PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030019-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 19
• Publication Date: March 13, 1957
• Content Type: FORM

{ 3tand`tird Form No. 1034-Revised
R'orm proscribed by
~
comptroller ~~dved For Rre~
Septemb
(C(Amended Febiuary D 19b2)1)
SE
D. O. Vou. No- -----------------------?----?
~~~-~~'A~0~360R00050003~~ 9-4
COST REIM~7RSABLE
U. S. ------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher tare~ared at --------------------------------------------------------------------------------------------------------
(Cive placo and date)
THE UNITED STATES, Dr., Payee's Account No. ________________
To -----------------------------------------------------------------------------------------------------------------------------------
(Payoe)
(Address) (City) (State)
saPC / ~ a 3 z
DOPY / ~~'~ ~-~
f
N
d D
liver
f D
D
t
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
UNIT PRICE AMOUNT
ate o
o. an
Order
y
e o
e
a
or Service
schedule, and other information deemed necessary)
QUANTITY
Coat
Per Dollars Cxs.
Discount Terms
costs FOIAb3a
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Csovernment B/I. No. Total
~ (Payee must NOT use this space)
I zertify that the above bill is correct and just and that payment has-not been received.
FOIAb3b (Sign original only)
Per ----- Title ---------------- ----------------------------
---
Contract No. ~OZ Date Req. No._
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
-----------------------------------------------
Amount verified; correct for __
(Signature or initials) _________I~
(Authorized Certifying Officer)
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
( Check No. ------------------------dated ------------------------_----, 19_____,for $_____________----------_---_----____-- Lon Treasurer of the United 5tatesinfavo-.- o
Paid by jl payee named above
Cash. $------------------------? on ------------------------------------? 19-----. Payee -------------------='---- ---------------------------------------
---(6isn arlslnN avly)
? Vi'hen a voucher ' d~~bpp r~~~9 ~~gn {y~ na a /~ /~ ~} c p /~ /~ /~ ~ /~ /~ ~} /~ /~ e
writing the compan~o3~~d~iib;~a~wLN4s~hh~Ga4acltly~YV el~ibr9~AB(s a pear. S~ ~-VVi7~J?7ZVV\TJVVOi7VV'~~"4---?---------?
"John Doe Company, per .iohn Smith, Secretary", or "Treasurer", as the case may bo.
f It the ability to certify and authority to approve are combined in one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved. for $___________________ _and
nvwr his nfll ri al title-
 Approved For Release 2000/04/11 :CIA-RDP64-003608000500030019-4
METHOD OF OR ABSENCE OF ADVER.T~StNG
I. 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 bc+
made below.)
ABSENCE OF ADVERTISING
3. Without advertising, under an exigency of the service which exi3ted 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 ----------------.--.__________-_-----_---_-_-.-_.-.
(13ere state in detail the nature of the erlgency or circumstances under which the securing of competition was impracticable under 3 and 4)
NomE.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured undea
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-RDP64-003608000500030019-4
 E9tfLYtllFLrd. Form No. 103ba~-Revised
Formprescljbc~7i~~~~ed For4~~e~2~~~/~~ ~F~96~-Q~60R0005QQ ~Q QAA ~4*~
eptomb...
Com troller C r la/l~;lirl6J~i~1M~Uli~i
((len. Reg. No. 5?, Supp. IQo. 11) Servace8 Other 'Than ~'erSOna
CONTINUATION SI-IEET
COST REINIBURSABL,L-------------------------------------------------------- Shect No. --1------- o Bureau Voucher No. ---6-~~---
U. S. ----------------------------------------- f
(Department, bureau, or establishment)
Dato of
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Dat?
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
~ITY
or Service
and other information deemed necessary)
Coat
Far
Dollars
Cts.
Contract A101 -Costs applicable to
all systems
`
Direct Costs Properly Chargeable to
Contract A101 for the period 2/25/57
t~ 3/3/57
Research &
Development
To
al
~,bor week
ba.ding
ch 3, 1957 FOIAb3a
ivision a
interim
rate of -
~tal I,abo
and Ove
head
& A e e
se com u
ed at interim
~.te of
~tal Cost
FOIAb3a
FOIAb3a
--
--~ra-a~rot
red
0
~0~300
'19=~ -
~
D