PUBLIC VOUCHER FOR PUECHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050116-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 116
• Publication Date: June 25, 1957
• Content Type: FORM

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D. O. Vou. No. ----------------?------------- QR000500050116 6
Bu. Vou. No- ---------------------------------
U. S. LOST BEIMURSABLE
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give piece and date)
THE UNITED STATES, Dr., Payee's Account No. _______-__-____-
-----------------------------------------------------------------------------------------------------------------------------------
(Payee)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
d
l
h
d
l
s
UNIT PRICE
AMOUNT
Order
or Service
sc
e
u
e, and
e
u
e,
other information deemed necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Cost
3..305
.28
PAYMENT:
Complete ^
Partial ^
Final 11
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
I ertify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences -----------------------------
--
FO IAb3b (Sign original only)
-
-
-------------------------
Date -------25-11__ * Payee -- ----- -----------------------------------------------------------------
-----------------------------------------------
---------------
-----
irnd when . lik. ,ortifioete I. node by neyee on attsehed bill o, bill.)
Amount verified; correc for
~t _r __________
_1~
a
Contract No. A1O1 Date Req. No.
t Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
(Signature or initials)
Date
(Authorized Certifying Officer)
Title ------------------------------------------------------------------------ -
Date ----------------------------------------------------- -
Check No. ________________________ dated ------------------------------ 19------ for $-------------------------------------- on Treasurer of the United States in lava' ri
Paid b f on
payee named above.
Cash, $--=-------------------- on ------------------------------------? 19-----. Payee ------------ ------.-'- ----- ---------------------- -----------
(ai.n oei?inol only)
? W hen a vouch a r~rge p b e oft rpm y~~p~tr hg ry~n pf t ]~,,/~ /~ ~} ~ p /~ /~ ~ /~ /~ G
writing the comPP 1~~1~3~1 RR[R~IX~p~Nf.~9di~tl5Ffnhsi appr?ar~/r1df~ e. aF"\7CJ~F70f~tJ?itcJi7tJOsJ?~-~6'4-----------------
"John Doe Compare , er John Smith, Secretary", or "Treasurer", as the case may be.
tlf 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 odleial title.
--------------------------------------------------------
10-28900-.:
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050116-4
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 Q.
(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-RDP64-0036OR000500050116-4
 Standard Form No. 1031 a-Revised s
Form prescribed by g~ T
Cp ,~11
Spep U For ReIse ~2p
(Gen. Reg. No. b , Supp. No. 11) ervices Vther I han t'ersona
CONTINUATION SHEET
000500QMANDUM
U. S- -------------------- r=__1 ------------------------------------------- Sheet No. ----1'----- of Bureau Voucher No. ------876
(Department, bureau, or establishment)
and Date
No
Date of
ARTICLES OR SERVICES
UAN_
UNIT PRICE
AMOUNT
.
of Order
Delivery
(Enter description, item number of contract or Federal supply achsdule,
T
ITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract A101 - System I
To bill labor incurred during the
year 1956 but not previously billed
and to adjust overhead and G & A
to final amounts determined by Air
Force Audit and approved by Resident
Air Force Contracting Officer as
applicable to Communications Division:
Labor for the period 6/1 thru 12/31/56
1,06
.50
overhead - at final approved amount
1,
.14
Other Costs - JET 056207
8
.31
4.
Total Labor, Overhead and Other Costs
3,02
?95
G & A - at final approved amount
282
-33
,
Total Costs
?26
Approved For Release 20x?104,+ I-R SPA -RDP&$0036OR000500050116-4