PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000400120010-4
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
4
Document Creation Date:
November 17, 2016
Document Release Date:
February 14, 2000
Sequence Number:
10
Case Number:
Publication Date:
November 6, 1956
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 222.49 KB |
Body:
APPROVING OFFICER NOV 9
SIGN
ORIGINAL
ONLY
----------------------------------------------- --------------- --- -
Amount verified; correct for _ _I17 9 ~4 27 (Signature or initials) ---____________________-
Date
14 ~," A STATINTL
Title ---------------------------------------------------------- Date ------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
norm prescriDCU Dy
Coroller uer 1 1T. S
mpt .
eJ,,rap S ,P,( 3r?q
SeptombaQ oved For R
(ran. Iteg. No, 51, Supp. No. 11)
E (Amended February 20, 1952)
0120010-4
U. S. --------------------------------------------- ----------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ---------------------------------------------------------------------------=----------------------------
(Clive place and date)
THE UNITED STATES, Dr., Payee's Account No. ___________-___-
To -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, an
other information deemed necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Costs
3715791
28
PAYMENT:
Complete F]
Partial F-1
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
37. 57-9
28
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
------------
STATI NTL (Sign original only)
---
Date *Payee -------------------------------------------------------------------------
-----------------------------------------------
---------------
-----
not required whop a lit, oertlfloat, 1. made by payee on attach.d bill or bill.)
------- Title ----------------------------------------------
Contract No. jj p1 Date Req. No.
Pursuant to authority vested in me. I certify that this account is correct and proper for payment.
Check No- ________________________ dated _____________________________, 19------ for $---------------------------------------- ton Treasurer of the United States infayaz of
Paid by payee named above.
Illttt Cash, $------------------------- on ------------------------------------- 19-----. Payee ------------------ -,._-------------------------------------- ------------
(Blgn original only)
? When s c oucphorYt~sig~pcl2r ;e t dpi tits ns~QgT g eG~~ayiga ltlt ~iaeg
writin the com an Ai- fbt~76toTtli el~lt atrpkAi s,.l)lutat~4D `b
"John Doe Company, per ohn Smith, Secretary", or "Treasurer", as the case may be.
f If the ability to certify and authority to approve are combined in one person, one signature only is nee-
essary; otherwise the approving officer will sign on the line below "Approved for $------------------ ", and
over his official title.
D44141-20111 - -4--------------------------------------
Title ---------------------------------------------------
16-22ese-r
Stand 'ci Form No. 1O15a-Rovised
Comot oiler Gone a1bU. S. ubliC VouChe ~ ur,
(Gen. R g- IV ~ed,For Release!-2000105/03,-'. GIA ~4-0
Prcnn a~~ MEMORANDUM
CONTINUATION SHEET
U. S. -------------------------------- CWT -am. aE ------------------------------- Sheet No. ----! ------ of Bureau Voucher No. _-- k
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
Contract A.101 - System IV
Direct Costs Properly Chargeable to
Contract A101 for the period 10/8/56
thru 10/1+/56
labor Week Ending October l4, 1956
Overhead computed for the Communications
Division at interim rate of
Other Costs - per schedule attached
Total Labor., Overhead and Other Costs
G & A e~ ense at interim rate
of
Total Costs
Approved For Release 20001O? ,,GFA 4;ZDR64t36OR0064 00120010
020010-4
- Approved For Release 2000/05/03 : CI -RDP64-00360R000400120010-4
COS
T CENTER
'
ATE
CHECK
NUMBER
MAJ
INT
SUB
MO
DAY
YR
25
20
30
10
10
6
733
25
20
A0
.10
12
6
626
2
20
20
10
2
41~t.`2t7
2'5
20
20
10
12
e5
814
25'
20
2 0
10
1.2
4:
6 26
2 4 3
2 0
2 0 i
10
1 1
6
7454
1 0
12
6
'799
25
20
20
10
1 0
6
728
-
0
D-ft
6
2 5
2 0
0
10
1 1
1=5
764
25
20
20
10
1 1
6
77;0
"-
20
2 0
10
12
6
792
-0
10
10
6
7 27
9
20
2 0
10
1 2
0
809
2S
20
20
10
,10
6
8v8
23
:aO
.30
10
1 1
6
784
25
20
30
10
06
8
666
2 '. 5
0
3 0
10
050
15
6 7:3
6
2
2 0
0
TO
11
is
7;14
5
4
3
2
PAYEE'S (ABBREV.) NAME
hAOt LRP4 PLAT
UTO '.NCm1R AVSwR`:
m ! C:: *41 000 T
wI NCHESTE
PETTY CASH
S L E. 4. T R y Irk L C
NAA NE T i CS
i 1 CR UL.Fr F
CLAROSTAT
E LfE Y
b-AA Rat.C4.. r4 r1
AUDI 0 DE V
PE T TY CAS
PETTY CAS
#LECTRCL 1 s INC3
ACCOUN
^ SUMMARY INDIRECT POS'
FOR NON-OPERATING DIV
PURCHASE ORDER
OR INVOICE
NUMBER
U
` 799 22
2 8 7 -3bS
U
UI
125
51: 9v t 4
1 5'~ '_ 7
U I
!312 a- 2 Ct
I
UI
I
!
'I
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120010-4
CHECK REGISTER DETAIL INDIRECT DISTRIBUTION
^ .CHARGE DISTRIBUTION CLEARING LIST ^ SUMMARY DIRECT POSTING JOURNAL
DETAIL DIRECT DISTRIBUTION ^ SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS
Approved For Release. 2000/05/03: CIA-RDP6
JS PAID
ING JOURNAL
$ISIONS
r
CONSOLIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS
RECEIVING
REPORT
C'E
C
HARGE D
ISTRI
--
BUTION
DI
STRIBUTION
NUMBER
CODE
ACCOUNT
M.J.O.
S. O.
WORK ORDER
AMOUNT
1
12700
:roc 4
11
1 0JC7
1 400
1 a
0
1000
1
5
1 2700
12
1 ?a 7
147i00
-
1 4 7 1IR3 t
1
5
1 2700
'1024
1
?7
2 7 Ci14 7
"270147
;.70147
1
5
12700
'5024
14
247;?
1
`$
12700
5024
14
1 0 4'6 4
3 '
7 ai
i2 j
-2174
7 4
3
5 2
i
5
1 2700
'5024
11
15i-5
1
2
1 27-0-0 _
t:t 4
,
_
'3 !5 a its '_
I
5
1 2700
5024
16
:kt~51a4
r 618
T2 Q
10,00
10 0
1 05
05 1is
'3
1 2700
5024
1 Wi
5 3I
1_5 c'
Is a
1
3
1 2 700
*.5024
28
1
5
12700
''502.4
26
all 2
1
5
1 2700
'S 0 2 4
2 5
1
5
1 2700
5024
:? F
202i 0
5
12700
5024
20
t pI
1
5
1 2700.
5024
5
2
1
5
1 2700
43024
~y
?!~. 5
7
14
' ~
'5024
3;E
!5:0 0
360R000400120010-4
Approved For Release 2000/05/03 : CIA-RDP64-00360R000400120010-4