PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000600020061-7
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
7
Document Creation Date:
December 12, 2016
Document Release Date:
May 14, 2002
Sequence Number:
61
Case Number:
Publication Date:
July 15, 1958
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 307.7 KB |
Body:
formpreseriueu ray rT
Comptroller General, U. S.UB r `)OU
Septembef7, 1950
~1pprov p ~S
((7en.`Re . Na. 1, upprNo.'lI
(Amended February 20, 1052)
G 60R000600020061-.7
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_ ----------------
TO -------------------------------------------------------------- amp-Wooldridge - Cox'poratiott --------------
(Payee)
Los e
------------------------------------__---- ].es _ -- -----------------------------------
-----------------------------------
(Address) (city) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, an
other information deemed necesear )
Discount Terms fCE NO.
Cost
Per
Dollars
Cts.
2135
29,816
9
2136
260
93
7
M
11,498
f.i i
21
e3
1,279
17
2139
17,6
PAYMENT:
27.
930
41
Complete F-1
Partial ^
Final F-1
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
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 ---- --------------------------------------------------------------
---------------------------------- ---------
----
----
--
-------
-----
-----
(R'hie cortifloete not required when a like certificate 1. made by payee on coached biller bib )
Amount verified; correct for _________
t Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
rs'I
Date ------------------------------------------------------
- -- THE REVERSE OF THIS FORM MUST BE EXJtUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
I Check No- ________________________ dated _____________-__-_-____--_-__, l9_____, for $_________________________________--___ on Treasurer of the United States in
Paid by { favor of payee named above.
Cash, $----------------------- on ------------------------------------- 19-----. Payee ------------------------------- -=---------------------------------------
(siga original only)
(Signature or initials) _~ ___________________________
writing the company or corporate nam?~ Vt a qy y7g6gr3OM06M QFpi g~{ T F'64 -@~3$$Rflflfl6flfl03{306'1-
"Sohn Doe Company, per John Emity' , or' Treasurer , as the case may be.
t If the ability to certify and authority to approve are combined in one person, one signature only is nec- Title _______________ ____
`wary otherwise the approving officer will sign on the line below "Approved for $______.____________", and
`r his official title. 10-22000-5
Standard Fprm No. 1034-Revised
Form prescribed
neral, ,Approved Fi' ft%Wl R tRR?Ag)03~R0066BUYT0 ~=7------------------- ____
Comptroller ler G (3enoral, U,
? t,optembllr 7, 1950
(6in. Reg.
(Am ended February 20 1952)I)
'qwSERVICES OTHER THAN PERSONAT
Bu. Vox. No. --------- -c--1'35----------------
U. S. ----- jMST_RET URSAPLE---------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To -------------------------------------------------------------------------------------------------------------------------
(Payee)
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of
Date of Delivery
(Enter description Item number of contract or Federal supply
UANTITY
Order
or Service
schedule, and other information deemed necessary)
Q
Discount Terms
Cost
Per
Dollars
Cts.
cost
29,81
.92
PAYMENT:
Complete ^
Partial ^
Final f-]
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
29 , F 1Z
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
STATOTH R
----------------------------------------------
---------------
-----
Date ____7/
tifiasf, sot required when alike aertifiaste I. made by ssyee on stteobad biU oil biue)
-----------------------------------------------
--------- --------- ------- --- ----------
Amount verified; correct for _________;_
---------------
~~~
-----
~
Per ------ Title ---------------------------------------------
(Signature or initials) _____________
________________
_____
Contract No. Date Req. No
t' Approved for $ -----------------------------------
By -----------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
f -----------------------------------------------------------------------------..
(Authorized Certifying Officer)
Title --------------------------------------------------------------------------
Date ------------------------------------------------------------------------
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No- ________________________ dated ------------------------------ 19_____, for $...................................... Jon Treasurer of the United States in favor of
jl lpayee named above.
Cash, $------------------------, on ------------------------------------, 19 ------ Payee ------------------------------------------------------------------------
-- - --- -- lilies original ads)
? When a voucher is signed or roceipted In the name of a company or corporation, the name of the person
writing the companyor corporate name, aswell as the capacity inwhich he signs, must appear. Forexample: Per ----------------------------------------------------------------
"John Doe Company, per John S ith Secrets ",,,,.oor~ "T~st~ rer", as l}tr,t:'dq tp~y,ll%Qtb,URE)p 4-00 R000600020061 7
tIf the ability te certify and autp~Q1{$g~'oiela~Qo! 1Gfl7R~k -
(Address) (City) (Statcj
STATOTHR
Approved For Release 2002/06/10 : CIA-RDP64-00360R000600020061-7
Approved For Release 2002/06/10 : CIA-RDP64-00360R000600020061-7
Approved For Relele 2002/06/10 : CIA-RDP64-00360R00040020061-7
ACCDUNTS PAYABLE
WEEKLY DET DISIR
3/12/58 ,
FORM STL=660 __
BATCH
No. Mo. Day Yr.
_..
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
xH Wd
U
U o m m
W
q
Ea+ O
U
COST CENTER
Mal. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
NET AMOUNT
14
04
09
8
TER3-56
04
10
1368
50
25
25
20
12501
5038
06
6
2000
2000 **
2 000
5
FORM STL - 660
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x u
F tl
U
m m
U
W
p
0
V
COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
NET AMOUNT
10
17
03
03
11
14
8
8
3-03-8
13786
44355
3
4
12
10
1.346
181
50
50
25
25
29
29
00
00
12501
12501
5038
5038
06
06
6
1
4000
4689
)
8689 **
o
rov
or
a ease
110 : CIA-R
P
4
-003
0R0
006
00020061-7
Approved For Relelse 2002106110 - -020061-7-
ACCOUNTS PAYABLE WEEKLY DET DI5 T R DATE
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. I D"
Vendor
Number
GROSS
AMOUNT
DISCOUNT
m
o
E'U
m
o
UW
w
a: A
E~ O
COST CENTER
Maj. int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
NET AMOUNT
27
04
18
8
IER4-58
4000
4000 *#
4000**
5
E--
3
2
A
pproved
For Release 2002/06/1
0 CIA-RDP6
4-0
0360R00
0600
020061-7
THE RAMO-WOOLDRIDGE CORPORATION
FORM STL - 660
Approved For Rellase 2002/06/10 : CJA=RDP - 20864-7
ACCOUNTS PAYABLE
WEEKLY DET DISTR
DATE
FORM STL - 660
ATCH
. Day Yr.
4
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
Vendor
Number
GROSS
AMOUNT
DISCOUNT E
C tl
U
m
U m
u
u7
a Q
E. O
O
COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.I.O. S.D. Work Order
NET AMOUNT
--
10
05
27
8
23
8668
05
27
352
55
25
27
00
12501
5038
06
6
2000
2000 **
2000 ***
o
6
5
3
2
r e
ease
: CIA-RD
64
-0
0360
00
0600
020
061-7
THE RAMO-WOOLDRIDGE CORPORATION