PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400100056-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: December 16, 1999
• Sequence Number: 56
• Publication Date: July 12, 1956
• Content Type: FORM

StAndnrFe T'OfM 6V6d For Relei~~~ 60R000'4001 ?0056=6---------------
Courptpollcr Geribr .' SLII il[at ~~
Se(rtomber 7, 1350
(Gen. neg. No. bi, gnpp. No. 11) SF,RVICES OTHER THAN PERSONAL-"' Bu. Vou. No. -------303-------------------
Amended February 20, eeu i
UU.S. -------------------- 00=--M-20 ~r -AD ---- ----------------------------??------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ____-_____-_________________._
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. 14-3'-____--
T) .---- ------------------------------------------------------------------------------------------------------------------------------
(Payee)
---- ---------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
ARTICLES OR SERVICES
No. and Date of Date of Delivery (Enter description item number of contract or Federal supply QUANTITY
Order or Service schedule, and other information deemed necessary)
Discount Terms
PAID BY
SAPC j 6135,
COPY OF 3
UNIT
PRICE
AMOUNT
Cost
P
Per
Dollars
Cts.
Costs
193
-76
PAYMENT:
Complete F1
Partial El
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
1
~V
_
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
STATI NTL
Differences ---------------------------------
---------------
-----
St n on Inal only)
-----------------------------------------------
---------------
-----
STATINTL
--------- ----------------------------------- -
--------------
-----
Date ---
I
----------------------------
---------------
-----
auldfd whe bill.)
Amount verihedpeorr~ect..fod
Co.
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown{ other classification optional)
Rcq. No. Date '' Invoice Recd.
STATINTL
I CCheck $ No. ------------------------ . on dated ------------------------------- 19 19 ------ for $-- ['----aye. -------------------------------------- on Treasurer of the United States in
Paid by . favor of payee name - d above.
- -------- ------ ----- --- --
? When a voucher is signed or receipted in the name of a company or corporation, the name of the pars?n Per _______-___
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "' "?"' ' ?""
"John Doe Company per John Smith, Secretary" or "Treasurer", as the. case ma be.
es a Y otherwise tthoa Pty r; s*: a n~'` P 64-0 6080004001-000564---------------
 lit tid4vd, Forth Nd. 1({85a, --$ovlsed p. ,~
Form proscribed by: 6
C[1m t.rollegf,C}glPr~l6 A,d For Rel
(Gen. Reg No. 51, Supp. No. 11) erviees
o; n ~0 R0004099WfANDUM
t er an ersona
CONTINUATION SHEET
U. S- --------------09ST_ REURSABLE -------------------------------------------------- Sheet No. --l -------- of Bureau Voucher No. 303 -----
No. and Date
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
ontract A101 - System III
Direct Costs Properly Chargeable to
retract A101 for the period 1/1/56 thru
STAT
NT
5/27/56
Labor for period from 1/1/56 thru 5/27/56
STATINT
Overhead computed for Co t ns
Division at interim rate of
OTAER COSTS
J.V. Noe 056207
14
otal labor, Overhead and Other Costs
STATINT
G and A expense at interim rate of
STATINT
3
.76
Total Costs
=I
TATI NT
L
Approved For Release 20O0/O41*1T.7 C'1A-RDP64-00360R000400100056-6