PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000600010044-7
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
5
Document Creation Date: 
November 17, 2016
Document Release Date: 
July 29, 1999
Sequence Number: 
44
Case Number: 
Publication Date: 
December 6, 1957
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000600010044-7.pdf302.13 KB
Body: 
5tan+),urdFormNo. Yfi34-Pevised v Form Prescrirby~ed by D. O. Vou. No. _------------------------_---, ' Com6optombero~r`bved For- Y V~~~,~'D~~r0~,360R00060001~((0]44-7 (Cien. Reg. No. 51, Supp. No. 11) V~$C HER HAN PERSONAL Bu. Vou. No. ____10__.7_____________________ pp ~~ ~(+Amended Fetbrr{ua~ry~t20,_19~62)T~7 ~~p CJ. S. ----_~i_~~l _ i~.CillriL7lJkit~.tiD~------------------- ..______________________________________________________________.._____ bAirl DV (:~eparcment, bureau, ox establish)nent) Toucher }~re~ared af ------------------ -----------------------------------------------------------?----------------------- (givo place and date) THE UNITED STATES, Dr., Payee's Account No_ ________________ To ----------------------------------------------------------------------------------------------------------------------------------- (Payee) (Aaaress> (o;ty> (state) No, and Date of Order Date of Delavery or Service AR7 iCLES OR SERVICES (Enter description item number of contract or Federal supply schedule, anr~ other information deemed necessary) Dascount Terme PAYMENT: Complete Partial ^ Final Sh'spped from SIGN ORIGINAL ONLY I certify that t;re above bill is correct and just and that payment has not been received. STATI NTL (Sign original only) (Payee must NOT use this space) Differences -------------------------------- ~?,923 ~10~923 --------------- Amount verined; correct fcr ____ ____ ~ D ~'~ ~ ~ ` ----____-- Title ------------------- -----_____I (Signature or initiala) ____ __~r~~i~~ _ y ----------------- Date Req. No. Date invoice I2ec'd. f APProved for $ ----------------------------------- By ------------------------------------- ----------------------- Title --------------------------------------------------------.-... ?~, ~Y G.i~ J~ SAPC .~v~~~+~ COPY / C)F ,c~i ,, 'j ----------------------- -------------------- ----------------- - ---------------- (Authoriaea Certifying Officer) ( Check No. ________________________ dated __--_---------_______-_______, 19_____, for $_-----_----_-_-___----__-__________-__ Ion Treaswer of the United States in favor of Paid by { (payee named above. Cash, $------------------------~ on ---------------------------------?-, 19-----. Payee ------------------------------------------------------------------------- ~_~ (61?n oxi?inal onl-) " Whcn a voucher is si ed or recei ted i t nam m om an Bohr o i ttj~t a o of ers writingthocompanyor~I~p~~ytl~Qe ~ot`~~a~~?is~ec~iso ayfje.{~ 'F~,~ /~~} yy~~ /~. //~~a "John Dom Company, r t t car ~ ~"' ~ ' ~' ~~wvJ~?R~vv~?~w~~~~-_----_---- lIf the ability to certitfy and authority to approve are comhined in ono person, ono signature only is nec- essary; otherwise the approving officer will si~^t on the line below "Approved for $___________________", and Title __________________--_--___.___-_-____--___-_-_-____ __ over his ofiicial title. rs-zzsuo-s f3tan$t~r$ Form. No. 10~5a-Revised Form prescribed by ~';~~Vp~~ _~^~? ,~~~? _OOR0006 7 Oompt_oiler qie dxb~/ed For 'd ZD 1'T? (~I ~'PoTIDUIl1~ BeptembLe~ ((3on. Reg. No. 6I, n p. xo. II> @p~11C@? t er 'g'han L$~S?Il~ U. S. _______CQrS~I'__Rx'.TMRiTRS'A'F3TF--- ------ ----------- --------------------------------- Sheet No. _____~...__-- of Bureau Voucher No. __-~'Q~- (Department, bureau, or establishment) No. and Date Date of Delivery ARTICLES OR SERVICES QUAN- (E d t UNIT PRICE AMOUNT _ of Order r S i ntor eacr ption, Item number of contract or Federal supply schedule, TITY o erv eo and other information deemed necessary) Cost Per Doliara Cte. Contract A101 -System TI Direct Costs Properly Chargeable to i Contract A101 i'or the period 11~18~57 thru 11~24~57 STATINTL Research & Development ucti n tal V 1 /1 1 11 Y I L rther Cos s -Per chedule attached (248.45),/' ~7V 1 7728 1.08 ,,,~ otal Lab r, Overh ad and Other Costs & A exp nse co tad at interim ate oi' otal Cos s $ 10,923. 1 STATINTL pprove or a ease . ,? , ~P, 4=~Q36IIR 0'~0~0~ OD~0~60~0~ ~-- T G r T Y p~-ov~d'~F~ Ida 200 0/104/111 ~~ ~0(~0~0~/ ~1~4-,RD P16 086 64-QO '360Rq 0600 010 60(~0'I00~4 r FQr Cr I DP Is4-ao 1~4-RDF~64-b0 60 p01600 064 006~(~0'~ Oi,0~4~7 v .r ~ o~ F F-i t~ ~i ~ O ~- ~~ o. ifl prov :i C'I~' ~i~ -RD~P ~ ~ a ~ ~0 O/04~/111; : ~ I -'~,RI~ RO 3E~OR~ 64-Oa Ofi0 0~6p 0~ Ob -7f