PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050067-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 67
• Publication Date: July 15, 1957
• Content Type: FORM

Septe
t Coiner (lent' ebyed For
Septezaber 'J6{
(Gen. Reg. No. 5i, Sn p. Not 11)
(Amended February 20, 1052)
D. O. Vou. No. ----------------------------
%40360 R00050005
67-9
9
ONAL Bu. Vou. No-
U. S. -------------- COST- REIMBURSABIR
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
TO
FOIAb3b
f Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
t ----------------------------------------------------
(Authorized Certifying Officer)
Title -----------------------------------------------------------------------
Check No- ------------------------ dated ------------------------------ 19_____, for $---------------------.----------------- Ion Treasurer of the United States in favor of
Paid by I lpayee named above.
Cash, $ --- ? on ------ - ? 19 Payee - ------------------------------------------------------------
f81sn orisinel only)
-----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
ARTICLES OR SERVICES
No. and Data of Date of Delivery (Enter description item number of contract or Federal supply
Order or Service schedule, and other information deemed necessary) QUANTITY
Discount Terms
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cta.
Cost
859
88
PAYMENT:
Complete El
Partial El
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
659
88
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences
--
-
(Sign original only)
---------------------- ----------
-
--------___.--_.Il
Date --- 7:n-15--f ~7 * Pa ee
-----------------------------------------------
-
- -
-------
--------------- -----
-----
oat required when a lik. oertifiost i. made by oeyee as ettsobod bill or bWe)
-------- ------- ?-- --------
--
Amount verified;-correct-
erified; correct for ___________
-
------------
V
e
When a voucher Is slgvn/~-cc~r 1 Y~ celpq~tiipy/t~n(c 1A so ` ~? ` -0 0 ~6`
wriWhen a ]] a c 1 hssLLcs11$$~11~KKt~dlii5o1 r1l sffip7 ; ________
"John Doe Company, ig ompany, per77ddhh Smith, Secretary", or "Treasurer", as the case may be,
f If the ability to certify and authority to approve are combined in one person, one signature only is neo
Title ---------------------------------------?--------------
essary; -
otherwise the approving nd a officer will sign on the line boned "Approved for $___________________", and
over his official title. 18-22900-,
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050067-9
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 ----------------------.--------------------- -------------------------
5. 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 iorm 1v1eu11uu Vt yr nuoc.,cc .,.. -.....--b _ ____ ..-
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-RDP64-0036OR000500050067-9
 ands MPo ar P@w ldo~or Rele a 00/04/110, CIA-RDP64-0036QR000500050067-9
Form ppr edy
eomntroller ~. S. * a~ic ouc er r urc aces n
General.
7,U
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Person! MEMORANDUM
CONTINUATION SHEET
U. S- _-----_ COSTR-IWWABLR 1 92S
--------------------------------------------------------- Sheet No. ------------ of Bureau Voucher No. (Department, bureau, or establishment)
No, and Date
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
of Order
Delivery
schedule,
(Enter description, item number of contract or Federal supply
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 7/1/57
thru 7/7/57
Research &
Development
oduct
on
Tot
al,
abor Week
Ending J
-11Y 7, 1957 241.20
241
20
verhead c
omputed f
:)r Communications ,/
ivision a
inters
rate of 145% 349.7+
349
74
ther Cost
- sheet
no. 2
144
00
otal Labor
, Overhe
ad and Other Costs
73
& A expe
nse compu
ed at interim
ate of 17
of $734
.94
otal Cost
s
I
I
a.
T
G
r
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050067-9
L
O
D
O
 Standard Form No. 1085a-1tevlsed ~~ >
Form rescribed b `/
emotptetemmbeber _ --r4i"ved Fo ease ~
Sep
_-- _ _ _
~'urc~iase:
~
3
60R000 MDUM
4
1
0
CONTINUATION SHEET
COST REDWASABI,R Sheet No. ___ 2...... of Bureau Voucher No.
U. S. _
-------------------- -
(Department, bureau, or establishment)
925
ARTICLES OR SERVICES
UAN-
Q
UNIT P
RICE
AMOUNT
No. and Date
of Order
Date of
D
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
CKICT
NVOICE
It MO
HZCK 140
PAYEE DAME OR VEMR NO
6
187
679
14+
00
+1
0
7
Y
4 ~
l
it
f
1
proved For Release 2001/0 1R4=-A~OtA-RM%4-0036OR000500050067-9
I
C
1