PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400100033-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: November 17, 2016
• Document Release Date: December 16, 1999
• Sequence Number: 33
• Publication Date: July 12, 1956
• Content Type: FORM

Form prescribed b
controllertene rOroved For?I
September
pp No. 11)
(Gen. ended NO. S$'
a: 1962)
(Amen ed February 20,
0360R0004OQQ0033-1
Bu. Vou. No- ---------------------------------
U. S. ---------- ----------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _ u9______
To ------------------------------------------------------------------------------------------------------------------------------------
(Payee)
APC 7C, 3_3
fl
PYi/OE ,3
ARTICLES OR SERVICES
tion item number of contract or Federal supply
ri
d
E
t
UNIT
PRICE AMOUNT
No. and Date of
Order
Date of Delivery
or Service
p
n
er
esc
(
schedule, anr~ other information deemed necessary)
QUANTITY
Cost
Per Dollars Cts.
t T
Di
erms
scoun
COSts STATINTL
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received.
STATINTL _: ..
-----------------------------------------------
STATI NTL -----------------------------------------------
Date -6:7--- -- -----------------------------------------------
wn.n a n7.)
Amount verified; correc for ______ --
Per tie (Signature or initials) - ___, ----------------------------------
Contract No. Date Req. No. Date Invoice Recd.
Pursu count is correct and proper for payment.
t Ap ---
SIGN
/ ORIGINAL Title ___
J? ONLY
STATINTL Date --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STATINTL
APPROVING OFFICER
Check No- ________________________ dated ------------------------------ 19_____, for $-------------------------------------- on Treasurer of the United States in
Paid by j { favor of payee named above.
I Cash, $----------------------- on ------------------------------------- 19------ Payee -----------------------------(eicn--------------only) ------------------------------
orlclnni
? When a voucher is s r y ggi n Q,n~ar, of q eornpan o; , t me o~t,s1I P
writing the company or 1 b #O9 , c ~ r.. i 1AI LLOU -R.. 4-00360ROOU4OUiUOU33-'f -------------
"John Doe Company, pe J n Smith, ecretary ' or rcasurer as a ca. a o.
tIf the ability to certify and authority to aignprove are combined in one person, one signature only is'nce. Title _______________________________________________________
essary; otherwise the approving officer wills on the line below "Approved for $------ ------------ andd
over his official title.
 Standard Form No. 1035a-Revised
vaed For F 1 @ M 19tC~R IDOL R00040~ &J" U.
Com jetrmrotptembe 7 1950
(Qeu: R.og. No. 51, S~upp. No. 11) Services Other Than Personal
CONTINUATION SHEET
COST REI fl3URSABLE 1 of 298
U. S- -------------------------------------------------------------------------------------------------- Sheet No. ------------ of Bureau Voucher No. ------------
(Department, bureau, or establishment)
STA
STATINTL
STATINTL
ST
STATINTL
STATINTL
D
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE AMOUNT
ate
No. and
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TY
TITY
$i
or Service
and other information deemed necessary)
Cost
Per Dollars Cts.
-
Contract A101 - System II
Direct Costs Properly Chargeable to
Contract A101 for the period 1-1-56
thru 6-3-56
TATINT
Labor for the period 1-1-56 thru 6-3-56
Overhead computed for Communications
Division at interim rate of
Other Costs-*
STA
INTL
Accounts paid per schedules enclosed
in folder No. 2
Material requisitions per schedule
attached
1
074.6
JV - No. 25-056207
8
347.6
Total Other Costs
Total Labor, Overhead and Other Costs
G & A expense com uted at interim rate
of
Total Costs
Approved For Release 20001041x14,Nip.GIA-ROP64-0036OR000400100033-1
 C3tandardFOrrfl lA3liiypg~ i ~ f:Q99 i17F1 1r41+L.Lia%C
FormplVeUor 8000400100033-1
7omptr a, 9.
Septt.m n rember 7, 1960
(Gen. Reg. No. 61, Supp. No. 11) Services Other Than Personal MEMORANDUM
CONTINUATION SHEET
U. S- -------------------------------------------------------------------------------------------------- Shcet No. - 2 o f Bureau Voucher No. - 29 ----
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
lT5!!I~-
{
UNIT PRICE
AMOUNT
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
?~'r
Celt
Per
Dollars
Cts.
Material Requisitions
Issue Register No.
i0-000741
4
93
10-002574
7
14
10-002575
24
30
10-003503
30
40
10-003373
1
02
10-002688
10
75
10-002689
2
92
10-3733
2
50
10-4221
85
10-4429
10
50
10-4430
19
90
10-4445
20
00
10-4454
37
00
10-4455
34
56
io-4665
2
80
io-4680
80
10-5134
5
88
10-5135
5
00
1o-4898
1
43
10-5132
24
60
10-4218
5
90
10-4663
1
60
1o-4664
1
00
1o-48oo
2
85
10-4582
9
20
10-4786
15
00
10-4431
4
40
10-4845
25
30
10-4962
21
84
10-5133
15
40
10-4217
3
40
10-4453
15
70
10-4667
4
55
io-4666
1
50
10-5376
31
83
10-5377
30
30
10-5516
87
40
10-5777
39
44
10-6136
37
50
10-6531
7
60
10-5009
6
00
10-6259
2
66
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400100033-1
 Form
Sta:naComp roller e V35~d? `or Rplt& Vgq/ ~j1f?q"PCB R000400100033-1
September 7, 195 0 MEMORANDUM
(Gen-.Reg..`? . al, Supp. No. It) Services Other Than Personal
CONTINUATION SHEET
U. S. --- - Sheet No. 3--of -4 of Bureau Voucher No. 2 8
(Department, bureau, or establishment)
and Date
No
Date of
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
.,
of Order
Delivery
(Enter description, Item number of contract or Federal supply schedule*
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Material Rec
Issue Register No.
10-6330
28
0
1o-675o
46
0
10-6751
25
5
to-68
34
0
10-5347
27
4
10-5689
15
0
10-5965
3
10-5952
4
10-5874
6
o
10-6356
0
10-5013
1
)5
10-5309
1
(5
10-5918
4
9
10-5302
7
30
10-5690
2
10-6355
1
0
10-5010
2
0
10-6235
6
5
10-6260
5
6
10-6753
1
2
1o-6934
12
a
10-6935
24
0
10-5008
17
2
10-5014
6
10-5877
6
5
l0-6610
137
0
1o-6747
18
5
1o-6752
10
2
10-5310
1
3
10-5012
8
7
1 074
2
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400100033-1
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400100033-1
STATINTL
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000400100033-1