PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050111-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 111
• Publication Date: June 28, 1957
• Content Type: FORM

Standard Form NO. 1034-Rovised
Form prescribed by_ lived For Rol", 4Oo Form lee
ScPtembe> CES 1
(Gen. Reg. No. 51, Supp. No. 11) SERVI
(Amended February 20, 1952)
IMB
ST
RE
Date of Delivery
or Service
_
U. S. --------------CO
(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
PAYMENT:
Complete ^
Partial ^
Final ^
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
Use continuation sheet(s) if necessary
Weight Government B/L No. Total
I 'certify that the above bill is correct and just and that payment has not been received.
FOIAb3b
Date *Payee
--------a~~---- - - ------------------ --------------------------------------------------------
ceauired when a like aertlfienta i~ made by payee on ettsabad bill or bills)
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 ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
D. O. Vou. No- ----------------------------
'T 9e360R0005000501 9
l L Bu. Vou. No. ---------------------------------
(Payee must NOT use this space)
Differences --------------------------- ----
1)098
$ 2,o
---------------
---------------
---------------
Amount verified; correct for ______I o r2-c-.
(Signature or initials)__________ _--------------------- _
Date Invoice Recd.
- - -------------------
f (Authorized Certifying Officer)
Title ----------------------------------------------------------------------.__--
Date -------------------------------------------------------------------
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No- ________________________ dated _____________________________ 19 for $-_____ on Treasurer of the United States in favor of
Paid by payee named above.
Cash, $------------------------- on ------------------------------------? 19-----. Payee ------------------------------an o-----ri?i--nnl-----only) ---------------------------
(6i
* When a voucher is~i~ssdM"A ~efY~ L l~hi6kr?Md~~ L ? ~~ I'6(~d9tr1~FLS[ ?ti736 VRVTJ?~V WJV~ ~"~"~' ??"
writing the company r s t t peer.
t If the ability to cert fy and authority to approve are combined in one person, one signature only is flee- Title ________________________________-_____________
essary; otherwise the approving officer will sign on the line below "Approved for $___________________", and rs-22eoo_?
 Approved For Release 2000/04/11: CIA-RDP64-00360R000500050111-9
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 - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - (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.)
y f Approved For Release 2000/04/11: CIA-RDP64-00360R000500050111-9
 gtandRrdPor M~ftr Relesoik2KW ~ ,1 foglp gs4eg036aR000500050111-9
Form.
Comptrol er (eneral, U. E3.
September 7 1950 MEMORANDUM
(Gen, Reg. No. 51, a;upp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S- ------------ COST - nSURSABLE--------------------------------------------------- Sheet No. ----1- ----- of Bureau Voucher No. ----$~
(Department, bureau, or ostablishment)
Overhead computed for Communications
sion at interim rate of 135%
D3vi
r Costs - sheet no. 2
Other
al Labor Overhead and Other Costs
Tot
& A expense computed at interim
G
o of 146
rat
tal Costs
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 6/17/57
thru 6/23/57
Research &
Development
Pr
)ducti
~a
To
tal
bor Week
ding Ju
ne 23, 1957 373.80
373
80
e
504..63
l
504
63
84
,90
963
33
of $963.
3
13
67
1
20
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050111-9
 TICKET
INVOICE
CR 1- MO
219545
25+5
Standard Forefakelr R e S,e~p 0/0t/1 1 ?? CI,p~ RDp64-0036 g8000500050111-9
Form ?e s i e by lic- v oucer for Purchases i.i
Comptroller Gene ral, U. S.
September 7, 1950 '~rc7
(Geri. Rog. No. 01, Supp. No. 11) 'rvices ether Than Persona MEMORANDUM
CONTINUATION SHEET
U. S. __-____ COST XI)SURSABLE ----- ------------------------------------------------ Sheet No. _-2 ________ of Bureau Voucher No.
---
(Department, bureau, or establishment)
and Date
No
Date of
ARTICLES OR SERVICES
C
I
AN-
AN-
UNIT PRICE
AMOUNT
.
of Order
of
Delivery
(Enter description, item number of contract or Federal supply schedule,
V
V
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
CHECK NO
PAYEE OR VENDOR NO
7157
184+
$ 8k
90
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500050111-9