PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400110048-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: November 1, 1999
• Sequence Number: 48
• Publication Date: October 2, 1956
• Content Type: FORM

{
,ter, lard Foi`rrt No. 10,64-Revised D. O. Vou. No. ____________________________
worm prescribed
t ]I r roved For F~II# ~#?iffd ~US~1d ~A0360R00040( 0048-4
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Comp ro
Gen. RegpNo bi sup No. 11) `SERVICES OTHER THAN PERSONAL Bu. Vou. No. ----- ___________________________
1962)
~) (Amended February 20,
arJim1 ?~
(J. S. -----COM .L1 INUMM
(Department, bureau, or establishment)
Voucher prepared at -----------------------------
-------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. __365______
- -------------------------------------------------------------
- (Payee)
----------------------------------------------
- - -------------------------------------------
- dre ) City) (State)
(Aadrosa>
No. and Date of
Order
PAYMENT:
Complete
Partial
Final
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information doomed necessary)
Discount Terms
S
L APC S 7 I
COPY ) ?E
Use continuation sheet(s) if necessary I I
to Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received.
STATOTHR
Date 81
Per
Contract No. Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for paymen
t Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
t --
Q
4,796
Date -------------------------------------------------
OIitrACT,7.n u LISA
THE REVERSE OF THFOR ZM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shownI other classification optional)
65
STATOTHR
Check No- ----------------------- dated -----------------------------, --------- ... ?--------------------------- I favor of payee named above.
Paid by y
Cash, E-----------
When a voucher is g r e n h a 1~/'F~~ PA4-n0a6o.Ro00400-140o48-4-------------
_ mnn nn rha nwnacity 1n Which he signs, must appear. or exempro:
'John Doe Company, per John Smith, Secretary ~?
tIf the ability to certify. and authorityto approve*arne~iombbii d i A Done rpers for = one signature only is'n~ee--
 Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110048-4
STATOTHR
Approved For Release 2000/04/12 : CIA-RDP64-00360R000400110048-4
 Approved For Release 2000/04/12 : CIA-RDP64-0036OR000400110048-4
itiw~ w- -4
7 CHECK h.GISTER I DETAIL INDIRECT DISTRIBUTION
CHARGE DISTRIBUTION CLEARING LIST fl SUMMARY DIRECT POSTING JOURNAL
? OK 8773 DETAIL DIRECT DISTRIBUTIO/ ^ SUMMARY INDIRECT POSTING JOURNAL
---- "---- --------- FOR OPERATING DIVISIONS
COST CENTER DATE
CHECK
NUMBER
30161 5 1 1 12 1 GLOBE I ~Nr!
QI' t 1 1 1 6 I M 1C R OWA VE
A C.C O U
^ SUMMARY INDIRECT Pc
FOR NON-OPERATING I
PURCHASE ORDER
OR INVOICE
NUMBER
Approved For Release 2000/04/12 : CIA-RDP64-0036OR000400110048-4
 Approved For
NTS PAI
)STING JOURNAL
RECEIVING
REPORT
NUMBER
C. E.
CODE
23790 15 1 1 2700 1 304'1
270015041
please 2000/04/12 : CIA- 64-00360R0004Q01 1 0048-43 0
U -CONSOLIDATED DISTRIBUTION REPORT
11 ADJUSTMENTS
DISTRIBUTION
AMOUNT
Approved For Release 2000/04/12 : CIA-RDP64-0036OR000400110048-4