PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600020048-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 12, 2016
• Document Release Date: May 14, 2002
• Sequence Number: 48
• Publication Date: July 25, 1958
• Content Type: FORM

Standard Form No. 1034-Revised.
Form proscribed by D. O. Vou. No_ ___________________________---.
Comptrtlier General, U. s.
OR000600020048-2
6ottembor 7, 1950 Approved ; ca' Q E 11 A&IL, R-W4W0b36
(Gen. Reg. No. 51, 6upp. No. 11)
(Amend ed February 20 1952) SERVICES OTHER THAN PERSONAL. Eu. Vou. No- ----- 162-------------------
r
U. S. --------- COST - RE 'iBURSABIE
(Department, bureau, or establishment)
Voucher prepared at -----?----------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ --------- ______
To
(Payee)
-----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
h
l
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
sc
edu
e, and other information deemed necessary)
Discount forms
Cost
Per
Dollars
Cts.
Cost
9,951
13
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
9,951
I certify that the above bill, is correct and just and. that ,payment? as not been received,
(Payee must NOT use this space)
-
JTATOTHR
Differences ---------------------- -------
-----
---------------
------
(Sign original only)
-----------------------------------------------
----------------
---
/
Date { *
----------------------------------------------
pp
II
---------------------------------------- ---------------
aobroQUvaa when alike n.rdrn.+.). Ana, by payee nn.co.on.a bill., bill.)
-------------------------------------------------
Amount verified
corr
t f
Per
Title _________________-________-..________-- _----
;
ec
or ___________
(Signature or initials)
.. O
Date Req. No. Date InvoiceRec'd.
SIGN
ORIGINAL
ONLY
t ----------------------- ---------------------
(Authorized Certifying Oilicer)
Title
Titlq t -------------------------------------------------------- Date ----------------------------------------------------------------------
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)
Check No- ________________________ dated ------------------------------ 19_____, for $-------------------------------------- Jon Treasurer of the United States in favor of
Paid by Lpayee named above.
Cash, $ -?----------- + on - ---------------------------- 19 Payee - - ---- -----
(Sian original only)
a When a voucher Is signed or rece ted in thenap~qq~~f a cemneny oar erns 1~~ ape of q, q~qp~ y~,~
riting the company or corporate nefit OVAWI ;wrtCQA gds :xp +' pr}~Q(}~6{;R?(~?6(~(~(~2(~(~4$ 2_
writing D etar -
"oe Company, per John Smith, ecr
y", or "Treasurer", as the case maybe.
1
tIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _____________________________ __
essary; otherwise the approving officer will sign on the line below "Approved for $------------------- " and
over his official title. 15-22000-8
 Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020048-2
Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020048-2
 Approved For Relea* 2002/06/10 : CIA-RDP64-0036OR00 60GO20048-2
ACCOUNTS PAYABLE WEEKLY DEl D I STR DATE
7/20/58
FORM STL - 66U
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
e n m
U
m m
U
w
F
U
COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D.. Work Order
NET AMOUNT
15
16
1'9
19
19
07
07
07
7
07
t37
14
14
16
'16
16
ld
8
8
8
8
8
8
47001
61956
1725
71-%
7L-96 6
7 -~9b57
"264
45026
46266
46212
#621 ?
46211
08
8
07
07
887
08
-Aw~
08
15
S7
0
8
56
101.7
1 S."S
4
1 8"6 0
18,60
1
1
1
1
50
50
0
50
50
25
25
25
25
4f
40
0
40
40
22
22
22
22
79
125 1
12581
121501
12501
5032
5032
5032
5032
5032
91
81
81
81
-8j-
2145
1888
12506
6740
1OF191
375
3388'75
6
5
4
2
.
._
veed
rFor Re
lease
: CIA-RD
64
-0
360
00
600
20
48-2
 Approved For Relea4 2002/06/10 ? CIA-RDP64-0.0 60800 00020048_2
ACCOUNTS PAYABLE WEEKLY D ET DISTR
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x
F tl
U
q
m m
U m
w
pa
q
F O
U
COST CENTER
Maj. Lat. Sub.
CHARGE DISTRIBUTION
Account M.T.O. S.D. Work Order
NET AMOUNT
19
17
17
20
07
07
07
16
15
15
17
8
8
8
8
14141
313.2
6477
E-1...34
446%
4604
46043
46247
07
07
-07-
07
25
18
-16-
28
1021
233
1177
290
2
2
1
50
50
50
25.
25
25
40
40
40
Z2
22
22
12501
12501
12501
5033
5093
5093
90
90
90
1277
3106
75
121
15508
'5
%
6
5
4
2
or e
lease 2002/06/1
: CIA-RD
64
-0
360
00
600
20
48-2