PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000600040032-7
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
8
Document Creation Date: 
December 9, 2016
Document Release Date: 
June 2, 2001
Sequence Number: 
32
Case Number: 
Publication Date: 
May 21, 1959
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000600040032-7.pdf615.92 KB
Body: 
Standard Form No. 1034-Revised Firm prescribed by ,,ttt7y i ~yT,o Comptroller Cener?1r~L.T ved For Rer E1 U I J September 7, (Con. I", ""o. 51, Sup 9621) EItVIC Amended ebruary. ) (0040032-7 2444 Bu. Vou. No. U. S. COST REIMBURSABLE ----------------------- -------------- (Department, bureau, or establishment) Voucher prepared at ---------- ----------------------------------- ----------------------------- --------------------------- (Give place and date) THE UNITED STATES, Dr., Payee's Account No_ ---------------- TO ----------------------------------------------------------------------------------------------------------------------------------- (Payee) ---------------------------------------------------------------------------------------------------------------------------------------- (Address) (City) (State) No. and Date of Order Date of Delivery or Service ARTICLES OR SERVICES (Enter description item number of contract or Federal supply schedule, and other information deemed necessary) Discount Terms PAYMENT: Complete ^ Partial ^ Final ^ COPY / OF Use continuation sheet(s) if necessary I I to Weight Government B/L No. Total I (Payee must NOT use this space) dsertify that the above bill is coX~tand just and_that payment has not been received. $11,646 11, --------------- --------------- --------------- Amount verified; correct fill __________-_zwl (Signature or initials) _G~ ----------- t No. ate Req. No. Date Invoice Recd. Pursuant to authority vested in me, I certify that this account is correct and proper for payment. 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 Check No- ------------------------ dated __________ 19 , for $-------------------------------------- on Treasurer of the United States in favor of ---' ----- payee named above. Paid by Cash, ----------------------- on ---------------------------------- 19-----? Payee _---------------------------- i----- -- -- ----------------------------- 95 When a voucher is tied or reeei In t a e of a co a y r cor oration the name of the person writing the company o rim "John Doe Company, per ohn Smith, Secretary , or roasurer ', as t o case may. e. rrtt ---------------------- t If the ability to certify and authority to approve are combined in one person, o o signature only is nee- Title ossary; otherwise the approving officer will sign on the line below "Approved for $__________________ ", and 6S T}~ 1T ~~ ~~yi ra-2zsoos over his official title. II1I Approved For Release 2001/08/15 : CIA-RDP64-0036OR000600040032-7 Approved For Release 2001/08/15 : CIA-RDP64-0036OR000600040032-7 ---------y4ppr8ed F Release 2001f08115-: CIA-RDP64-00360R000600040032-7 KLY PURCH CK Il1 tI p - ACT 'C RATED PU CHASE Z -11),Z VALL Y LEC 1 i .5 .249521 2405 2160 WE c 41*:.0 29 A010 PRODUCTS SAL 24487 290 RADIO PRODUCTS SAL 24987 MIIXT5 SAL 764 ZERO MAA F'ACTUi ING 2526 NC INTYRE RUTH 13764 374_ 59675 107 Approved For Release 2001/08/15 : CIA-RDP64-0036OR000600040032-7 4110,4 2835 61 0 4 10 9 3450 8 0 410 9 X880 8 00 410 9 0 47 9 9 2125 520 4 99 Ap Ap rov~d F r Re eas 2001/08315 : IA- roved Fair ReI as 200k1081 Ar4prov!ed F?r R~ lease 20 1/0115 ICIA-~DPt4-0f 360F 0001000100-3 -7 C Appro or leae201/0/15 CIAbRD~ 64-0 ILI pp' roved w or I Sri 01/ 8/157C 4~ -RDI 19 60000 2-7 A proved For Rfleale 2001/0 /15 : CIA~RDP4-0 Approve P Fo 0 0a C For F eleEJ e 2 Cl4mR 64- 36tR001 gppro~ed or eleajse 2101/18/1 , 5 CIp 64-0 036