PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050039-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 39
• Publication Date: July 22, 1957
• Content Type: FORM

Standard Form No. 1034-Reviled
Form prescrib
Comptroller (Len Aved
September 7, 19
(Gen. Reg. No. 51, Supp. No. 11)
(Amended February 2D, 1952)
D. 0. Vou. No- ----------------- -----------
~ b~(s t 14~ P $H~FB036OR00050005 }+39-0
SERVICES OTHER THAN PERS BL Bu. Von. No_ _____________
U. S. _ COST REIMBMABLE -----------------------------------------------
----------------------------------------- ------
(Department, bureau, or establishment)
Voucher prepared at ---------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _______-_-_____-
To _ ------------------
--------------------------------------------
--------------------------------------------------------------
(Payee)
-------------------
------------------------------------
(Address) (City) (State)
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 ^ Use continuation sheet(s) if necessary
to Weight Government B/L No. Total
Shipped from
I (Payee must N01' use this space)
I certify that the above bill is correct and just and that payment has not been received.
FOIAb3b
D ?? ------------------------------
ate ? 5 -- -- -
----- - -- Payee ------- . ....,....; ..,ke., .,;kw ~nrtlacate i~ made by payee as attseasd bill or bills)
------------------ ---------------------------
Amount verified; correct for _-_______-_
880a
07
--------------
---------------
---------------
_ Date
Date Req. No. _
Contract No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
By ------------------------------------------------------------
SIGN
ORIGINAL
ONLY
----------------------- --------- O --- ----
(Authorizeed d Certify; Certifyin g g Officer)
Date --------------------- - - ------------ - -- - ------------ - -----------------
Title ----------------------------------------------------------
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)
-- -----_ on Treasurer of the United States in favor el
Check No. dated + 19 + for $ - (payee named above.
Paid by
-------
-- ----- (6)c. -1.1-1 ody) - -------------- -- -----------
Cash. $------------------------+ on ------------------------------------? 19 ------ Payee ---------------- ----,
When avoucher I 3DGoVed1 ;Q s, t p ear.
writing the compa ny- r orate name, as we as t e a)
' i t r Yr4OG36OROOO5OOO5OO39 =~
"John Doe Company, per John Smitb, Secretary", 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 nee- Title -------------------------------------------------------
essary; otherwise the approving officer will sign on the line below "Approved for $------------------- ' , and 1e-22900-
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050039-0
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 ----------- --------------------------------------------------------
b. Without advertising, it being impracticable to secure competition because of --------------------------------------------------------------------------
------- -----------------------------------?------
----------------------------------------------------------------------------------------------------------------------------------
(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-RDP64-0036OR000500050039-0
 September 7,1950 MEMORANDUM
(Glen. Reg. No. 61, upp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S. ------------------ CELT-RL_@_I SBtJRSABLlI-------------------------------------------- Sheet No. --l -------- of Bureau Voucher No. ----937--
(Department, bureau, or establishment)
No, and Date
Date of
ARTICLES OR SERVICES
QUAN
-
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.
Contract A101 - System II
Direct Costs Properly Chargeable to
Contract A101 for the period 7/8/57
thru 7/1+/57
Research &
Development
Pr
ducts
n
To
al
abor 'W'ee
Ending Z
'uly 14, 1957 06 00
30
.O0
verhead
omputed
or Cc~anmuni.cations
ivision
tinter
443.70
rate of 14596
443
-70
J
ther Cost
s - shee
no. 2
2
.50
d
otal Lab
, Overhe
ad and Other Costs
752
.20
& A ex
nsg6ompu
ed at interim
ate of 1
96 of $75
.20
127
-87
V
otal Cos
s
880
-07
@ ?P'br Rel%fA2 f ' 1 f0 1l & M8R000500050039-0
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050039-0
O
D
O
T
G
r
T
 Standard Form No. 1035a-Revised s(;
}~~
Form rescrib~d9,
Oomptro b For R , Yd~[]~ i 1[
A r
8eptem e 1 0
(Gen. Reg. No. 51, Supp. No. 11) Services ter an
ON530 R00050000WOMANDUM
CONTINUATION SHEET
U. S. _ C-UZT _R :t SJ 5AB ------------------- ------------------------------ Sheet No- -__--_ 2_-_ of Bureau Voucher No.
(Department, bureau, or establishment) -
No. and Date
of Order
TICKET
INVOICE
CR MEMO
58
Date of
Delivery
or Service
CHECK NO
8186
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
PAYEE OR VENDOR NO
352
QUAN-
TITY
Approve lease 2000IO444ENt O1A RDPSOD036OR000500050039-0