PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500040130-9
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: December 12, 2016
• Document Release Date: July 1, 2002
• Sequence Number: 130
• Content Type: FORM

Standard Form No. 1034--Revised D. O. Voss. No. _______________________________
F~orurprescstbed bUy .,;.Approved F$ra7~AF: Ui~000500040130-9
Comeepw ber 7, 19950
rze., ,~~ N. Gimn. No. 11) ~stERVICES OTHER THAN PERSONAL Bu. Vou. No. _ ------ __-_-__-___
U. S. -------------------------------------------------------------- ---- ------ -------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------- ------------------------------- -------------------------- ---------
((live place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
To ..__-RAMC --WOOLDRIDGE--.CDRPORATION--------------------------------------------------------.. _
(Payee)
----------- $820--Bal.1anea- Avenue-------- 10"- ,nge1es-45,--Cali fornia---------
(Addrees) (City)__Y.! (State)
No. and Date of
Order
PAYMENT:
Complete El
Partial L
Final Ll
Date of Delivery
or Service
(Enter description~t item number of contract or Federal supply
schedule, anJ other Information deemed necessary)
Discount Terms-INVOICE N0. - AND DATE OF_INVOII
776
777
778
779
780
781
782
783
784
Shipped from to
Date ----- ------ *Payee .
Ap0l6ved.Fi rn k s9ei"1VO2/O7 22 __ l&A~ 01 P
Per . - - - - - - - - - - Title -~- _ - - - - - -----
Pare 1 of 3
UNIT PRICE
5/6/57
5/6/57
5/6/57
5/6/57
5/6/57
5/6/57
5/6/57
continued on 5/6/57
next page p/6/57
Use continuation sheet(s) i necessary
------ ---------
Weight Government B/L No. tal
---------------------------------------
------------------------------ ----------- -
5,171
22,011
19,562
31,460
5,884
(5,257
9,279
11,994
37,896
34
30
50
32
92
36)
82
43
23
(Signature or initials) _ --- _.--_ --- ---
Date Invoice Recd.
 Approved For Release 2002/07/22 : CIA-RDP64-0036OR000500040130-9
------------- --- ------------- ------------------------------------------------------------------ -----------------------------------------------------------
(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-Revise&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 Rise 2002/07/22 : CIA-RDP64-0036ORQ 500040130-9
 Stapdard Form No. JO34--Revised D. O. Vou. No- ---------------------------__--
Form presetlb byapproved For12eI cceV 2 F'1 IR~~eeA~2000500040130-9
Cowptroller Gai iii
U. s. ----------------------------------------------- ------------------- ------------- -------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------------ ---- -------------- - --------------------------------------------------- ---------
-
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ -----------------
To ---- RA N0,,WOOLDRIDGE--CORPORATION-----------------------------------------------------------
(Payee)
------------------------------------------ ------------------------------------??------------------------------------
(Address)(City) --- (State)
No. and Date of
Order
PAYMENT:
Complete [_.]
Partial [_]
Final []
Shipped from
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description Item number of contract or Federal supply
schedule, anA other information doomed necessary)
Discount Terms
785 5/6/57
786 5/6/57
787 788 5/6/57
78 5/6/57
790 5/6/57
791 5/6/57
792 continued on 5/6/57
793 next page 5/6/57
Use continuation sheet(s) if necessary
Page2of2
to Weight Government B/L No. I Total
must NOT use this space)
e
(Pay
e
I certify that the above bill is correct and just and that payment therefor has not been received.
y e
Date --------------------- *Pa
~pprav~em~?F~o~aF~efe~s~~2(~Al~,~r~a~/~2~ ~~ ~I~-~tES~~
Per ----------------------------------------- Title
. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 0 0 o Q I P 9949V0-9------
2,9011
103
12
(204
7
(30
(94
(Si nature or initials
09
03)
30
34
95
28)
58
18)
e (Gen. Reg.~No. file 9upp No. 11) SERVICES OTHER THAN PERSONAL
 Approved For Release 2002/07/22 : CIA-RDP64-0036OR000500040130-9
------------------------------ - - ---------------------------------------------------------------------------- - -----------------------------------------------------------
(IIere 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 . eRel ase 2002/07/22 : CIA-RDP64-0036OR000500040130-9
 Approved For Release 2002/07/22 : CIA-RDP64-0036OR000500040130-9
51171/34
2 2 41 1 3 0
.956250
1 4 6 0 3 2
5 88 49 2
525736--
9 2 7 9 8 2
9443
x 6 9 6 2 5
2 9 0 1 0 9
2 8 0 3
1 0 3 3 0
1 2 3 4
6 9 5
2 0 4 2
7 5 8
3 0 9 5
9418..
9 8 7 2
3 8
1 9 2 0 5 2 7
16.406019*
Approved For Release 2002/07/22 : CIA-RDP64-0036OR000500040130-9