PUBLIC VOUCHER FOR PURCHASES SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030076-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 76
• Publication Date: February 28, 1957
• Content Type: FORM

Standard -brm. No. 1034-Revised
3. - Fo n proscribed by
Comptroller General, U. S.F
(Gen. RegPl ? ~;'S pt~. o.Iipr Re lea
(Amended February 29, 1952)
- Y 11.1=+~7T1 W- -
D. O. Vou. No- -------------------------- --
30076-1
7
ERSONAL Bu. Vou. No- ----------
U. S. --------------- QQUI-3=2&4T
---------- -------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at _________________________
-------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To
- ------------------------------------------------------
---------------------------------------------------------
(Payee)
---------------------------------
-----------------------
-------`------------------------------------------------------------------------
(Address) (City) (State)
zec/-
SAPC /3 7~i3
COPY / OF Z,.
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description
item number of contract or Federal supply
schedule, an, other information deemed n
QUANTITY
UNIT PRICE AMOUNT
ecessary)
Discount Terms
Cost
Per Dollars Cts.
Costs
FOIAb3a
PAYMENT:
FOIAb3b
Complete ^
Partial ^
Final ^
Sh
Use continuation sheet(s) if necessary
ipped from to Weight Government B/L No. I Total
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
Date RnRQ--5Y ------ *P,
Contract No.
Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
-----------------------------------------------
Amount verified; correcfor -----------
(Signature or initials
t ------------------------------------------------------
(Authorized Certifying Officer)
Title
Title ---------------------------------------------------------- Date -------------------------------------- - -- -
----------------------------
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)
Check No_ ________________________ dated ------------------------------ 19------ for $_______ on Treasurer of the United States infavor of
Paid by payee named above.
Cash, $----------------------- on ------------------------------------? 19 ------ Payee ----------------
(5;ao o=ici, ni ooiri
? When a voucher is signed or receip din o me of a r rati e
writing the company r? mat i~8~p X19; ROQ050003007-64---------------------------------------
"John Doe Company, per Jo nn meth, ecretary', or "Treasurer", as the case may be.
tIf 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 Title
over his n nie.) titl.
?----------?-
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030076-1
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 ----------- --- -------------------------------------------------------------------- ----------------- ---- ----- .....
------------------------------------------------------------------------------------------------------------------------------------------------------ - ----------------------.-.
(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 05
ase 2000/04/11: CIA-RDP64-00360R000500030076-1
 Sta^Aard Form No. 1035--Revised
Form prescribe~dnb
Co y___ _ed For Rfie iit0M1t t lele6bRdk#& @05.40030076-1
Comptroller (1
eptember 7
(Gen. Reg. No. 61, Supp. No. 11) Services Other Than Personal MEMORANDUM
CONTINUATION SHEET
COST REIMBURSABLE ---------------- Sheet No. ---- ~_-_----- of Bureau Voucher No. ` 7
U. S.
- ---- ---- - -----------
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
UAN-
UNIT PRICE
AMOUNT
of Order
Delivery
or Service
(Enter description, Item number of contract or Federal supply schedule,
and other information deemed necessary)
ITy
Cost
Per
Dollars
Cts.
Contract A101 - Costs abppiicable to
all systems
Direct Costs ProDer?ly Chargeable to
Contract A101 for the period 2/11 thru
2/17
/57
1
OIAb3a FOIAb3a ,erch &
"^el-eloDm.ent
Pro
actio
To
,nl
labor We
k Ending;
February 17) 1957
Overhead
computed
for Communications
Division
at inter
m rates as follows:
Resew
ch and
velopment - -
Produc
tion -
Other Co
ts - she
t no. 2
Total La
or, Over
end and OtherCosts
O p~ A ex
erase com
sited at interim rate
of
Total Cos
ts
FOIAb3a
FOIAb3a
Approved For Release 2009~D41.1,1EITId3dP640R00
050003
0076-1
 Sta::.1ara9. Dorm No. 1035a-Revised
oomvt oiler aPQ&.Qd For ReI& bD~Anth6b4MF%ftti 30076-1
eptembe 7 1950
(Gen. Reg. No. 51, 9upp. No. 11) Services Other Than Personal MEMORANDUM
CONTINUATION SHEET
COST nEINCBtTRSAIiT_ --------------- Sheet No. ---- n ----- of Bureau Voucher No. -----
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
Q AN-
UNIT PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
CIECK NO
P.O. NO
PAYEE
OIAb3a
Petty Cash
30185
4140
FOIAb3a
30184
41-4()
18
4151
Petty Cash
1 x,12
4236
FOIAb3a
4253
Petty Cash
otal
Approve or Release 2000/p4/6 i HIE - , 4i