PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600010124-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 11
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 124
• Publication Date: March 21, 1958
• Content Type: FORM

StandarcIT'orm No. 1084?Revised
D. 0. Vou. No.
Ti 6rm prescribed by
Comptroller General, U. S. PUBLIC VOUCHER FOR PURCHASES 'ND
kcpse RSeegViol.bg Appmed For..Rekigmatimotiii inciampagy?400 0 3 60EQ900001M4-8
(Amended February 20, 1952)
U. S. COST REIMBURSABLE
(Department, bureau, or establishment)
Voucher prepared at
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No.
To
(Payee)
(Address)
(City) (State)
PAID BY
ny I OF
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
QUANTITY
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cost
PAYMENT:
Complete LI
Partial El
Final
Use continuation sheet(s) if necessary _
Shipped from to Weight Government B/L No.
I?certify that the above bill is _correct-a (Payee must NOT use this space)
ndnjust and that payment has not been received,
Differences
Total
Date
STATINTL (Sign original only)
8
Per --
Contract No. if ?I 0
Cts.
37, 854.53
37, 854
at required when a like certificate le roade by payee on attached bill or bills)
Title
Amount verified; correct for,
(Signature or initials)
Date Req. No.
53
Date nvoic Rec'd.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $
By
Title
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
SIGN
ORIGINAL
ONLY
(Authorized Certifying Officer)
Title
Date
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
I Check No. dated 19 , for $ fon Treasurer of the United States in favor of
Paid by Ipayee named above.
Cash, $ 'on 19 . Payee
(Sign original onlY)
*When a voucher is signed or receipted in the name of a company or corporation, the name of the person
writing the company orfto. : wedvatregyinalwituutter, ci"
"John Doe Company, ei
ill the ability to cert fy a . d 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 official title.
Per
P64-00360R00060001
Title
15-22900-6
StnakdnA Form No. 1035a?Revised
mbeptember 7, 14opp. 4)
tc'rnOr IferrCA"! I toyed ForAtilikhoviiexif ilihEigan ers g21-1460R0006fallifcbilehriDUIVI
(Gen. Reg, No. 51, B No. 11) - Services Other 0omaV
CONTINUATION SHEET
U. S. COST REINIBURSABIR
(Department, bureau, or establishment)
Shed No. 1 of Bureau Voucher No. .............
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
QUAN-
T1TY
UNIT PRICE
AMOUNT
Cost Per
Contract A-101 Costs applicable
to All Systems
Direct Costs Properly Chargeable to
Contract - 4/ for the period
3/10 thru 3 1 5
STATINTL
Labor for leek Ending 3/16/58
JV 028060
STATINTL STATINTL
- Overhead for CommunLcations Division
computed at interim rates as follows:
Research & Development -
11 Product:_on -
Other Costs - Per schedule attached 8,508.3k
JV 028019 5,256.99
028060 4,186.98
028608 88.59
028609 121.30
Total Labo , Overhe and Other Costs
G & A ei
se computed at interim
rate of
Total Cost
STATINTL
Research &
Development
Pxoduct'on
Dollars
Cts.
Total
854.
53
Approve or Retease 2000a4itt,?;r.C.44VROF164-00360R000600010124-6-
4
4
4
THE RAMO-WOOLDRIDGE CORPORATION
FORM STL - 660
ACCOUNTS PAYABLE
WEEKLY DET DISTR DATE
3/16/58
>
-0
No.
BATCH
mo.
Day
yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
ma.
Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x ra
1._.0 ow
Cost
Element
TR.
CODE
COST
Maj.
CENTER
hit.
Sub.
Account
CHARGE DISTRIBUTION
M.J.O.
S.D.
Work Order
NET AMOUNT
V
>
-0
-1