PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000600020085-1
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
3
Document Creation Date:
December 12, 2016
Document Release Date:
May 14, 2002
Sequence Number:
85
Case Number:
Publication Date:
June 23, 1958
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 114.06 KB |
Body:
germ prosorloea D +
mptroller General, . S? A roved v Sc tember 7, }950 pp
on. Rev. No. 51, Supp. No. 11) R Y
(Amended February 20, SBSZ)
COST REIMBURSABLE
I I llQ~ D. 0. Vou. No- -------------------------------
0006000 - Vou. N 0082i'~7------------------
U. S. ------------------?---------- =---------------------------??--------------------------------------------------------------------
(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
nd Date of
N
.
Date of Delivery
(Enter description item number of contract or Federal supply
'
ANTITY
o
a
Order
or
Service
other information deemed necessary)
schedule, and
QU
Cost
Per
Dollars
Cts.
Discount Terms
COST
7,837.
61
PAYMENT:
Complete ^
Partial ^
Final El
Use continuation sheet(s) if necessary
(
8i (
I
Shipped from
to Weight Government B/L No.
Total
,
?
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
STATOTHR
(Sign original only)
Date r/23
- - - - ----------------- ---------- ---
of renWe od when s ake cextlaeete le meda by Doyee on nEteohed 6111 0[ bole)
/!!!
: :
------------------------------------------?---
Amount verified correct for
---------------
-------------
>
-----
`
Per
:::
-----
Title ------------------------------------------ ----
_(Signature or initials)
Lam-
Contract No~_
_
_
Date Req. No. Date Invoice Reed.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
By - - --- -- ------
SIGN
ORIGINAL
ONLY
- --- --------- ---------
(Authorized Certifying Officer)
Title -------------------------------------------------------------------------..
Title ---------------------------------------------------------- Date --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Check No, ------------------------ dated ------------------------------ 19------ for $-------------------------------------- fon Treasurer of the United States in favor of
Paid named above.
a,d by Cash, $------------------------+ on ------------------------------------- 19-----? Payee --------------------------------------------------------------
(Siaa orisinsi only)
(Address) (City) (State)
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person Per _ _______------------------ -
writing the company or corporate my ~~o~g~1~EhJ~ efSVaf lk1Y~~ a
"John Doe Company, per John S , r r t~e?hdK!d9A~ty9d 1~1r': L~1~-~964-003608000600020085 085-1
t If the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _________________ ---- -
sentry; otherwise the approving officer will sign on the line below "Approved for $------------------- , and
1G--22000-B
over his official title.
Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020085-1
Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020085-1
Approved For Release (002/06/10: CIA-RDP.
THE RAMO-WOOLDHIDGE CORPORATION
ACCOUNTS PAYABLE WEEKLY DET DISTR
FORM STL - 660
BATCH
No. Mo. Day Yr.
No
10 06 06 8
10 06 06 8
INVOICE
NUMBER
6958
6969
PURCHASE
ORDER
44162
44162
CHECK
NUMBER
PAYMENT
DATE
Mo. Day
06 12
06 13
Vendor
Number
788
788
GROSS
AMOUNT
DISCOUNT H
~ m
U
U U
m m
m
-0
q
O
U
50
50
COST
M.I.
25
25
CENT
Int.
40
40
ER
Sub.
22
22
C
Account
12501
12501
HARGE DISTRIBUTION
M.J.O. S.D. Work Order
5046 01 2
5046 01 2
NET AMOUNT
300 00
300000
600000
600000
6
5
3
2
64-00360 000600020085-1