PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400110012-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: November 1, 1999
• Sequence Number: 12
• Publication Date: October 2, 1956
• Content Type: FORM

NtnndardF( mNo. pjrcwed For Release 2000/04/12 : CIA-RDP64-0036OR0(lbO.4Q011Q012-3__-___-_-_
?' Form prescribed y
SES
Comptroller General, U. S.
11,
Seegptember 7, 1950
(G(Ame
ndpd February 20, 952)1)
,JBLIC VOUCHER FOR PURCHA
A
SERVICES OTHER THAN PERSONAL
Bu. V'ou. No- -------- 392-------------------
U. S. -----------------------------------CC -T- ` --------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. -139-9 ___--_
To ----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
Date `-_9
')TATOTHR
___-_-
Per -------
-----------------------------------------------
---- ---------------------------------- ------- ---------- -- -
Airnount verified; correct for _---- ;bP
(Signature or initials) ---------- -------- _ ___-_ ___
and Date of
No
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANT
TY
UNIT PRICE
AMOUNT
.
Order
or Service
schedule, and other Information deemed necessary)
Q
I
Cast
Per
Dollars
Cts.
Discount T
Terms
costs
8,718
23
PAYMENT:
Complete ^
Partial ^
Final El
Use continuation sheet(s) if necessary
Government B/L No.
Shipped from to We
Total
31,3
(Payee must NOT use this space)
payment
at the above bill is correct and just and that as not been received.
certify
Differences ---------------------------------
-----------------------------------------------
---------------
---------------
-----
-----
---------------------------------------------
-------------
-----
t Approved for $ ----------------------- t
SIGN
ORIGINAL
ONLY
STATOTHR
MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
the company or c orate name, as os the ac fn which t ~L! Fl9~L
oe ComPanY, 1 rity tU n CJ~? ~3'n o , o . rile
ahility to cart y a d authority to a prov are c m n in o e per o, o e gn r5 o i n
ra., lion below "Approved for ---------------------- and
t Check No - ------------------------ dated ----------------------------- , 19-_---,for S-------------------------------- ----- f on Treasurer of the United States in
Paid by { _ _ _ - 1 favor of payee named above.
APC 9 9'7
OPY OED
------ --------------------------------------
Isle.. or3dni nniy)
P640360R000400110012-3
Tit e -------------------------------------------------------
 Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110012-3
STATOTHR
Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110012-3