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:
Attachment | Size |
---|---|
![]() | 162.56 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