PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000600020009-5
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
6
Document Creation Date:
December 12, 2016
Document Release Date:
May 14, 2002
Sequence Number:
9
Case Number:
Publication Date:
August 19, 1958
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 249.6 KB |
Body:
Standard rm ForM rye. 1V6-CY1JGU
Fo pr
rm prescribed by
'
'
Comptrol er General, . S. Approved, I r
I ~ I{y }/ 0800060002000 j
(Gen. Reg No 51, 8upposlo. 11) SERVICES OTHE A VVVLFFilILLL Bu. Vou. No_ _____________ ____________------
Y l i1
1OS2)
20
,
r, (Awended February
COST_ REINItJRSABLE ------------------------------------------
U. S. _--------- --- -----------------------------------
- --------------------
(Department, bureau, or establishment)
--------------------------------
----------------------------------------------------------------
Voucher prepared at --"----
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
-------------------------------------------------------------
TO (Payee)
-----
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
supply
(Enter edule, and other information deemed necessary)
schedule, Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^ Use continuation sheet(s) if necessary
to Weight Government B/L No. Total
Shipped from (Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received. Differences ________________________________
STATOTH R (Sign original only)
/T a /cR *ne..ve
Date _______
Per -1
Contract No. ` a/11
20,323
53
20,32
---------------
---------------
---------------
53
----------------------------------------------- --- -- -
i
Amount verified; corre for --------- __ Zi j0 ' ~
,~l 10
(Signature or initials) '- ~------------------------------------
Date Req. No. Date Invoice Rec d.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
t Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
t ---------------------- (Authorized Certifying Officer)-----------------------
Title -------------------------------------------------------------------------
Date ------------------------------------------------------------------------
Title ------------- ---------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
--_ -- --- - _- on Treasurer of the United States in favor of
19 for $--------------------------------------
------ {- .... nameA ahn-e.
- T
19 Payee --n or .1n.,
I Cash. $------------------------- on ---------------------
When a voucher is signs or i tau to ~~~ u
writing the company or corporat eBTC~~~UrI
"John Doe Company, per John Smi Secretary", or "Treasurer as a ca a
t If the ability to certify and authority to approve are combined in one person, one signature only Is nee-
ossary, otherwise the approving officer will sign on the line below "Approved for $---------------- __ and
over his official title.
-------------------------
ie sot re?utred when s Ilk. -tifloat. I. made by payee on attaohed bill or bill.)
Per -----------------------------------------------------------------
t-00360 R000600020009-5
Title -------------------------------------- ---------------
16-22900-6
STATOTHR
L Approved For Release 2002/06/10 : CIA-RDP64-00360R000600020009-5
Approved For Release 2002/06/10 : CIA-RDP64-00360R000600020009-5
ACCOUNTS PAYABLE
BATCH
No. Mo.
Dap Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
m
ox a
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O
a
mm
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w
r
ap
E. O
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COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
V
NET AMOUNT
10
08
08
8
70772
46400
08
11
264
1
50
25
40
22
12501
5032
81
216
216
216
6
5
4
2
A
aaroved
For Release 2002/06/1
0 CIA-RD
6
4-
036
RO
060
020
009-5
THE RAMO-WOOLDRIDGE CORPORATION
Approved For Releas42002/06/10 : CIA-RDP64-0036OR000600020009-5
ACCOUNTS PAYABLE WEEKLY SET DISTR DATE
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x w
o b
E U
q
m m
o 8
U]
w
a p
F U
COST CENTER
Maj. Int. Sub.
CHARGE DISTRD3UTION
Account M.J.O. S.D. Work Order
---~
NET AMOUNT
03
08
05
8
5772
46462
08
08
1993
1
50
25
40
22
12501
5070
01
17985
17985
1 79-85
17985 #a~*
6
5
3
2
A
bor
oved
For R
blease 2002106
0
-
-
4
--Approved. 2002/06/10 : CiA-RDP64-00360R000600020009-5 j
ACCOUNTS PAYABLE
WEEKLY DET D I STR DATE
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
m
o d
NJ
a
.6
UW
w
ac A
F U
COST CENTER
May. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
--`
NET AMOUNT
04
08
05
8
32
08
06
352
2
50
25
40
22
12501
5093
21
959
959
959 #*
6
5
3
2
A
pproved
For Release 2002/06 1
0
FORM STL - 660
e(2Ofl7I(U
36-QR000600020009-5
ACCOUNTS PAYABLE WEEKLY DET DI5TR
y-
'
-
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day,
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x m
u u
E"C)
m m
o E
0.2
W
ua
a A
E. 0
COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
0
NET AMOUNT
03
03
03
03
03
03
03
08
08
08
08
08
08
08
05
05
05
05
05
05
05
8
8
8
8
8
8
41425
251560
19596
25076
103246
1384
46421
46384
46429
46428
45702
46422
08
08
8
0
08
08
08
08
08
8
0
07
28
29
29
127
181
--4:0-5-
419
539
2034
1
1
-
1
1
1
1
50
50
50
50
50
50
50
25
25
2
5
25
25
25
25
40
40
40
40
40
40
40
22
22
-2-L
22
22
22
22
12501
12501
J-Z5D
12501
12501
12501
12501
5093
5093
50
93
5093
5093
5093
90
90
90
90
90
90
90
750
192.5
3870
28878
4425
52500
?
05
06
08
08
05
06
8
8
19652
7-078
46461
45192
08
08
08
07
181
2048
1
2
50
50
25
25
40
40
22
22
12501
12501
5093
5093
90
90
5813
27488
131884
132843 #
6
5
4
2
Amroved
For R~
lease 2002/06/1
0
09-5