PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600010129-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 129
• Publication Date: March 25, 1958
• Content Type: FORM

Standard Form. No. 1034--Revised
Form prescribed by
Comproltlert 7&//~X__ 'Gonrxal, U.r~yed Fo
Serol or
(Gen. Reg. No. 51, u o. 1
(Amended February 20, 1952)
vour-
MI zoo,
dmmurla I
'?P Q 360R000600010129-3
F~~A~ Bu. Von. No- ---------------------------------
U. U.S. --------- -----------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------ -------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. -_-__-__________
RAMO-WOOLDPIDGE CORPORATION
(Payee)
Los Angeles 45, California
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
Page 1 of 1
No. and Date of
O
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
h
d
l
h
QUANTITY
UNIT PRICE
AMOUNT
rder
or Service
sc
e
u
e, and ot
er information deemed necessary)
Discount Terms INVOICE NO.
Cost
Per
Dollars
Cts.
2o47
722
201i.8
324
79
2011.9
335
04
2050
16,277
99
2051
39,361
57
2052
156
99
PAYMENT:
2053
767
79
Complete F-1
Partial F1
Final F1
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No. Total
57, 91~h
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences ---------------------------------
---------------
-----
(Sign original only)
Date -------------------- * Payee --------------------------------------------------------------------------
-----------------------------------------------
-- -------------
-----
(This oextifieate not required when a like oertlfianta I. made by veyee on attached bill or bill.)
Amount verified; correct for -----------
I
Pursuant to authority vested in me, I certify that this account is correct and proper
t Approved for $ -----------------------------------
STATINTL SIGN
By ORIGINAL
ONLY
(Signature or initials) _________________________________________
Date ------------------------------------- ------------------------------------
TflLrftki YE$9ESin1'1113rWM MUST BE EB&UTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STATINTL
STATINTL
Check No. ________________________ dated ------------------------------ 19_____, for $__________________________________ on Treasurer of the United States in
Paid by favor of payee named above.
Cash, $------------------------- on ------------------------------------- 19-----. Payee ------------------------------- - ---------------------------------------
(slnn orininnl only)
When a voucher is signed or rocelpted in the name o a company or _ v >} t o of t so
an orcoAq~yy~I '~q~y~Il yy? ryc ~g j y ~64~~3~`? 6`040-1-2~ _________
writing theeom t
"John Doe Company, pe t J~ifiF9fn7Ch" NECk~ t yd brslfif L - __lbd. ~o
t If 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 "A Title _______________________________________________________
pproved for $______-____________", and
ever his official title. 16-22000-5