PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030014-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 14
• Publication Date: March 13, 1957
• Content Type: FORM

Standard Form No. 1034-Revised
Form prescribed by~y~I{
Comptroller Gq~eq)I V Ved For ITC 8$
Soptembo ,
(Gen. Reg. No. bl, Supp. No. 11)
(Amended February 20, 1952)
D. O. Vou. No. -------------------------------
&360R00050003001_f
1
Bu. Vou. No- -------------- - ----------
U. S- ------------- COST--REIMBURSABLE -------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _______________-
To _ ----------------
----------------------------------------------------
--------------------------------------------------------------
(Payee)
(Address) (City) (t3tato)
ARTICLES OR SERVICES
No. and Date of Date of Delivery I (Enter description item number of contract or Federal supply QUANTITY
)
med necessar
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l
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y
ee
orma
on
ot
er
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edu
e, an
Order or Service sc
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to
Costs FOIAb3a
Use continuation sheet(s) if necessary
SAPC> 3 z.,
COPY/ OF -L
Weight Government B/L No. I Total
I certify that the above bill is correct and just and that payment has not been received.
FOIAb3b
_11-k --------------
Date -3-1-3-157 Payee nttsobed
rmba....nin..t. not reouired when a e carE3finate ie made by;ayes on bill or bills)
Date Req. No.
Contract No. A].Q]..
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
t Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
Differences ---------------------------------
------------ ----------------------------------
------------- ---------------------------------
-----------------------------------------------
Amount verified; correct for -----
t ----------------------------------------------------------------------------
(Authorized Certifying Officer)
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)
I Check No. ------------------------ dated ------------------------------ 19------ for $-------------------------------------- {on Treasurer of the United States in favor cc
Paid by {l
Cash, $----------------------- on ------------------------------------? 19-----. Payee -------------------------------- payee ------ named above .----------------------
(Bien original only)
? When a vouchor d n tl ng~e~o( AX p~,~ n n/~~/ /~
~HE~nb! ~k ili~6a~1
writing the compan 0 "Joh the ability to certlf authorlwill ip gg hne pca 1e-H4r a p~}~OV 3 RV V V J0~?3~ V 1 ~
"John Doo Company, per John Smith, Seer 6ecretar ry" , or "Treasurer", as the case may ?ay bo.
__
_
combined in one person, one signature only is nec- Title _________________________________
' ______-rc
, otherwise the approving roving officer gn the below "Approved for $__________________ and 16-22Deo
over his official title.
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500030014-9
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.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
(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-RDP64-0036OR000500030014-9
-Vol
 Standard Form No. 1O35a-Rovised 'b d by
ran press raved For ecV1aW* / 4r- Finbv
11 - 0460R0005pp ~pp
Com epteni enib jVj
ep
e MR1K? &DUM
(Gen. Reg. No. 61, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
COST -REIMBURSABLE ------------------------- Sheet No. ---1------- of Bureau Voucher No.
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
supply schedule,
(Enter itern in information deemed necessary)
Contract A101 - System II
Direct Costs Properly Chargeable to
Contract A101 for the period 2/25/57
thru 3/3/57
Research &
Development
Labor Woek Endint March 3, 1957
FOIAb3a
Overhea compute for Communications
Divisio at inte im rate oM
FOIAb3a
Other C sts - per schedule attached
sheet no. 2
Total Labor, Overhead and Other Costs
G & A e$ ense computed at interim
rate of
Total Casts
FOIAb3a
E 05U00300
0? S. GOVERNMENT PRINTIN: OFFIC -9
UAN UNIT PRICE AMOUNT
..
ITV
Cost I Per Dollars I Cts.
FOIAb3a
 gtandrard Form No. iw5ra.-Revised
Form Per
reAi N ed For ml S
Compt eVZ9G0 i''Pp G~ I IQ O R0005~vD~ 7M
roll
cptembrl.' , 1 5D 11) S ' Other Than Personal
o
s
(Glen. Reg. No. e1, Supp.
. ervaee
CONTINUATION SHEET
COST REIMBURSABLE Sheet No. --- 2 ------ of Bureau Voucher No.
U. S. ----------------------------- ----------------------------------------------
(Department, bureau, or establishment)
No. and Date
of Order
TICKET
INVOICE
CR MEMO
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter descript and other n formation deemed necessary) supply schedule, item number of contract or Federal
13162 1 3067 I 679
QUAN-
TITY
U. S. GOVERNMENT PRINTING OFFICE le- ...
FOIAb3d
CHECK N PAYEE OR VENDOR NO.
OFO0500030014-9