PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600020123-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 12, 2016
• Document Release Date: May 14, 2002
• Sequence Number: 123
• Publication Date: May 2, 1958
• Content Type: FORM

Standard Form No. 1034-Revised
Form prescribed by
Comptroller General
U. S
,
. +
September T 1950 /~~t roved For
(Gen. Reg. No. 51, supp. N.+
(Amended February 20, 1952)
U S COST REIMBtfl r
D. O. Von. No. ----_------
0600020123-8
)
Bu. Vou. No. ..... 209
-------------------- --
.-----
Department, bureau or -------------------------------------------
nt) --
Voucher prepared of
----------------------------------------
(Oive place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
TO
- ------------------------------------------------
(Payee)
------------------
-----------------
---------------------------------
(Address) --------------------------------------------------------
No. and Date of
Order
ARTICLES OR SERVICES
Date of Delivery (Enter description item number of contract or Federal supply
or Service schedule, and other information deemed necessary)
Discount Terms
PAID BY
,,
DP -610q
COPY I OF. a.--
PAYMCNT:
Complete ^
Partial ^
Final ^
Shipped from to _ Weight Government B/L into.
Total
I certify that the above bill is correct, and just and that payment has not been received. (Payee must NOT use this space)
STATOTHR (Sign origins l only) I Differences ---------------------------------
Da.e ---~ -~~~$ ----,*Payee --------------- __
oats nat roQUtred when a like certifioeto le mode by aayea on --Leah-- ------------------
257
257
?97
k27
---------------
---------------
---------------
---------- -----
Contract No.
Date R- NI.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $ -----------------------------------
By ----------------------------------------------
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
.fl ,n:
Check No.
---- - dated ------------------------------
Paid by 19 ------ for $_____________________________________ ton Treasurer of the United States in Favor of
lpayce
Cash, $---- ----- on --------
----------------------------- 19-----. Payee -------- med above.
----------------------------
?When a voucher is signed or receipts- in the name of a company or corporation, the name of the person is+an a:tat at e~y)
writing the company or corporate name, as well as the capacity in which lie signs, or
"John Doe Company, per John Smith P Pet -____-" _ _
p y P - P40036(YR00U6 W201-23-8--------------------
t If the ability to certify and uthriirysIl}fo~ , ne signature Only is nec-c 01
essary; otherwise the approving officer will sign on the line below "Approvedsonforo$___________________?, and Title over his official title.
SIGN
ORIGINAL
.ONLY
t ---------------------------------- ------?--------Authorized Certifying Officer)
Title
------------------------------------------
Date
--------------------------------
--------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
 Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020123-8
Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020123-8
 THE RAMO-WOOLDRIDGE CORPORATION
FORM STL - 660
Approved For a ease : 1A RDP64-- '3 -
ACCOUNTS PAYABLE WEEKLY DET DISTR
BATCH
No. Mo. Day Yr.
INVOICE
NUMBER
PURCHASE
ORDER
CHECK
NUMBER
PAYMENT
DATE
Mo. Dcry
Vendor
Number
GROSS
AMOUNT
DISCOUNT
x
o o
m m
0 o
UW
w
N U
COST CENTER
Maj. Int. Sub.
CHARGE DISTRIBUTION
Account M.J.O. S.D. Work Order
NET AMOUNT
99
04
25
5-1149
01
07
1374
58
25
29
00
12501
5047
10
4
20000-
20000-*
-**
20000-***
t
I
r
6
rr
k
5
3
2
Approved For Release 2002/06/10 : CIA-RDP64-0036OR000600020123-8