PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000400100032-2
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
2
Document Creation Date: 
November 17, 2016
Document Release Date: 
December 16, 1999
Sequence Number: 
32
Case Number: 
Publication Date: 
July 12, 1956
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000400100032-2.pdf111.14 KB
Body: 
R_ is;:rcdurc. Form. ]go. 1034-Revised Form prescribed b Comptroller Ucner SepLember7 A For ( Amended February 20, 190jt) 0360R0004001 32-2 Bu. Vou. No- ---------- - - ----------------- U. .J -?------- COST jJ_ _T!-ti 3lr~ ------------------ -------------------------------------------------------------- (Department, bureau, or establishment) Voucher prepared at -------------------------------------------------------------------------------------------------------- (Cive place and date) 28 THE UNITED STATES, Dr., Payee's Account No. __11---------- 7'o ----------------------------------------------------------------------------------------------------------------------------------- (Payee) --------------------------------------------------------------??----- ---------------------------- -- -------------------- (Address) (City) (Mate) sAPC 76.5 5 COPY I OF " No. and Date of Date of Delivery ' ARTICLES OR SERVICES (Enter description item number of contract or Federal supply UANTITY UNIT PRICE AMOUNT Order ervice or Service schedule, and other information deemed necessary) Q Q Cost Per Dollars Cts. Discount Terms Costs 2,591 21 P STATINTL AYMENT: Complete ^ Partial ^ Final ^ Use continuation sheet(s) if necessary Shipped from to Weight Government B/L No. Total (Payee must NOT use this space) I certify that the above bill is correct and just and that payment has not been received. Differences --------------------------------- --------------- ----- Si ?n orl inal only) STATINTL - --- -- --- - ---- - - - ---- - El ~~ ----- ------------ - - - -- ----- - -- - ------- - ----- ________ ate --- d who ill or bill,) Amount verified; correc y,r ____ ____-_ --------------- _---- (Signature or initials); SIGN ORIGINAL ',? ONLY STATINTL STATINTL I Check No. ________________________ dated -____________________________, 19_____, for $______________________________________ on Treasurer of the United States in Paid by { favor of payee named above. Cash, $----------------------- on ------------------------------------- 19-----. Payee ------------------------------- --- ? When a voucher is sig ed or receipted i th name o a company or car oration the name of t le person writing the compan or c r~~i 1 e l~ 4 { "John Doo Company, p6r S~~tor' ~,lfs .o~d.41 iAPR tIf the ability to certify and authority 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 $--------------------- , and over his official title. (Olin ariilnrl only) 64=II036ORflOt 4DII'ItrOO37-2 Title r. 6tar+dard Form. No. 1035ar-Rovisod ed For R re & *1l 0 I`Au~ - R00040Q 81NDUM =o ter 11 99 ((ion. Reg. No. Ii, ~upp. No. 11) Services Otter an arsons CONTINUATION SHEET U. S. ----------COST--EE U. ,SABM ----------------------------------------------------- Sheet No. 1-------- of Bureau Voucher No. 297------ (Department, bureau, or establishment) No. and Date of Order STATINTL STATINTL Date of Delivery or Service ARTICLES OR SERVICES (Enter description, iothe inforrma ion deemed necessary) supply schedule, Contract Alol - System I Direct Costs Properly Chargeable to Contract A101 for the period 11/28/55 thru 12/31/55 Labor Period Ending December 31, 1955 overhead computed for Communications Division at rate appr b Air Force audit for year 1955 - d Total Labor and Overhead other Costs CKNo. P. 0. N Vendor 16972 lo624 E.W. Leu Co. 16999 J.L. Barrett, Co. Cashier 1701i.6 10596- B Noland Paper Co. 1712+ 10596- 0625 Noland Paper Co. 17169 J.L. Barrett Co., Cashier Total Other Costs TOTAL COSTS pp For Release 200010441^iT.5,CtA=RDP64r 00360R000400100032-2