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: 
AttachmentSize
PDF icon CIA-RDP64-00360R000600020085-1.pdf114.06 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