PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600010161-7
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 161
• Content Type: FORM

Standard Form No. 1034-Revised
Form proscri.bcd by - i T~i
G'
- Corria$rolier~~r~ed for Re~ea
Soptem
'
~
~~
man. Ttee. No. si, Supp. No. 11)
R?'FI~i1~N~~~~'~'t~NRQ09o600010161-7---------------
U. ,J. - - - ------------------------------------------
- - --------------------------------------- ----------------------------------------
(Departmont, bureau, or establishment)
Voucher ~re~ared at --------------------------------------------------------------------------------------------------------
(Givo placo and date)
THE UNITED STATES, Dr., Payee's Account No. ________________
To ------------------1~.ai~c-~o~~,.dx'i~e- Coi~Oration--------------------------------------------------------
(Payce)
-------------8824--Bal,].a1~ca._A~e------------~~ -Ange7,es _ ~+~,__ Califarri3.a------
------------ (Address) (Oity) (Stato)
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Date of Delivery
or Service
2E>21
222
2023
202+
2025
2x26
Final ^ I I Use continuation sheet(s) if necessary ~ ~
to Weight Government B/L No. Total
Shipped Erom i rr+.,.,va ,,,,,