PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050109-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 109
• Publication Date: June 28, 1957
• Content Type: FORM

Standard Form No. 1034--Revised
Farm piescribed by -
Comptroller General
U
S
,
.
. v
( en. RSe j y pr Release
((3)ve place and date)
Payee's Account No. _____________-__
U. S. ------------ COST--REIMBURSABLE
(Department, bureau, or establishment)
Voucher prepared at
THE UNITED STATES, Dr.,
To
- ---------------------------
-------------------------------------------------------------
(Payee)
------ ------
(Address) -:._..
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 ^
----- ----1-. y I I I
Shipped from to Weight Government B/L No.
Total
I certify that the above bill is correct and just and that payment has not been received. I (Payee must NOT use this space)
Date 6--28n57 ------ *Pay ee
-------------------------------------------------
te not reuir.d when n like aortifi,,t. io mode b, pny., on ott..h.d hill or bill.)
Per ------- Title
-------------------
Contract
No. Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $
By -------------------------
ACCOUNTING CLASSIFICATION(Appropriation Symbol must be shown; other classification optional)
Check No- ------------------------ dated ------------------------ 19
Paid by -____, for $____-__ J pa Treasurer of the United States in Fevpr ra
Cash, $ -- on ------_-- Payee named above
--------------------------1 I9-----. Payee
' When a voucher is signed or receipted in the e t a com a
"John the com an r qrp~ ~y~
e na>ra~gf/-ile
John Doe
s r s pall x
pllrf f3b
4A
c ease ay b
..., , ,
c
r
ebned , as t e case may be.
ability
}]I the ability to certify and authorit to a i
essary; otherwise the approving officer will sign on the line below "Approved for $__________________ and
SIGN
ORIGINAL
ONLY
f --------------------------
(Authorized Certifying Officer) - --------_
D. 0. Vou. No- ----------- __..____--
--------
000500050109-2
PERSONAL Bu. Vou. No. -__--_ 5
---------------------------------------------------------- Date
------------------
------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
,...... ,,.,-. amy,
&4=II0360R00_05Q0050109-2
Title
Differences
------------------------
-------------------- ---------------------------
Amount verified; correct for ___
.27
(Signature or initials) -----------
2,89I
27
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050109-2
METHOD OF OR ABSENCE OF ADVERTISING
METHOD 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 El.
(If notices were not posted in addition to advertising by circular letters sent to dealers, explanation of such omission mast bt
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 ----------- --------------------------------------------------------- ------------- -----------------------......
-------------
5. Without advertising, it being impracticable to secure competition because of __________-___--------------------------------
-- ---------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------- ---- --------
---------------------------------
------------ ---------------------------- -------------------------
t - -- - ------------ - - - ---
---------------------------------------------------------------------------------------------ch he securi ------------- ------
(Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable ander 3 and 9)
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-RDP64-0036OR000500050109-2
 ApprgVdRFP~ Release 2000/04/11 :CIA-RDP64-00360R000500050109-2
Standard. Fora
Fonnpo%lbed bUy.
tbhc Voucher for Purchases.-id
Com troller C7eneral,
s'optember 7, 1050 MEMORANDUM
l
Th
P
h
(Gen. Reg. No. 51, Sapp. No. 11) Services Ot
er
an
ersona
CONTINUATION SHEET
896
U. S- ------COST R DSLRSABT.t---------------------------------------------------------- Sheet No. ---1------ of Bureau Voucher No. ------------
(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 I
Direct Costs Properly Chargeable to
Contract A101 for the period 6/1767
thru 6/23/57
Research &
Development
Pr
ducts
n
To
i
or Week
ding
e 23, 1957 34.00
66
.56
100
-56
erhead co
mputed fo
r Communication
vision at
interim
rates as follows:
Beware
& Devel
pment - 135% 45.90
/
Producti
on - 1951
,
129
-79
175
.69
her Cost
- per sc
hedule attached
2,2
.58
tal Labor
, Overhea
d and Other Costs
2o538
.83
& A expen
se comput
ed at interim
te of 1
of $2,5q.
8-83
355
-44
tal Costs
2, 8
.2
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050109-2
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