PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000500030091-4
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
3
Document Creation Date:
November 17, 2016
Document Release Date:
July 22, 1999
Sequence Number:
91
Case Number:
Publication Date:
February 28, 1957
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 139.08 KB |
Body:
Standa,Yj Form No. 1034-Revised
Iorm prescribed by
- C iptroller Q eral U. S. L~Rjj$ ?V&jyf R
(Gen. flog No. 51' ? red For i j
D. O. Vou. No. -----------------------------
L 360R000500030 -4
Bu. Vou. No-
U. S. -------- QQE'
--------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
TO ------_-- ----------------------------------------------- --------------------------------------------------------------------------
(Payee)
2 .
SAPC /c3 .7,
COPY/ OF `2,_,
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(E
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Q
Discount Terms
Cost
Per Dollars eta.
FOIAb3a
Costs
F O I A b3 b
PAYMENT:
Complete ^
Partial F1
Final El
Use continuation sheet(s) if necessary
Per ___
Title
Contract No. Date Req. No.
t Approved for $ -----------------------------------
By ----------'-------------------------------------------------
Title ----------------------------------------------------------
not rennired when a like -111-t, is mode by cevee on attoobed bill or WHO
SIGN
ORIGINAL
ONLY
-----------------------------------------------
-----------------------------------------------
Amount verified; correct f
(Signature or initials) ---
Date
'---------------------------------------------------------------------------?
(Authorized Certifying Officer)
Check No- ------------------------ dated ------------------------------ 19 ------ for $-------------------------------------- (on Treasurer of the United States in favor of
named above.
Paid by Ion
Cash, $------------------------- on ------------------------------------? 19-----. Payee -------------------=--------- -----------------------------------------
(aign origins only)
When a voucher is a ned or receipted,,finn..~a na of company o r e t r, t pe
writing the companyrorlgwb}1161E~r~ a ~} VRV V V p~-{~~5~?VJ~e~O0~ -
"John tDoe h( Company, bbbb~cttbbtall~~ br t``~gr"'' e a a e: ft4;.-00
t If the ability to certify and authority to approve are combined in one person, one signature only is nec-
over Title _____________________________________________________._
essa ;is official otherwise title. the approving officer will sign on the line below "Approved for $-------------------- ",and
16-22900-
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030091-4
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.)
ABSENCE OF ADVERTISING
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 --_--------.--- ----------------------- -
----------------------------------------- ----------
---------?--------
b. Without advertising, it being impracticable to secure competition because of --------------------------------------------------
- - -------------------------- --------------------- --------------------------------------------------------------------------------------------- ----------------
---------------------------
- -------------------------- - --- - ---------- - ---------------------- ------ - --------------------------------------
------------------ ---------------------------------------------------------------------------------------------------------------------------......._
or circumstances under which the scouring of competition was impracticable under 3 and 4)
nc
f th
i
ge
y
e ex
(Here state in detail the nature o
i
e
i
s
ng
NOTE.-The above form "Method of or Absence of Advert s
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. b1, as amended.)
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030091-4
`"f
Standard "-,orm No. 1035a-Revised
og ro prescr ved Fo ' V& 1frtV 4JfW: 4*D 4 OOA60R000
Compptroller er 710 F~'. p ~i1~DUM
September 7 1050
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
ureau, or establishment)
(Department, bureau,-or-
ARTICLES OR SERVICES
supply schedule,
(Enter deacript andiother information deemed necessary)
Direct Costs Properly Chargeable to
Contract AlOl for the period 2/18/57
thru 2/24/57
Overhead computed for Conm.unications
Division at inter1ra rates as follows:
Rcsearch w Dev lopmer_t - -
PrQdu tion -
e eased 4 IN -.,NGI A-F D P 64 -003608000500030091-4
CONTINUATION SHEET
COST REIMBURSABTZ -------------- Sheet No. ----- ------ of Bureau Voucher No.