PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400120079-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 8
• Document Creation Date: November 17, 2016
• Document Release Date: February 14, 2000
• Sequence Number: 79
• Publication Date: October 11, 1956
• Content Type: FORM

D. O. Vou. No- -------------------------------
-tandar . Form No. 1034-Revised
Form prescribed by
Comptroller General, improved FbL eWFW@&8 -00360R00040d 0079-9
September 7, 1550
(Gen. Reg. No. 51, Supp. No. 11 1) SERVICES OTHER THAN PERSO Ru. Vou. No_ _________________________________
1969
(Amended February ,
J. S. COST REIMBURSABLE
(Department, bureau, or establishment)
-------------------------------------------------------------------
ouc er prepare at _________________________ (Give place and (late)
"HE UNITED STATES, Dr., Payee's Account No_ ________________
- ------------------
------------------------------------- -
--- -Payee)
-------------------
------------------------------------------------
- -Address) (City) (State)
ARTICLES OR SERVICES
No. and Date of Date of Delivery ( (Enter description item number of contract or Federal supply QUANTITY =
Order or Service schedule, and other information deemed necessary)
Discount Terms
PAYMENT:
Complete
Partial
Final
Shipped from
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
46,066
89
k 0661 _~q
Per
Contract No.
--------- ------------
le) l , 1' 6 6 Xr
_---
Amount verified; correct for __}_________ ,t
----- (Signature or initials)2V7_)
to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
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)
STATINTL STATINTL
STATINTL STATINTL
Check No. ------------------------ dated ------------------------------ 19_____, for $______________________________________ on Treasurer of the United States in
{ favor of payee named above.
Paid by 19 Payee - --------------------------oJo.ly------------------------------
Isisn orl,inal only)
Cash. 5----------------------- ?
? stgno a of GIA sT-fi4'0D.3&OROII04004-2-0079 9----------
When writing the a voucher company is or corporate name, as well as the capacit in which he s gns, must appear. For example:
"John Doe company, per John Smith, Secretary", or "Treasurer", as the ease may W.
t]t the ability to certify and authority to approve are combined in one person, one signature only is nee- Title -------------------------------------------------------
-- _.~__ ., .., e, ,.,-twins will sign on the line below "Approved for $------------------
 Standard Form No. 1035a-Revised
9epttomber'7 edby eR M __ S/6Sr. - 460R0004
Comptroller I70'.oved For F ~ZCCSS ~~~~~DUN~I
(Gon. Reg. No. 51, Cupp. No. 11) Services Other Than ersona
CONTINUATION SHEET
COST REDOURSABIS 424
U. S. ---- ----------------- ---------------------------- Sheet No. ------ of Bureau Voucher No. ------------
(Department, bureau, or establishment)
Date of
ARTICLES OR SERVICES
UAN-
UNIT PRICE
AMOUNT
No. and Date
of Order
Delivery
(Enter description, Item number of contract or Federal supply schedule,
ITy
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract A101 - System II
Direct Costs Properly Chargeable to
contract A1Ol.for the period 9/10/56
thru 9/16/56
TATI
NTL
Labor Week Ending September 16, 1956
iv #086912
iv -#086902
Overhead computed for Connnunications
STATINT
Division at interim rate of
TATINTL
Other costs - per schedule attached
24,52
66
iv #o86207
3, 90
55
$V #086115
15
10)
28,278
11
__
Total Labor, Overhead and Other. Costs
G ense commuted at interim rate
of
TATINTL
Total Costs
46 066
8
ST
TINTL
v or Release ..-:_ r
 Standard form No. 1035a-Revised s
&DUM
Ptegba b ~p?ved For seVM 5/6~'~: ?F# 9 1 ='$6~60R0004
(Gen. Reg. No. 51, Srupp. No. 11) Services Other Than Personal ~]( A
CONTINUATION SHEET
COST REIMBURSABLE-------------------------------------------------- Sheet No. ___2 ------- of Bureau Voucher No. -_ x-24---
(Department, bureau, or establishment)
and Date
No
Date of
ARTICLES OR SERVICES
AN-
QU
UNIT PRICE
AMOUNT
.
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
OTHER COSTS
CK PAYEE
106 FED PURCH
6
7
151 UNIV RADIO
5
8
2I.6 TEKTRONIX
376
O
144. TEKTRONIX
3,366
0
h
Approved or a ease zuuw.u.biu:s.----E;]ArKLlP-b4-U
U;SbUP