PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050011-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 11
• Publication Date: July 26, 1957
• Content Type: FORM

Standard Form No. 1034-Revised
Form prescribed by , D. O. Vou. No- ---------------------- ______,
Comptroller , ;l p oved For" W / ' 1R
(Gen. Reg. N No. 5 51; Supp.;No. 11) X 360 R0005000500 1-0
Bepm SERVICES OTHER THAN PERSONAL Bu. Vou. No. ---------- 9
(Amended February 20, 1952)
U. S. -------- C0$T REIMBURSABLE
(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
Date of Delivery
ARTICLES OR SERVICES
(E
(Enter description, item number of contract or Federal supply
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Cost
35,E
PAYMENT:
Complete F-1
Partial F]
Final F-1
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
35,5
. h
(Payee must NOT use this space)
I certify that the above bill, is, correct and just and that payment has not been received.
Differences
OIAb3b (Sign original only)
- --
---------
-
-
-----------------------------------------------
---------------
---------------
-----
sot resorted when a like .ertifle.t. i. and, by pays. on attached bill or hills)
Amount verified; correct for ___________
F
Contract No.
~I
By ------------------------------------------------------------
SIGN
ORIGINAL
ONLY
Invoice Rec'd.
t ------------------------ -----------------------------
(Authorized Certifying Officer)
Title ---------------------------------------------------------- Date ----------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
I Check No- ------------------------ dated ------------------------------ 19------ for $-------------------------------------- (on Treasurer of the United States in favor c?
Paid by S `payee named above.
l Cash, $------------------------- on ------------------------------------? 19 ------ Payee ------------------------------------------------------------- -----------
(Sian eri,inal oniy)
-
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
over his official title.
2b9lth(ba iy1. d~ic DgQM.a pbadc CTA6
40
4 64-0O360RO00.50O0WO-1'4-0-------------
Title ------------------------------------------------
ra-229oo-F:
 Approved For Release 2000/04/11: CIA-RDP64-0036OR00050005001 1 -0
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 2000/04/11: CIA-RDP64-0036OR00050005001 1 -0
 Standard Form No. 1035a-Revised
Form proscribed by
Comp~tproller Qeneral,_U. S.
;-,; bl b X ~~ r ~ ~~ 005000
(Oe . r 0 Fipr Relea%ee vices #dt'errf Q~ 6 1 hf abntt ona 59 RANDUwt
COST REIMBURSABLE 1 944
U. S- ----- --------------------------------------------------------- Sheet No. ------------ of Bureau Voucher No. --------------
(Department, bureau, or establishment)
No. and Date
Of Order
Date of
Delivery
ARTICLES OR SERVICES
(Enter description
item numbe
f
t
F
l
d
Q AN-
UNIT PRICE
AMOUNT
or Service
,
r o
con
ract or
e
era
supply
schedule,
STY
TITY
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract A101 - System IV
Direct Costs Properly Chargeable to
Contract A101 for theperiod 7/15/57
thru 7/21/57
Research &
Developnent
Pr
ducts
To
*l
Labor We
k Ending
truly 21, 1957 10,269.61
5
.66)
10,26
.95
Overhead
computed
for Communications
Division
at inter
rates as follows:
Resew
ch & Dev
elopment - 145% 14-,890.93
Produc
tion - 1
95%
(1i
.04)
14,87c'
.89
Other Cos
ts - Per
schedule attached 4,577.53
She
t no. 2 904.90
Adj
stment-sheet 3 44.78
5,527
.21
/
La
or, Over
ead and Obher Costs
30,67
.05
G & A e
ease co
ted at interim
rate of
of $3
, 671.05
V
Total Co
is
$ 35,885
-13
CONTINUATION SHEET
j
Approved For Release 2000fO4fttTTOIAcR@P64-00360R000500050011-0
 i9tandard Form No. 1O3Sa,-Rov;zed
Form prescribed by
Com troller Qeueral_U. S. u NAr er
e tom-R 1
a
l
- R
~
ee
.,a
e
i~i
eas'Services ter`ianerson
a
CONTINUATION SHEET
U S COST REIMBURSABLE
-
0500050MEMORANDUM
-_.---_---'.- Sheet No. 2 9 4
- ---- -- --- - --------- ----------------
----------------------------
(Department, bureau, or establishment) -'-- of Bureau Voucher No . ____
-'?----
No. and Data Date of
of Order Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal suppl
sch
d
l
QUAY-
UNIT
PRICE
AMOUN
T
_
y
e
u
e,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
TICKET
INVOICE
CR MEMO CHECK NO
PAYEE OR VENDOR NO
M037766 18091
171 85.00
3692 9701
361 788.00
22336 7197
313 30.00
22336 7197
313 (.60)
59 8214
352 2.50
904
~qo
Approved For Release 20001O~k191R,:rICtA RDP84 00360R000500050Of1-0
 Comptroller General, U1. S. ww... ubli 0/ ir
{ p,~ KL+J{^~ a CL
(flab.&> ~to.ftlQr Releas3
`
/
.'r-
'
ervic
r
1
han ersona
CONTINUATION SHEET
0050005W4TiBRANDUM
COST REIMBURSABLE --- Sheet No. _-3
........ of Bureau Voucher No. _- 944----
(Department, bureau, or establishment)
Na. 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)
JV 067915 (2, 449. oo )
JV 067913 (912.00}
iv x67065 13.90
JV 067907 3,390.00
JV 067060 1.88
QUAN-
TITY
78
i i I I I I
Approved For Release 2000104x1't'a,~TCtAciR 4-0036OR000500050011-0