PUBLIC VOUCHER FOR PUCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400100006-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 6
• Document Creation Date: November 17, 2016
• Document Release Date: December 16, 1999
• Sequence Number: 6
• Publication Date: July 25, 1956
• Content Type: FORM

rulard F0.14?);tappaved For Release 2000/04/11 ? CIA-RDP64-0036)0R0110400100006-1
conFi'ardroneeitii, .8. ...elLIC VOUCHER FOR PURCHASES AN
September 7, 1950 Wimr 323
((Jon. Reg. No. 51, Bunn. No. 11) SERVICES OTHER THAN PERSONAL . Bu. Vou. No.
(Amended February 20, 1952)
. S. con RENBURSABIX
-oucher prepared at
HE UNITED STATES, Dr.,
.(Department, bureau, or establishment)
(Give place and date)
13.81
Payee's Account No.
0
(Payee)
No. and Date of
Order
(Address)
Date of Delivery
or Service
(City) (State)
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
QUANTITY
UNIT PRICE
Cost
Costs
PAYMENT:
Complete ID
Partial D
Final EJ
Use continuation sheet(s) if necessary
Per
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. (Payee must NGT use this space)
STATINTL
Da
Contract No.
Pursuant t
t Approve
By
(Sign original only)
STATI NTL
putted when a b(lls)
__ Title _
Date
Req. No.
Differences
4
Amount verified; correct
(Signature or initials)
Date
Invoice Reed.
ccount is correct and proper for payment.
OFFICER
Title
.1.0e SIGN
ri ORIGINAL
ONLY
7P 6-6
tifying 0 or)
Title
Date
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STATI NTL
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
STATI NTL
CDR 2 7 JUL 5(1
I Check No.
Cash, $ , on dated , 19 , for $
19 Payee f on Treasurer of the United States in
Paid by
I. favor of payee named above.
(Blyn orlelnel only)
*When a voucher is signed or receipted in the name of a company or corporation,, the name of the pm son
writing the company or corporate name, as well as the capacity in which he signs, must appear. For en Inple;
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
nthArwlse the appr
t the ability to certify Al authority to anp=e are nonahined in one nersmsiivitr ontykc
plYttoveti*or 1-1easer20
Per
0P64'.110Cr360R0004001-00CY08--1
Aandara ,,??,4,putlyqgsf or Release 2000/04/11: CIA-RDP64-00360R000400100006-1
Form prescribed by
mgeligib ;11i7latik ,ublic Voucher for Purchase nd
0* Gi I U
(Gou. Beg. No. 5134 oupp. No. ID Services Other Than Persoiral
CONTINUATION SHEET
U. S. COST REIMBURSABLE
(Department, bureau, or establishment)
MEMORANDUM
Sheet No. 1 of Bureau Voucher No. 323
No.amiDae
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and the information deemed necessary)
Ckligr'
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cts.
Contract A101 - System III
Direct Costs Properly Chargeable to
Contract A101 for the period 6.18-56
thru 6-24-56
STATINTL
Labor Week Ending Arne 24, 1956
TINTL
Overhead computed for Communications
Division at interim rate of
ATINTL
Other Costs - per schedule attached
2,274'53.
Total Libor, Overhead and Other Costs
ATINTL
0 & A expense a ted at interim
rate of
Total Coots
152
O6
STATINTL
U. S. GOVERNMENT PRINTING OFFICE 1.8-821305-3
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FOR NON-OPERATING DIVISIONS
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6:1?
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DATE
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NUMBER
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04100
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DATE
REPORT NO.
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DATE
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NUMBER
PAYEE'S (ABBREV.) NAME
IP'
PURCHASE ORDER
OR INVOICE
NUMBER
RECEIVING
REPORT
NUMBER
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CODE
CHARGE ID STRIBUTION
DISTRIBUTION
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MAJ
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MO
DAY
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ACCOUNT
M.J.O.
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5127851
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15400
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CAL ELEC
5270551
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