PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400110006-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: November 1, 1999
• Sequence Number: 6
• Publication Date: September 28, 1956
• Content Type: FORM

rtandnrd Form\' 408y4-~Revised D. O. Vou. No- -------------------------------
'2
Compt mlpr CeneralbU. Bpproved F~j %tee( ~CBafl?OI/f'~JR.~[ -00360R00040%1 0006-0
September 7, 1950 ------------------
(Qen. Reg. No. 51, Snp2. No. 11) SERVICES OTHER THAN PERSONAL Bu. Feu. No. _____
(Amended February ,
.~. S. -------------------------------- ------------------------------------------
(Department, bureau, or establishment)
voucher prepared at -----------------------------------------(-live place and date) ---------------------------------------
'HE UNITED STATES, Dr., Payee's Account No_ ________________
---------------------------------------------------------
r0 - (Payee)
------------
___ ----------------------------------
-----------------------------------------------
(City) -State)
(Address)
ARTICLES OR SERVICES
No. and Date of Date of Delivery I (Enter description item number of contract or Federal supply QUANTITY
Order or Service schedule, and other information deemed necessary)
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
STATOTHR
SAPC 7 Z/ copy I OR -1.
Government B/L No. I I otai
I (Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
Differences ---------------------------------
Amount verified; correctAr __-1_------
25,850
931
25 23/
---------------
---------------
---------------
lApProv Lng I - Date ------------------------------------------------------------ --------
Title --------------------------------------------------------- STATOTHR
STATOTH R 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 showni other classification optional)
d _ -____, 19-----,for $--------------------------------------j on Treasurer of the United States in
Check No. ------------------------ date ---- " 1 favor of payee named above.
Paid by 19 Payee ----------------------------- ---- ------------------------------
"--_____-____? -----? (eke oridnd o Ir)
e pt a?
? When a voucher is scone o c p e t o e F
writing the company or cor Joohn ;rate name Secretary", or "Treasurer", s the case may be pear, or examp c:
^Jobn Doe Company, pe p combined n one erson,
ro are t If the ability to certify and authority to Aiapn on the line below t Approved for j e signature only is'naencd-
S4_II03.60RO0-04001-1-0{06-0-----------
 Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110006-0
STATOTHR
Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110006-0
 Approved For Release 2000/04/12 : CIA-RDP64-0036OR000400110006-0
ECHECK REGISTER
^ CHARGE DISTRIBUTION CLEARING LIST ^ SUMMARY DIRECT POSTING JOURNAL
^ DETAIL DIRECT DISTRIBUTION
U CONSOLIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS
9/. 6/$ C
CO
ST CE
NTER
DATE
CHECK
FOR NON-OPERATING DI
PURCHASE ORDER
VISIONS
RECEIVING
C
HARGE D
I S T
REPORT
NO.
NUMBER
PAYEE'S (ABBREV.) NAME
OR INVOICE
REPORT
C. E.
R I
B U T I O N
DI
STRIBUTION
MAJ
INT
SUB
MO
DAY
YR
NUMBER
NUMBER
CODE
ACCOUNT
M.J.O.
S
0
WORK ORD
AMOUNT
.
.
ER
2
2
20
06
24
6
51607
DAV 1 ES LABS
1247 07
1 09 23
5
12700 2700
S02d
219
616190
616,90
/aa2 rrJ~4:.
S6
is 1 is
6 1 Spa
1
DETAIL INDIRECT DISTRIBUTION
^ SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS
ACCOUNTS PAID
^ SUMMARY INDIRECT POSTING JOURNAL
Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110006-0