PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600010059-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 8
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 59
• Publication Date: November 22, 1957
• Content Type: FORM

Stalttlttrd Feria No- fiat itt vtsen
> n n l,rcacnb, ~+yPfI.
t~oved For Rek.;6~'( abet 1~#7~ 36 btb'~TDO"COII
s Comp1rollcr lice ri?Ir'L ------------
tombor
(06. Reg3'No 161 S, i,;)? N,,.11) SERVJCES OTHER THAN PERSONAL .w;. Bu, Vou. No. -. laZ9---------------------
(Amended February 20, 11)5,2)
---------- -------------------------------------------- ----------
U. S. ------ OST.RIMl cry B --- - ------.
(Department, hgrebu, or catablishmcnt)
sl:
Voucher geared at ---------- - -
----- -- -- ------------
THE UNITED STATES, Dt., . ` Payee's; .Account No. - -------
To ------ - --------------
and Date of
Order
Date of Delivery
or Service
AFtTiCt bS OR S RVICES
(Enter deecriptlon item nttntbes of dQt te!Ct or Federal supply
eiidneceuary) - - -
-!schedule, an I other fnformatlon 4m
Ditcount Ter;na
Cost.
PAYMENT:
Complete
Partial
to
Use continuatian'iilieet(a), if necessary-
I certify that the above bill is correct and just end; that payment ha; net beery,received.,
T3ate 312-(__._ *Pa ee = --------.
Ba~t4na1 re7p4: a wage . ttitq? , t!ft*W. eat, 1;Y esib at. tin h,d b ii si bttJ
Contract No. h
Pursuant to authority vested in me, I certify that this: accoul
t Approved for $.--....... ---------------------
By -----------------------------------------------------
Reeq No__
ORIf3INg1
i/L No, i Total
(Payee most NOT use this space)
Differences ----------------------
-------------- ---------------------------
-----------------------------------------------
--------------------------------
Amount verified; correct for -----------
43,555
43,sss
214.
a
(Signature or initials) _________________ii
Date Invoice Recd
'-------------------------------------------?---------------------------------
(Authorized Clertifying Ofcer)
Title --?-------------------------------------------- - ~.._ . Date. -----------
THE REU#RSE O. THIS FORM;MuSC RE E ECUTED 1TliER' PURCNM$ES ARH AtX;~.E 0* SE&YICES. $ CURER:~ffiHOUT WRYi..74N AGREEMENT IN ANT FORM
ACCQUNTING.Ct,ASSIFICATION (Approplrlntion Symbol must be shown{ other aleselficatton optional)
Check No. ___--__------------ -dated for $-------------- - _-_ j on Treasurer of the United States in
Paid by l l favor of payee named above.
l Cash, $----------------------- on --------------------- ---------- 19 ---.. Payee ----- ------------------------------------------------------
fa4n oaitn.t on1Y)
? When a voucher is signed or receipted in the name of a Company or corporation, the name of the person Per
.trith,g the company or eorQp5$t x e w l t o a 416 f c h if o pl
John Doe Company, certify antra thority to approve are eomhined in one person, one signature only Is nee- Title -_-_
Isar otherwise the approving officer will sign on the has below "Approvetffor $-------------------
ver L. is official title.
 Standard Form No. 1086a-.Revised
Comp
~
sForm prescribed by public Voucher for rd*msair0r
troller Q Herat, r~U'~(~S? d FOr060R0006 ~DU1vII
Septemb
(Gen. Reg. No. Nd. SiT ~~ ~(~ ]] ~ "1 h
U. S. ----- C?ST -REIMBUR$AB-__________________________________________________________ Sheet No. ----- I ----- of Bureau Voucher No. -1079---
(Department, bureau, or establishment)
ARTICLES OR SERVICES
(Enter description, Item number of contract or Federal supply schedule,
and other information deemed necessary)
Direct Costs Properly Chargeable to
Contract A101 for the period 1111
thru 11/17/57
Week Eid4ng November 17, 1957
737
065
STATINT
Overhead computed or Communications
Division at inter rates as follows:
Research & Deve opment -
Product ion -
Other Costs - per chedule attached l0,O11.Q0
shee # 2 5,924.0
JV 1(7040 2,623.03 ~
iv 1(7o65 70.19
Total Lobar, Overhead and Other Costs
G G & A expOnse compi4ted at interim
rate of
Total Costs
Approved For Release---
R000600010059-1
 Standard Form No. 1035a-Revised
t Form prescribed b
?m: eptembi bed For Re eV~~ i.fr Ar -004OR0006( ~U A g~U~,g
(Gen. Reg. No. ii, upp. No. iI) ervices Jt er Than. erson i1
CONTINUATION SHEET
U. S. ------COST--RETMBUBSART.E --------------------------------------------------------- Sheet No. ----2------ of Bureau Voucher No. -1079--
(Department, bureau, or establishment)
No. and Data
Date of
ARTICLES OR SERVICES
QUAY-
UNIT PRICE
AMOUNT
Of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TI7'SC
Cost
Per
Dollars
Cts.
TICKET
INVOICE
CR MEMO
CHECK
PAYEE OR VENDOR NO.
18989
8589
850 2,5714..O0
18142
11297
449 3,350.00
5 924
00
Approved
or a ease
L;jAj-.RL1P.64-UU;360K
-
UUU6U
UU1
N NG
OF
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