9~
' 11"~
RECEIVING RE G
 AR".~na 7-1208 A ~ NIA, ELECTRONICS c'TJPPLY, INC.
BR,ads?yaw 2-2126 ani ized vP~ FQr Rel s ~ 00040
Tele#ype WLA 7592 118 -03 Westico Blvd:es1;oAri1Lp~~f~ i~V:~
SOLD ]1i1O 4oo1drid8e
TO 8820 ED, ellonca~
-1_os +~neles 4~9 Cn1.if.
L
1.L734
.r
DATE OF INVOICE
0
2
55
RESALE
TAXABLE1
CODE
51,
SHIPPED VIA
TERMS
2; 10th
1173
CUSTOMtK
Z1-
S NU
MGL.Q
-
-
QUAN.
PRICE
UNIT
TOTAL
QUAN.
BACK
DESCRIPTION
SHIPPED
ITEM
P. o. NUMBER
ORDERED
ORDERED
3
>,,d (IR1772 131,ock
168
3
f~.
:__"(
rtoUNT
DELIVERY
CHGS.
ORDER CLERK }}r~`
FILLED BY
SHIPPED BY
W4YgfLL,NO.
RECEIVED BY
TAX
TOTAL
CHECKED BY
PRICE AND
CONFIRMAT.ION.-
co [Nc. -
OAKLAND
ALL CLAIMS MUST BE MADE WITHIN 5 DAYS AFTER RECEIPT OF SHIPMENT
 ACCOUNTING COPY
Sanitized pprova VING: QR 00360R0004N960& 9
VENDOR DATE ~~=~
SHIPPER P. O.?NO. // 3
IT
M
QUANTITY
PART
O
QUANTITY
WEIGHT
E
.
N
DESCRIPTION
RECEIVED
ACC.
REJ.
NET
GROSS
of.
7S
-
~'~ -- 7?
STATI
NTL
13
-
-
STAT
~NTL
REC'D VIA't ~/ ? ? ? ?
?~,~_ ? F411HT ILL NO.
PACKING SLIP NO. 2 C 2- ? ? ?JNO. ~tONTAINERS G
DELIV
TO:
roved For
ase : CIA
 Sanitized.aAApproved For Release : CIA-R
4 $4iliost oG 44 Id 4. Semle,, 90rc.
6855 TUJUNGA AVENUE ? NORTH HOLLYWOOD, CALIF. ? PHONE STANLEY 7-5158?
'anrn- ooldrige Corp
13G20 Bellance
L.A. ~5, California
SHIPPED TO
5651 V. 96th Street
L.A. 4.5, Cqlifornia
-00360R000400060018-3
INVOICE N? 4244
Date 55
? CLstomer Order No. 11518
? ?
? ?
Job No. Ref. No.
Via Ti
Frt. Prepaid C. O. D.
Partial Complete
Packer
Terms
1/ of 1% 10 [iayc
CASE No.
WEIGHT
QUANTITY
DESCRIPTION
UNIT PRICE
AMOUNT
x.=145 Tack i' Heintz Inverter Guaranteed
=eesa.le
x?25.00
J.2. Lb
rges
1.77
n
11 T L
a_ a
SUB TOTAL
TAX
TRANSP. CHGS.
TOTAL
LOSS OR DAMAGE CLAIMS
1. Claims for loss or damage should be made against transportation company at point of destination.
2. The contents of this shipment were delivered to carrier in perfect condition. Report any loss or damage immediately to the transportation company and insist on
inspection by their representative.
3. Return no goods without our written authority.
4. Clairns for s 5. Make remittanceedi I p t eat' -eApproveu Oayj or rFZeIeased: G7li4 RDF64 -UO OR00040a060018 our written consent.
ITEMS NOT ENTERED OR BILLED HAVE BEEN BACK ORDERED AND WILL BE SHIPPED AS SOON AS POSSIBLE
 VEt3DO
SHIPPER
RECD VI
Sanitized - A proved For*e9gggg'"ei ( b 4-00360R00040NV001 & o
PACKING SLIP NO. -
DATE
~`
P. O. N,/~
? ? ? ? ? FRIGHT BILL NO. "--~--
? ' ? ? ? 114. OF CONTAINERS------./--_
UANTITY
PART NO
QUANTITY
D E S C R I P T 10 N
WEIGHT
ITEM
Q
RECEIVED
.
ACC.
REJ.
NET
GROSS
c~J
001,
o
a
STATINT
y-
STATI F'
REMARKS:
d 1100 ved
&4D0060018-3
 Sanitiz I Approved For ag'e' R-RDP64-0036OR000.4O 0018-3
low 40MF1 PMzivc Me iNC.
1 .0 : V-.
owim-. ~ W"
?
e i
417 EAST SIXTEENTH ST.. LOS ANGELES is, dkLjr ? ?
Tv3aphoae~R lrg ;A
low I CUSTOMER'S Y
1
NAME
ADDRESS
SOLD BY
L.
S-TA
TINTL
na.a. uL.AAMS AND R6TUR 6
Sanitized - A{ ,rove ToFOM A A PAERf3FD64-Oc eoR?A0400060018-3
NO. ORD R NO. ATE '" I
9 .
-11
RECEIVED BYI `+
FORM G.$.R. 9 SUREST BUSINESS FOSYS OAELAND LOS ANGELES
 Sanitizled - Approved RPO'?WWW? CIA-Rb 4a3t0~000 W060018-3
4 AfAegeOCIANA P44ffAg CM
'.6 i
3 ra, Si
417 EAST SIXTEENTH ST., LOS ANGELS 15. t L1t 1
Telephone PRosp.ct 3135
NO.
13508 CUSTOMER'S , -Z 7;f DATE,0r 19
is NAME
ADDRESS
ORDER N
. IjO G
SOLD BY
CASH
C.O.D.
CHARGE
ON ACCT.
MDSE. RET.
PAID OUT
QTY.
DESCRIPTION
PRICE
AMOUNT
wir
R
f
j
TAX
TOTAL->
'9agt5N ID-Ap DM?cR6Y6Ta%'G~TA -'` P ORjjr t r
RECEIVED BY:
iw FORM G.S.R. 9 SUNSET BUSINESS FORMS OAKLAND LOS ANGELES
 Sanitized - Approved For Release : CIA-RDP64-0036OR000400060018-3
50
9-5 0
8.0 0
1 6.5 0
34.50x
Sanitized - Approved For Release : CIA-RDP64-0036OR000400060018-3