PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030087-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 87
• Publication Date: February 28, 1957
• Content Type: FORM

Stanurrtl Form. No. 1O34-R"ivised
Form prescribed by
Comptroller AG
P) 6ved For
t (Gen.
(Amended February 11)
20, 1952)
0 '00 360R000500030
I Bu. Vou. No. ---__----__
COST REINBURSABLE
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ _______________-
To ------------- ---------------------------------
------------------------------------------------------------------------------------
(Payee)
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
Costs FOIAb3a
2
[SAPC /3 ;7,,_3
COpY/ or ...-
Shipped from to Weight Government B/L No. I Total
(Payee must NOT use this apace)
Date -- P--P.$--5 7 -_ * Payee --------------------------------------------------------------------------
to not required when a like eotisente I. made by Dsyee on stt..b.d bill or bill.)
Per
Contract No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
By ------------------------------------------------------------
SIGN
ORIGINAL
ONLY
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 ANT FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No. dated ----------------- payee r19 for $-------------------------------------- on Treasurer of the United States in fa- c?
Paid -------------------- aid by payee named gbove.
Cash, $------------------------- on ------------------------------------? 19-----. Payee ----------------------------(sign-------origi--nal---on--ly) --------------------------.-..
' When a voucher io~taa 1 e ~tggd - then e a compan ionom a yip ~~ee
writing the campanybil 61a t Q r. e zpo ]~tIW e9r '$~ V ~=$0 60ft00II5II0D 30II8~-J
e.
"John Doe Company, pier John Smith, Secretary , or reasurer as t e case may
tIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _______________________________________________________
essary; otherwise the approving officer will sign on the line below "Approved for $_________________ rs zzooo
over his official title.
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030087-9
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.
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 anti
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030087-9
ftwo, *-we
 ( andard-Form No. 1035a-Revised
Com t ooler Ge f.I Ved FoF s'2Ab}T'4fPT :1W-4=0A60R000
WQl~M,7rabvM
11 September 7, 1 -
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Persona
CONTINUATION SHEET
h(
. AT_ 1 t Vnfielrar Nn-
nr
'
OST REIMBURSABLE
(
U. S. (Department, bureau, or establishment)
No. and Date
of Order
ARTICLES OR SERVICES
supply schedule,
(Enter descriptanditem
other information deemed necessary)
Date of
Delivery
or Service
Contract AlOl - System I
Direct Costs Properly Chargeable to
Contract A10l for the period 2/18,157
thru 2/24/57
Labor Weed Ending February 24, 1957
Overhead omputed or communications
Division t inters rate of
Other Costs - per chedule attached
shee no. 2
Total Lab~r, Overh~ad and Other Cos
Research &
Development
FOIAb3a
FOIAb3a
FOIAb3a
G & A ex nse compited at interim rate
of
FOIAb3a
ve or a ease 200010 1T,iGG A- 64-0036OR000500030087-9
 Stcwrtdard Form A ardavecLeFor Release 2000/04/11: CIA-RDP64-0036 OR000500030087-9
a by
Form pr Ge F jlic Voucher for Purchases
Comptroller General,. U. S.
September 7, 1950 MEMORANDUM
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S- ---------------- COST R MBURSICBI ........................................ Sheet No. -------- --- of Bureau Voucher No.
D
d N
Date of
ARTICLES OR SERVICES
Q AN-
UNIT PRICE
AMOUNT
ate
o. a
ofO Or rder
Delivery
(Enter descriptitem number of contract or Federal supply schedule,
'P'ITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
to
Check No
1 1 (
) Payee
FOIAb3
4531
38943
FOIAb3a
4350
20
Petty Cash
4421
2449
I1otal
FOIAb3a
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030087-9