PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000500030007-7
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
4
Document Creation Date: 
November 17, 2016
Document Release Date: 
July 22, 1999
Sequence Number: 
7
Case Number: 
Publication Date: 
March 13, 1957
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000500030007-7.pdf162.56 KB
Body: 
Standard Form No. 1034-Revised Form prescribed by ,Comptroller Ge September r ved For No. &I (G(Amenen. February 20, 1"2)11) 360R000500030 U. S. -------COST--REIMBMSABLE (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 Order PAYMENT: Complete ^ Partial ^ Final ^ Date of Delivery or Service 0 Z fSAPC,yo 3Z Z, COPY OF I certify that the above bill is correct and just and that payment has not been received. FOIAb3b ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) Discount Terms Date -_3.7q:.3-75-7 --- * Payee -------------------------------------- ----------------------------------------------- ---------------------------------------------- Amount verified; correct (Signature or initials) - Pursuant to authority vested in me, I certify that this account is correct and proper for payment. SIGN ORIGINAL ONLY fi - - ------------------ (Authorized Certifying Officer) Title ---------------------------------------------------------- Date -------------------------------------------------------------------- THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM I Check No. --- dated ------------------------------ 19-----,for $-------------------------------------- on Treasurer of the United States in favocoi payer named above. ------------ --------------------------- dash. $------------------------- on ------------------------------------? 19-----. Payee ------------------------------- (Stan o,irlasl only) anvi>~rt e~sfo}Y#fst(hdCKp i6hQ44=1t1pVear0r 7 6 OG36ORWOJOOO3OOV7"7-------------- ty to certl.fy and authority to approve are combined in one person, one signature only is nec- twise the approving officer will sign on the line below "Approved for $------------------ ", and .finial titles Title ----------------------------------------------------- 1e-229oe~ Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030007-7 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) NoTlc.-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-RDP64-0036OR000500030007-7 Standard Form No. 1035a-Revised Form COMA, tro prescr' cd oved Fo i YQg /~9r: Ch?P 60R0005 7- em er ~ b 7, WAftgA (Gen. Regept. No. 61, Supp. No. 11) Services Other Than Personal CONTINUATION SHEET U. S. ----- COS-REIMBURSABLE_---------------------------------------------------------- Sheet No. ----- 1----- of Bureau Voucher No. (Department, bureau, or establishment) No. and Date of Order Overhead computed Division at inter Research & ARTICLES OR SERVICES (Enter description, Item number of contract or Federal supply schedule, and other information deemed necessary) Direct Costs Properly Chargeable to Contract A101 for the period 2/25/57 thru 3/3/57 rates as follows: FOIAb3a FOIAb3a :-ebk-R 64=00~vtDD300-OT-7 rnpproited For Release 2 U. S. GOVERNMENT PRINTING OFFICE 1s-0266" Standard Forru ROB s1Tor I elehise,a000/R4/11 ? C 4R~P64-0034OR000500030007-7 Comptrollor (eneral, U, S. IC ouc er Or urC axes September 7, 1850 1- (Gen. Reg. No. 51, Sapp. No. 11) Services Other Than Personal MEMORANDUM CONTINUATION SHEET COST RREIMBITRSABLE Sheet No. _____2___- of Bureau Voucher No. --- 92 U. S ---------------------------------------------------------- f (Department, bureau, or establishment) No. and Date Date of ARTICLES OR SERVICES AN- UNIT PRICE AMOUNT of Order Deliver y (Enter description, atom number of contract or Federal supply schedule, V11TY TITY or Service and other information deemed necessary) Coat Per Dollars Cts. CHECK NO P.O. NO PAYEE 82.89 4633 FOIAb3a 82719 3087 66 Total FOIAb3a Approved For Release 2d' ?6M`,Tl''1'":?CIA- 64-0036OR000500030007-7