PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030003-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 3
• Content Type: FORM

Standard Form No. 10b 4-Revised D. O. Vou. No- -------------------------------
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(Gen. Reg. No. BI, SuPP? No. 11) Bu. Vou. No. r -------------------------------
1
1
U. S- _----------------------- ---------------------------------------
------------------- -----------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------------- --------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- ----------------
To __-RawW+9fs1s' rJA90__0_0rP_WJA + ---------------------------------------------------------------------------
(Payee)
--------- -- B,.a Q-a-..X7OMS--------------------------- -- !!!* t3l . SJ~'il ------------
o
490
ARTICLES OR SERVICES
number of contract or Federal supply
ite
i
i
UNIT
PRICE AMOUNT
No. and Date of
Order
Date of Delivery
or Service
on
m
pt
(Enter descr
schedule, and other information deemed necessary)
QUANTITY
Cost
Per Dollars Cts.
Discount Terms ~QIV! Ham
691
692
693
694 FOIAb3a
695
696
PAYMENT:
697
Complete F-1
696
Partial El
l El
699
}?~,~
~}
11AA e
Fina
a
Use c id (s n
Shipped from to Weight Government B/L No. 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 ---------------------------------
-----------------------------------------------
-----------------------------------------------
------------------------------ --------------
Date---------------A~n VeV~~hf?V`~'tik~~~~~r~~.~l-1/'1'LJ 64~riQ~36ddL;000 Od>~0.0 a7=1--
 -----------------------------------------------------------------------------------------------
Approved For Relea$~_20Q0/Il41.11_ ~64.~1(60 -QftA-4_1--------------
----------------------
(Here state in detail detail the nature of the exigency or circumstances under which the securing of comps 1 on w s
NOTE.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured under
proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or
less formal agreement) Standard Form No. 1036-Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2000/04/11: CIA-RDP64-00360R000500030003-1
,.& Vftmi
 SIGN
ORIGINAL
ONLY
Amount verified; correct for -----------
t ----------------------- -----t hori-------zed-- ?---Certifying----O--ffi--cer--) ------------------------
(Au
Title ___________
FOIAb3b
Check No- ________________________ dated ------------------------------ 19 ------ for $-------------------------------------- on Treasurer of the United States in favor of
Paid by j payee named above.
l Cash, $-------------------------on 19 Payee ----
-------
(sign original only)
Standard Form No. 1084-Revised
-eorm prescribed by I
C l General B
. Reg. , For Rel
Bepte S
(O(Amended February 20, 1952) )
R000500030003-1
U. S. -----------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _-______________
To __ eao-Waco .dridee arp '-t.----- ---------------
--------I 43 _A WM__iver -------------------------- 2r~- ee 0>~+m^ -------------
ilffigk I
No. and Data of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information ~,,~~deemed necessary)
Discount Terms ICE no= t
700
701
M2
FOIAb3a
PAYMENT:
Complete ^
Partial ^
Final ^ Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
Date -------------------- ayes ------------------- -------------------------------------------
(This certifl,,te not uou)red when a like oertlfio,t, L. mod, by my., on .tt..h.d bill or bill.)
Contract No. A-101 Date 31 AW 155 Req. No.
Pursuant to authority vested in me. I certify that this account is correct and proper for payment.
When a voucher is signed or recei ted in the name of a company or cor oration, the name of the person
writing the coma p~t~~p~p~ e ?,,~ s
-----------------
"JohnDoe Comp rl ~Jbi7rY8 L'h~a `dk~ l`Iis r~ t cad e~ y eP Uoe~1 DP -OD'36IIROIIO OOII3II003="C
f If the ability to certify and authority to approve are combined In one person, one signature only is nee- Title ___________________
sass ; otherwise the approving officer will sign on the line below "Approved for $_______________ ". and """
10-229,0-e
over is official title.
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030003-1
METHOD OF OR ABSENCE OF ADVERTISING
1. Advertising in newspapers Yes ^ No ^.
2. (a) Advertising by circular letters sent to -------------------- dealers.
(b) And by notices posted in public places Yes ^ No ^.
(If notices were not posted in addition to advertising by circular letters sent to dealers, explanation of such omission must be
made below.)
3. Without advertising, under an exigency of the service which existed prior to the order and would not admit of the delay incident to
advertising.
4. Without advertising in accordance with ---------------------------------------------------------------------------------------------------------------------------
5. Without advertising, it being impracticable to secure competition because of --------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------ ?---------------------------------------------------------
(Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
NOTE.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured under
proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or
less formal agreement) Standard Form No. 1036-Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030003-1
.> I N i