PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400120064-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 10
• Document Creation Date: November 17, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 64
• Publication Date: October 10, 1956
• Content Type: FORM

standarderioorm Yo BtY For Relea~f~20 VOU(;HE OIi. PUJ(;HAf f S AP004001 Q0084.iN-- ------------------------------
Comntroller General, . S. IItC;
(C(Am nded February 20, 1062)1
SERVICES OTHER THAN PERSONAL Bu. Vou. No. -------- 1____________________
U.S. --------------------------------------- tQs~2T '~i '-----------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------------------------------------------------------------------------------
(Give 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
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Q
Cost
Per
Dollars
Cts.
Discount Terms
Costs
192203,
64
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Tot.
20
19
66
,
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
only)
-
STATI NTL
----------
-------------------------------------
-----=-----------------------------------------
---------------
---------------
-----
-----
Date -3-
-----------------------------------------------
---------------
-----
when a bill.)
Amount verified; correct for _________--
3
f~
SIGN
ORIGINAL
ONLY
---------------------------------------------------
Title ---------------------------------------------------------- Date ---------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STATINTL
Check No. ________________________ dated _____________________________, 19_____, for 3______________________________________ on Treasurer of the United States in
Paid by I. favor of payee named above.
Cash, $------------------------- on ------------------------------------- 19-----. Payee -- ----- --
----------------------------
(aiso orislnnl Only)
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person er
writing theeompanyor27.9 ~g~gs l~Rr 6~F~000W0.0120~ff4-5-----------------------------------
John Doe Company 1 SLnttt`tSebrL~GBryS Y~2"QY4~1h6y~le
t If the ability to Bert authority to approve are combined in one person, one signature only is nee- Title _____________
------------------------------------------
,a e. v lit s an on the lino below "APprovod for $ __---^-
 Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
Standard Form No. 1035a-Rovised
Form proscribed by
Qomptroller General, U. S.
September 7 1950
(Gen. Rog. No. 51, S{upp, No. 11)
ublic Voucher for Purchase nd
Services Other Than Personal
CONTINUATION SHEET
U. S- ---------------------------------C(SST-~` ------------------------------ Shed No. -1-------- of Bureau Voucher No. 411----
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
UAN-
AN-
AN
UNIT PRICE
AMOUNT
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TI
Cost
Per
Dollars
Cts.
Contract A101 - system III
Direct Costs Properly Chargeable to
Contract A101 for the period 8/27/56
.thru 9/2/56
TATINTL
Labor Week Ending September 2, 1956
TATINTL
Overhead computed for the Communication
Division at interim rate of -
of
ATINTL
Other Costs - per schedule attached
4,010.
25
Total Labor, Overhead and Other Costs
G and ` e ense c m ut d at interim rat
ATINTL
at
Total Costs
19,203
61
TATINTL
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
CHECK REGISTER DETAIL INDIRECT DISTRIBUTION
ACCOU1
CHARGE DISTRIBUTION CLEARING-LIST u,SUMMARY DIRECT POSTING JOURNAL
SUMMARY INDIRECT POSTING JOURNAL ^ SUMMARY INDIRECT POS
^
DETAIL DIRECT DISTRIBUTION FOR OPERATING DIVISIONS FOR NON-OPERATING DP
DATE
PURCHASE ORDER
CHECK
PAYEE'S (ABBREV.) NAME
OR INVOICE
NUMBER
NUMBER
SUB
20
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
SITS PAID
' ISV
RECEIVING
REPORT
NUMBER
C. E.
CODE
CONSOLIDATED DISTRIBUTI
ACCOUNT M.J.O. S. O.
