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: 
AttachmentSize
PDF icon CIA-RDP64-00360R000600020061-7.pdf307.7 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