PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050125-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 125
• Publication Date: May 25, 1957
• Content Type: FORM

standard Form No. 1034-Revised
dorm prescribed by ,$,~ 66DD
co~lptrollcrSeptembe Cre A Vved pr R~ No. (G(Amenen. February 0 19No.
TID ADT e
4SIl
T RE
D. O. Vou. No- -------------------------------
360R0005000a 25-4
Bu. Vou. No. ---------------------------------
C
--------------------------------------------------------------------------------------------------
U. S. --------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Clive place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
TO -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
(Enter description item number of contract or Federal supply
No. and Date of
Date of Delivery
and other information deemed necessary)
schedule
QUANTITY
Order
or Service
,
Cost
Per
Dollars
Ch.
nt Terms
Disco
u
Cost
1-, 261
s 37
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
-
-
4,
Shipped from to Weight Government
B/L No. Total
Vn
.,
2a
? 3-1
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
FOIAb3b (Sign original only)
?5-57
-----------------------------------------------
----
-
-
--------------
--- ---- --- -
-----
--
Date -
t d h 1 k t18 to i. made by nnyae oa ntbahed b,ll or bills)
o requuo w sn a , e err as
-
----- A--mount--------ver---i-fi-e--d;----correct------
f
Contract No. .A1O1 Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
SIGN
ORIGINAL
ONLY
(Signature or initials)
Date
- - ---------------------
(Authorized Certifying Officer)
Title ---------------------------------------------------------- Date --------------------- -------------- - -----------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Check No. ___ dated _____________________________ 19 for $_______ on Treasurer of the United States in favo- of
Paid by payee named above.
Cash. $------------------------, on ------------------------------------? 19-----. Payee -------------------------------------------------------------------------
(5150 orieiaal only)
' When a voucher ism p~ i~l~ as ame p
writing the companyeFcrdl'IblAt,`ascielMAtlkl7'yn'~r?lo?noe's"tEa~a?. ?SLiAtIIpiR:/
"John Doe Company, per John Smith, 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 nec-
essary; otherwise the approving officer will sign on the line below "Approved for $__________________", and
-- hie nd3ninl title.
64-0a36OROOO6 O 5ft 2.5-4-------------
Title ------------------------------------------------------_
18-22008-'.
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050125-4
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 ^.
(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 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-RDP64-0036OR000500050125-4
 Standard Form No. 1035a-Revised
$
M
Cd$d b rived Z?p~rd*i?1'bbZ4~ 'P, ` 60R000A~ZJ
ptember 95 S1 5ir
(Gen.. Reg. No. 51, aupp. No. 11) Services t Mari ersona
CONTINUATION SHEET
U. S. CW_T_WMO M TA --- Shed No, -_l ------ 0 Bureau Voucher No. wL
Overhead omputed for Cc nications
Division t inte rates as follows:
Rese ch & loPment - 135%
Produ ion - 1 5%
Other o ta _ per J schedule attached 934.52
adj ~ - sheet n0. z 2, 31 .T
G & A e nse c ted at interim
rate of of $9 881.03
ova For R-e- ease 2000Wa4I4I,.: CIA.'RDR64-00360 R000500050125-4
ARTICLES OR SERVICES
supply schedule,
(Enter description, and other information deemed necessary)
an
Contract A101 - System III
Direct Costs Properly Chargeable to
Contract Alol for the period 6/10/57
thru 6/16/57
 Standard Form No. 1035a-Revised
Form pirescri~k~d b
Comptroller Ger. ~.roved f-OF 4 P(ul~ 'j360R000 uM
September 7 f 0 e.
(Gen. Reg. No. 51, Hupp. No. 11) Services t er an erso
CONTINUATION SHEET
U. S. ----_ -----T- E-AB '' ------------------------- Sheet No. ____2 ------ of Bureau Voucher No. 8 it----
----------- -----------------------------------------
(Department, bureau, or establishment)
UNIT PRICE
AMOUNT
ARTICLES OR SERVICES
UAN-
Nn. aid Date
Date of
Delivery
(Enter description, item number of contract or Federal supply schedule,
]q'y
r
ll
D
Cts
of Order
or Service
and other information deemed necessary)
Cost
Per
a
s
o
.
JV 057040 70.00
iv o57o6o 2,617.58
,3v 0579148 (22.56)
Adj. you. 831 ,_.., 2.75
2,737
77
pprove or a ease 20?+Q 04/41?G:OFG1A-RDR64-0036OR000500050125-4