1 1 2 66 1 5 1 1 2700 5023 1 0
DISTRIBUTION
AMOUNT
94105
94:05
/P _9405
9 4!0 5-
'i rte. -L 8 .s'
~/ /~? i~ .3st 3 s
Lt
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
29$4000
CHECK REGISTER
CHECK
NUMBER
^ CHARGE DISTRIBUTION CLEARING LIST 7 SUMMARY DIRECT POSTING JOURNAL
^ DETAIL DIRECT DISTRIBUTION
0
34
2
ACCOUI'
^ SUMMARY INDIRECT POS'
FOR NON-OPERATING DII
PURCHASE ORDER
OR INVOICE
NUMBER
DETAIL INDIRECT DISTRIBUTION
^ SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS_
PAYEE'S (ABBREV.) NAME
51730 1 TEXAS
51..67w PETTY CASH
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03 : CIA=RDP64-00360R00 0120064-5
j ,10
T S PAS
INS JOURNAL
ISIONS
RECEIVING
REPORT
NUMBER
CONSOLIDATED DISTRIBUTION REPORT
7 ADJUSTMENTS
CHARGE D I STF2*1$,~UT1 ON
"n 043 2
5043
lM-f 27
00
7
DISTRIBUTION
AMOUNT
4 e-:3 5
4?i35 _
46135
4 a1,:3 -S
1 618 0
1 618 0
1 VOID- -
161e0
3 2 1 91 4 6
2 1 W,46
3219148
32 1 914 a
-6-O8-2
3100
5 6 3162
5631 6 2
.3 8 X81-2
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
1
 Approved For Release 2000/05/ 3 : CIA-RDP64-0036OR000400120064-5
CHECK
'
PURCHASE ORDER
NUMBER
PAYEE
S (ABBREV.) NAME
OR INVOICE
NUMBER
2!
40
0 0
018
3C
6
3 t T 3 2
J A SAVAO&
u:
a
4C
+I0 0
06
3'
!5
:21 T32
? A SAVAQL
uI
4.
4 A S A V AQE CAS"
U
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
CHECK REGISTER DETAIL INDIRECT DISTRIBUTION
11 CHARGE DISTRIBUTION CLEARING LIST 1:1 SUMMARY DIRECT POSTING JOURNAL
ACCOUI
DETAIL DIRECT DISTRIBUTION ^ SUMMARY INDIRECT POSTING JOURNAL ^ SUMMARY INDIRECT PO
FOR OPERATING DIVISIONS FOR NON-OPERATING D
 Approved For Release 2000/05/03 CIA-RDP64-00360 00400120064-5
ITS PAID
8TIN0 JOURNAL
VISIONS
RECEIVING
REPORT
NUMBER
C. E.
CODE
CONSOLIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS
CHARGE D I S T R I B U O N
ACCOUNT M.J.Q. S. O.
5 1 2700 50, 3
5 1 2700 501
Z j '1 2 700 15Cr./,2 5
DISTRIBUTION
AMOUNT
2 O;0 5
22[10 --
22110
1 0i5 0
1-0 -0-
It 040
10430
3-u~a
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03 CIA-RDP64-00360R000400120064-5
CHECK REGISTER
CHARGE DISTRIBUTION CLEARING LIST
DETAIL DIRECT DISTRIBUTION
^ DETAIL INDIRECT DISTRIBUTION
^ SUMMARY DIRECT POSTING JOURNAL
E SUMMARY INDIRECT POSTING JOURNAL
FOR OPERATING DIVISIONS
ACCOUh
^ SUMMARY INDIRECT POS'
FOR NON-OPERATING DIY
PURCHASE ORDER
OR INVOICE
NUMBER
UI
uI
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5
 Approved For Release 2000/05/03,; CIA-RDP64-0 R0004004,20064-5
4T S PAID
CONSOLIDATED DISTRIBUTION REPORT
^ ADJUSTMENTS DATE
!TINO JOURNAL
i1+1$ION S
RECEIVING
REPORT
NUMBER
C. E.
CODE
1
C H A R G E D I S T R I B U T 11. ;
1 2700 S0o3 1 1 2700 506TI-t
DISTRIBUTION
AMOUNT
1 210 0
2 3,3 S
3 513 5
35135
a
Approved For Release 2000/05/03 : CIA-RDP64-0036OR000400120064-5