PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400100045-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: December 16, 1999
• Sequence Number: 45
• Publication Date: July 12, 1956
• Content Type: FORM

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Com(7troller Gen sr U. S
t 7, Sg. N .51 Sapp. SERVICES OTHER THAN PERSONAL` Bu you. No. _______
(C)en. Reg No. bl, Supp No. 11) =
,Amended February 20, 1952)
COW R JRf3ABiE
U. U.S.
(Department, bureau, or establishment)
Voucher prepared at ---- ,---------------- ---------------------------------------------------------------------------------
(Give place and date) '
THE UNITED STATES, Dr., Payee's Account No. ___.]C ___--
To -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
---------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
SAPC -74 .3
COPY OF 3
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Q
Cost
Per
Dollars
Cts.
Discount Terms
Costs
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
_
(Payee must NOT use this apace)
I certify that the above bill is correct and just and that payment has not been received.
STATI NTL
Differences --------------------------------
---------------
-----
Si n on anal only)
STATINTL
-----------------------------------------------
---------------
-----
vats
-- ----- --------- ----------- ----
-
hills)
2 3 g
z9
CTING OFFICER
(Signature or initials)
STATINTL Date ------------------------------------------------------------------------
STATINTL
Check No_ ________________________ dated ------------------------------ 19_____, for $-------------------------------------- on Treasurer of the United States in
Paid by
{ Cash, $------------------------- on ----------------------------------- 19-----. Payee 1 favor of payee named above.
(;it o. id n.l ---------------------
_ onty)
When a voucher is signed or receipted in the name of a company or corporation, the name clothe p