PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400100055-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: December 16, 1999
• Sequence Number: 55
• Publication Date: July 12, 1956
• Content Type: FORM

Sta:ndu,r(II`orm No. 1084-Revised jj X&MV ro rm prube rib b Ll Com~trollor G broved For 00360R0004001000 7
------------ ------- -----------
ecptember 7, 1 SqN(If (Gen. Itog. No..68upp. No. P1) ,7 Bu. Vou. No.
(Amended February 20, 19b2)
U. S- ---------------------------- COST_ REIIURSABLE-------?---------------------------------------------------------PAID BY
---
(Department, bureau, or establishment)
Voucher prepared at ------------------------------------------ -------------------------------------------------------------
(Give place and date)
Al'C
RTES, Dr., Payee's Account No. __1133 _____ COPY OF
THE UNITED ST
Tu ----------------------------------------------------?-----------------------------------
(Payee)
ARTICLES OR SERVICES
No. and Date of Date of Delivery (Enter description item number of contract or Federal supply QUANTITY
y)
and) other information deemed necessar
hedule
,
Order or Service sc
Discount Term-
PAYMENT:
Complete ^
Partial ^
Final El
Shipped from to Weight Government B/L No. Total
_.._. (Payee must NOT use this space)
t the above bill is correct and just and that payment has not been received.
th
tif
I
a
cer
y
STATINTL Differences ---------------------------------
------------------------------------------------
-----------------------------------------------
------------------- ----------------------------
Amount verified; rjirreHor
(Signature or initials) __
SIGN
---------------------------------------
ORIGINAL Title
OFFICER ONLY
STATINT
------------------------------ STATINTL Date --------------------------------------------------------------------------
-
Title -------------- - -
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
STATINTL
Check No. ------------------------ dated __________------------------ 19-__-_, for $-------------------------------------- on Treasurer of the United States in
Paid by l favor of payee named above.
-----------------------------------------
___________________'___- _--_-_-?-------------------" 19 Payee (ekn original only)
Cash, $ . on
? When a voucher I d~ss wv r~]~d~e g,n g q(~ ompan i nam o o ^r on
-- ---------------
writingthccompany~l-FdLL>#Il~fa~wislt$h@hpeAr~ ~e4-0U3FQRD0i~0diO0055-7
"John Doe company, per John Smith, secretary", or "Treasurer", as t e case tnay
tIf the ability to certify and authority to approve are combined in one person, one signature only is nec- Title _______________________________________________________
essary, otherwise the approving officer will sign on the line below "Approved for $___________________", and
over his official title. -
Use continuation sheet(s) if necessary
STATINTL
L
 Standard-Form No. 1085A--Revised
Form orprA i
ler odml e
cam etrp Ved For Re @~8~ 1?r!o 6 f3OR0004Q 15QWDUM
(Gen. Reg. No. 51, (upp. No. 11) ervices er i an ersona
CONTINUATION SHEET
U. S. ---------------_ COST_ RET, S------------------------------------------- Sheet No. ---1------ of Bureau Voucher No. --302____
(Department, bureau, or establishment)
0598
10598
3472
13472
0630
0625
l
0$14
1
0'785
10785
3472
13472
14516 0597
1
aterial
M
2516
2755
12755
2756
12756
2812
12812
22017
2017
2756
1
12516
Date of
ARTICLES OR SERVICES
QUAN-
UNIT P
RICE
AMOUNT
No. and Date
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
QUAY
TITY
Per
Dollars
Cts.
ontract A101 - System I
ect Costs Properly Chargeable to
ontract A101 for the period 1/1/56 thru
STAT
Ni
/27/56
STATINT
bor for period from 1/1/56 thru 5/27/6
erhead computed for Communications
STATIN
L
vision at interim rate of
THER COSTS
1.0. No.
CK No.
endor
Amo
t
596
1 29
O l a n d P a p e r Co.
244.
14
X625
17417
oland.Paper Co.
1:327-
2
93
63
17430
L. Barrett
1
28
86
17680
Oland Paper Co.
17694
. Calif. Stationers
19
5
32
54
7742
L. Barrett
,
2T
49
17893
lectronic Sup. Corp.
218
59
18036
Oland Paper Co.
108
81
18111
erluff Elec.
18139
T. Barrett., Co. Cash.
17
07
18238
ktronic
111
6
23
47
18310
. Calif. State
66
15
18463
V. Weatherford
196
54
Re
18517
oland Paper
vial No. 10-000074
2
9o
.f
ff No. 10-000307
3
4
30 4
18808
. Harris, Cashier
37
5
8
48
)915
)973
18942
18972
.
io Prod
Tru/Conneat
37
12
)983
19712
11 Rad.
37
9
12
72
)982
19849
Chatham Elec.
(3
)
)804
23325
erluff
2 17
24483
Petty Cash
2
60
iterial Re
q.
Serial No. 10-4560
18
05
,- ff
it 10-4937
10-4958
104
9o
ff
10-4964
14
40
25003
Magnetic Rec.
555
12
25133
Crawford Foil
if
273
86
1
25133
It
358
78
25272
Lektronix
172
09
9
25388
Bell Radio
72
5
25397
8
Crawford
rd
R
292
1.98
2
254
eco
Nag.
Con'ik. on next page
I
Approved For Release 2000/O4/4+ CiA-Rf 4-00360R000400100055-7
 Standard +'orx!,;*'c. 10815A--tteaised
Form roscribed by ` ~s.For Relg9r: 0004001071tANDUM
(Gen. Rog.. o. bl, uPP? No, 11) ervices her an ersona
CONTINUATION SHEET
U. S_ ----------------------- OST_REIMBURSABLE -------------- Sheet No. ---2 ------- of Bureau Voucher No. _502----
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
AN-
QU
UNIT PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
OTHER COSTS-Cont.
.O. No.
CK No.
Vendor
Amo
t
545
25.82
Mag. Record
1+,1+90
00
611
26231
Audio Devices
7,309
58
26636
Petty cash
19
-70
Total
16 30
. c
Total Labor, Overhead and Other Costs
G and A expense at interim rate of
Total Costs
20 117
.12
STATINTL
STATINTL
STATI
T
Approved For Release 20001041117 :,OIArLRDP6r4=DO36OR000400100055-7
P
2