PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400120042-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 42
• Content Type: FORM

Standard Form No. 1034-Revised
Forni prescribed b D. O. You. No_ ______________
septe 'For Releas
+ Coui rS61 eT /'0 S/b3'CC:f)~`I{L7Y64 bt.S 0 0042-9
septe i~
(Gen. Reg. No. 1, upp. No. 11)
(Amended February 20, 1962)
SERVICES OTHER THAN PERSONAL
Bu. Vou. No. ----------- 43!---------------
U. S. .............. OST REMURBABIZ
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To --
(Payee)
(Address) (City) (State)
SAPC 98 `7`
Z
COPY /OF
No. and Date of
O
d
Date of Delivery
S
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
h
d
l
d
h
QUANTITY
UNIT PRICE
AMOUNT
er
r
or
ervice
sc
e
u
e, an
ot
er information deemed necessary)
Discount Terms
Cost
Per
Dollars
Cte.
costs
38,933
00
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No.
Total
38,933
00
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
STATINTL
Differences________________________________
_______________
_____
Si n orl nal only)
STATI NTL
1!
Date _____-
-----------------------------------------
------
-
--------------
-----
---- o. nm
Amount verified
; correct for ___ ___-_
4); ---------
?~Sy ~ .7
Cb
Contract No. Al nl
(Signature or initials) ----___ V-1 -------------------------
Date I voice Recd.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
Check No- ------------------------ dated ------------------------------ 19 ------ for $-------------------------------------- . on Treasurer of the United States in
Paid by favor of payee named above.
Cash, $----------------------- on ------------------------------------- 19-----. Payee ------------------------------- ----------
-----------------------------
(eisn odQinei -tr)
? When a voucher 's signed O r r e ip~ed i heAame of o .ad !r ppt
"Joking thecompan p pt@? iler i ~@" fUi~lW s the ca e m ` t~l$hA't' di 0400`f20041~-~
John Doe Company, r John mi Secre ary or' `Treasurer", as the case may be.
of the ability to certify and authority to approve are combined in one person, one signature only !nee -
essary; otherwise the approving officer will sign on the line below "Approved for $------------------- , and
over his official title.
 StandardPor roved dRele se 00 /03 ? CIA- DP 00 0R000 0042-9
Form pros r ed by t .o c Voucher tor urc aces a
Comm Genera tro . S. MEMORANDUM
September ptember er 7 7, , 1950 b0
(Gen. Reg. No. 11, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
COST MIM URSABLE - Sheet No- ------ _____ of Bureau Voucher No.
(Department, bureau, or establishment)
ATINTL
JINTL
ATINTL
and Date
No
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
.
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
Contract A1Ol - System IV
Direct Costs Properly Chargeable to
Contract A1O1 for the period 9/17/56
thrru 9/23/56
TATI NT
Labor Week Ending September 23, 1956
Overhead computed for Communications
Division at interim rate of _
Other Costs - per schedule attached
799
1cY
Total Labor, Overhead and Other Costs
G c ns o u d at interim rate
of
Total Costs
00
S
ATINT
U. S. GOVERNMENT PRINTING OFFICE 16'62688-3
Approved For Release 2000/05/03 : CIA-RDP64-00360R000400120042-9
 E CHECK REGISTER
CHECK
NUMBER
DETAIL INDIRECT DISTRIBUTION
^ SUMMARY DIRECT POSTING JOURNAL
^ SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS
ACCOUN'
^ SUMMARY INDIRECT POSTII
FOR NON-OPERATING DIVIS
PURCHASE ORDER
OR INVOICE
NUMBER
10 Sk
09
090
17
17
17
74 2T4S rQSR
CPRc INs
2 1 I ?4AH I K
or E TTY CASH
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120042-9
e OK 8773 ^ DETAIL DIRECT DISTRIBUTION
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120042-9
 Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120042-9
TS PAID
VG JOURNAL
41 DNS
RECEIVING
REPORT
NUMBER
C. E.
CODE
CONSOLIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS
^
4 0 6 4 0
- i -.7 O-4
,
----
S024
-4 0 "1^"
110 e 4
Z 03
o 4 46
4
4 0'
2 4 013
4 9 k0 -
4 9 3'O 2
At 04 310 2
5100
2 .4 5.':a 5
2 4 513
/4/. 1/1 z lur
DATE PAGE
DISTRIBUTION
AMOUNT
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120042-9