PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400120016-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 16
• Publication Date: November 6, 1956
• Content Type: FORM

Standard Form No. 1034-Revised
Form proscribe by
Oromptroller Gene . ?OVed F
September 7, 1
(Gen. Reg. No. 4, Stipp. No. 11) SERVIC
(Amended February 20, O
D. O. Vou. No- ------------------ ----------
0360R0024001 X16-8
Bu.
C T-_3E_
----------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- ----------------
To -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
-------------------
--------------------------
---------------------------------------------------------------------------
(Addr ---------------(State)
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter schedule, and other information deemed necessary)
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to
rr.rnrrr
SAM 10 S--
COPY OFF -~/
Use continuation sheet(s) if necessary I 1
Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received.
STATI NTL (Sign original only)
*Payee --t------- ---lik
Date -19--25-56--- not roaufred when a like certificate i. made h7 osy.a on sttsahed biLL or bills)
---------- Title ----------------------------------------------
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL Title
ONLY
(Payee must NOT use this space;
Differences ---------------------------------
Amount verified; correct it
(Signature or initi
Date
faj-
Date ----------------------------------------_------------
Title ---------- --- ------------ -------- -:1-UI-V--'"t.----- i ~ 5 vars. s....v n
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 shown; other classification optional)
STATINTL
STATINTL STATINTL
Jon Treasurer of the United States in favro of
( Check No- ------------------------ dated -----------------------------? 19-----?for $-------------------------------------- tpayee named above.
Paid by J
Cash, $ ------------------------ OP - Y ---------------- --.------------ ------------------------------------------
?
18,567
~ 51"
-------------
---------------
---------------
--------------- -- -
- 5 0---------------
~n~ pap er,~
" When a voucher R P
A i~/ d to n1 6aD~ei1~Sh oar0A. 91 ft-00-360MO.04-001 Z0-U 9 --------------
writing the compan o a a a s
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
t If the ability to certify and authority to approve are combined in one person, one signature only is nee- Title --------------------------------------------------------
othe approving officer will sign on the line below "Approved for $___________________, and 16-22900
---. ,.,....ei..lel riff.
 Cif aaaila
C xdorForinj m nr No. 1035a-Revised ~ 4
Form prescrib
emit-oiler C1en F 360R00 ?,-~8f?JNi
A
he 1 *roved $u~
September 7,
(Gon. Reg. No. 61, Supp. No. 11) Services t er an ersonal
U..S. --------------------------- CCT_ RE3MB[TRABhE--------------------------------- Sheet No. -A ----- of Bureau Vouchcr No. (Department, bureau, or establishment)
ARTICLES OR SERVICES
QUAN..
UNIT PRICE AMOUNT
No. and Date
of Order
Date of
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
Cost
-
Per Dollars Cts.
Contract A101 * Costs applicable to
all systems
Direct Costs Properly Chargeable to
Contract A101 for the period 10/8/56
thru 10/1+/56
TATIN L
Labor Week Ending October 14y 1956
