PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400120046-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 12
• Document Creation Date: November 17, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 46
• Publication Date: October 22, 1956
• Content Type: FORM

D. O. Vou. No- --------------------------
igtandar d Form 1e No. 108-Revised
d 1= M-1 Qtlw~
F}~2~#8U120046 5
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i
- or $ -
Coi*A ollcr Qe
September 7, 1950 SERVICES OTHER THAN PERSONAL Bu. Vou. No. ---__--_________________
(Oen. Reg. No. 51, Sapp. 19,2)1,
(Amended February 20,
4
__ COST REIMBURSABILE ---------------
----------------------------------------------
U. U.S.
(Department, bureau, or establishment)
- -----------------------------------------
Voucher prepared at ---------------------------------------- (-Cl-ive --place---------and - date)
THE UNITED STATES, Dr.,
Payee's Account No_ ________________
-----------------------------------------------------
--------------------------------
o (Payee)
-----
-------------------------------------------------
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Entei hedule, anrf other Information deemed necessary) supply d crl t'on item number of contract or Federal Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to Weight Government B/L No. I Total
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received. Differences ---------------------------------
(Sign original only)
0-1.0-56- *Payee
---- - -- ------ -
Date y
-----------
(Thb eertia-tete ..t not reaulre w . en s
Per -------------------------------------------- Title _
Contract No. A101
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
Amount verified; correct for --
50,317
50, 31-7
X32
---------------
---------------
---------------
(Signature or initials) --__--__-_----------------- -
Date Invoice Recd.
CONTRACTING OFFICER
RI fixtivi na urrICER Date -------------- - - -- -
Title ----------------------------------------------------------
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)
f { f on Treasurer
Check No. _-------------=--------- dated ----? 19___or $ ______________----------------------- reasurer of the United States in
of payee named above.
-----------------------------
Paid by ------~ 19-----? Payee --------------------
7ewa oridn.( enlyl
Cash, a------------------------? on ------------------------------
* When a voucher 19 signed or rece(prcu In m,e nuu.o ~, a . , o??, ? -?-
writ the company or corporate name, as well as the capacity in which he s gns, must appear. For example:
"JohningDoe Company, per John Smith, Secretary", or "Treasurer", as the case may be. a
are
rov
combined t I