Overhead computed for the Electronic
Instrumentation Division at interim
STATI
TL
rate of
other Costs - per schedule attached
1 j67415
Total labor, Overhead and Other Costs
G & A expense computed at interim rate
STA
INTL
of
18 56
Total Costs
STATI T
Approve TFor Release 2?OO/05/08ii?Q+A.RDR64-00360 R000400120016-8
L
 ,,,Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120016-8
COST CENTER
DATE
MAJ
INT
SUB
MO
DAY
YR
27
00
00
10
08
6
27
00
00
10
09
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
11
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
11
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
1 1
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
11
6
2 7
00
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
1 1
82
2 7
0 0
0 0
10
11
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
2 7
0 0
0 0
1 0
1 1
6
27
00
00
10
08
6
27
00
00
10
08
6
CHE~w_EGISTER
CHARGE DISTRIBUTION CLEARING LIST
ADETAIL DIRECT DISTRIBUTION
I
GIJI:C.K:,
NUMBER
11 DETAIL INDIRECTRIBUTION
Q SUMMARY DIRECT POSTING JOURNAL
^ SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS
PAYEE'S (ABBREV.) NAME
OTTO ENGR
MARY H P I T R E
N
ACCOUN
^ SUMMARY INDIRECT POS'
FOR NON-OPERATING DI\
PURCHASE ORDER
OR INVOICE
NUMBER
137
L
A C Q U E R
G R A P H
01247 5 1
137
L
ACQUER
GRAPH
(31247 51
t1, 7
L
A C Q U E R
G R A P H
G12 4 7 5 1
137
L
ACQUER
G R A P H
G1247 5 1
1.37
L
ACQUER
G R A P H
G12 4 7 5 1
1'37
L
ACQUER
GRAPH
61247 5 1
137
L
ACQUER
G R A P H
Gi2 4 7 5 1
137
t
ACQUER
G R A P H
01247 5 1
138
L
A C QUE R
G R A P H
G:2 4 7 5 1
1,38
L
ACQUER
GRAPH
G12475 1
138
L
ACQUER
GRAPH
G'247 5 1
138
L
ACQUER
GRAPH
(31247 5 1
136
L
ACQUER
G R A P H
0124751
135
L
ACQUER
G R A P H
G:2 4'7 5 1
1 38
L
ACQUER
GRAPH
G1247 5 1
136
L
ACQUER
GRAPH
G-1247 5 1
139
L
ACQUER
G R A P H
0124751
139
L
ACQUER
G R A P H
G112 4 7 5 1
139
L
ACQUER
G R A P H
G1247 5 1
139
L
ACQUER
GRAPH
(3,124751
139
L
ACQUER
G R A P H
012475 1
139
L
ACQUER
G R A P H
0124751
139'
'L
?ACQUER
GRAPH
Gi2 4 7 5 1
139
L
ACQUER
GRAPH
01247 5 1
08 1
E
L E C T R O N
I C TUBE
G',2 1 6 0 0
0 8 1
E
L E C T T U B E D I V
0121600
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120016-8
 Approved For Release 2000/05/03 :
ITS PAID
YING JOURNAL
IfSIONI
RECEIVING
REPORT
NUMBER
C. It.
CODE
1 1 6 7 8
9 8
-RDP64-00360R000400120016-
CONLULIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS DAT~ G E
C
HARGE DI
STRI
BUTION
DI
STRIBUTION
ACCOUNT
M.J.O.
S. O.
WORK ORDER
AMOUNT
1 2 7 0 0
7003
'20
452
120
,
452120
45 2120
4S 220
2 7 0 0
7003
10
1
171
0
1 711 0
1 71 0
1 71
110
1 2 7 0 0
7003
10
190
61190
1:2700 7 0.0
7003
10
66150
1 2 7 0 0
7003
10
3 318 5
1 2 7 0 0
7003
10
33185
1 2 7 0 0
7003
10
1 3585
1 .2 7 0 0
7003
1 0
2 618 5
1 2 7 0 0
7003
10
0
38180
12700 7 0 0
7003
10
6 2130
1 2 7 0 0
7003
10
16140
1 2 7 0 0
7003
10
0
14,80
12700 7 0 0
7003
10
22115
12700
7003
10
3 3 :
8 5
1 2 7 0 0
7003
10
1 9105
1 :2 7 0 0
7003
10
1 4 8 0 0
1 :2 7 0 0
7003
10
14180
12700
7003
10
8 0
1 4:
1 :2700
7003
10
28160
1 2 7 0 0
7003
10
33175
1 2 7 0 0
7003
10
22,15
115
:2 7 0 0
7003
1 0
22 115
1:2700
7003
10
0 5
29:
12700
7003
10
18,75
175
2700
7003
10
2 420
1 2 7 0 0
7003
10
29145
5
12700 7 0 0
7003
10
10000
1000
1 2700
7003
10
15010
0
1
0 16 5
2
1
2 0 118 5
1
20185
r-7
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120016-8
- ?
-
-
-
-