PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000600040116-4
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
3
Document Creation Date:
December 9, 2016
Document Release Date:
June 2, 2001
Sequence Number:
116
Case Number:
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 117.68 KB |
Body:
Comptroller Qeneral, S,,
( ,Worm preseriuuu u ~~~~ Y ll~ ~E1V 1 I~~
Beptembnr 7 lsso proved F /
C7on. Iteg. No. 61, Cupp. No.n` )
D. O. Vou. No. -------------------------------
000600040116-4
RSONAL ~ ,~,~. Von. No. ---------------------------------
U. S. --------------------------------------------------------------------------------------=----------------------------------------
(Departmnnt, bureau, or establishment)
Voucher ~re~ared at ---= ---------------------------------------------------------------------------------------------------
(C{ive plaeo ana date)
THE UNITED STATES, Dr., Payee's Account No_ ________________
To ______________________________________________Thom~son_ Ramo__Waoldrid~e _ Inc.
- -----------------------------
(Payne)
------------------------------------------------------------- Los_ Angelea__??5_~__ California ---------------------
(Aaaress> (city) (stato)
PAf~e 1 of
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item nLember of contract or Federal supply
s
QUANTITY
UNIT PRICE
AMOUNT
Order
--- -
or Service
schedule, and
other information deemed necessary)
Discount Terms Invoice Ni'~.
Coet
Paz
Dollars
Cts.
2343
178
60
2344
466
97
2345
10,527
29
2346
1,064
08
2347
2,846
36
2348
4,768
67
PAYMCNT:
2348
29
86
Complete ^
App
oved For Release 2001/08/15 CI/~3~1P64-0036
R0006
00401
16-4
2
76
Partial ^
2351
1, 229
l6
Final ^
Use continuation sheet(sl if necessary eontin
Cl
~I'orm Prescribed by
0
Comptronor C}eneral, ~~. roved For~3~~V~~l~
9
p
b0
f ( September 7, 1
p
Qen. Reg. No. 51, Supp. No. 11)
SERVICE ? R A
(Amondod L'obruary 20, 19b2)
500600040116-4
Bu. Vou. No. ---------------------------------
(Department, bureau, or establishment)
Voucher prepared at --- =-----------------------------------------------------------
----------------------------------------
(C}ivo placo and dato)
THE UNITED STATES, Dr., Payee's Account No. ________________
To ______________________________________________ Thom~sor~__Ramo_Wooldrid~e_ Inc.
- -------------------------
(Payee)
--------------------------------------------------------------Lc~s_Ar~eles_ 4~,__ Calif'orni~,---------------------
(Address) (Oity) (State)
and Date of
No
Date of Delivery
ARTICLES OR SERVICES
(Enter desceiption item number of contract or Federal sup511Y
s
UANTITY
UNIT PRICE
AMOUNT
.
Ordmr
or Service
other information deemed necessary)
schedule, and
Q
Cost
Per
Dollars I Cta.
--
Discount Terms IMVOice No.
2352
2353
235+
2355
2356
2357
PAYMENT:
p
23 5S
Complete ^
Appr
ed For Release 2001/08/15 ; j2DP64-00360
00060
04011
-4
Partial ^
~
2360
Final ^
1 i.a ~,,.,+;,,,,a+;,,., .tia~+~~.~ ;F nPrnecaro continue
ryFarmproscribedb rrtir ifti [JnrT~?g]? L+
Comptroller Qen~a~??~,,1 C.... ~.,J.. $~~i9A/vF/A3lf T?Myl
il\ r ~~i7'I
U. S. -----------------------------------------------------!-------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher ~re~ared at ---=---------- --------------------------?--------------------------------------------------------------
(Civo place and date)
THE UNITED STATES, Ar., Payee's Account No. ________________
Tn Th?mpson RamO Wooldridge Inc.
(Payee)
---------------------------------------------------------------Los_ Angeles#--California--------------------------
(Address) (City) (State)
No. and Data of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
~
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, anc
other information deemed necessary)
-
Discount Terms I>:t'VC)ice No ?
Cost
Per
Dollars
Cts.
2361
686
3
5,361
2
63
434
1
2364
6,079
2401
239
5
24x2
~., ~g
2
PAYMENT:
2403
~~
0
Complete ^
2404
2, 953
4
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
93~ 1~
1
I certify that the above bill is correct and just and that payment has not been received.
(Payee must I~OT use this space)
Differences ---------------------------------
---------------
-----
(Sign original only)
-----------------------------------------------
---------------
-----
-----------------------------------------------
---S_T~TJ
T_L_
Date -------------------- ~ Payee --------------------------------------------------------------------------
------ --------------------------------------
-- -------
-
-
(Thie cectifiaatanot ceauired when a like oortthaato Is made by yayee an aetaohad biLL oc bills)
Amount verified; car
~ / ~ /
IP
7
7
(!i/
Per -------------------------------------------- Title _---------------------------------------------
(Signature or initials
----------------
-----
By ------------------------------------------------------------
STATI NTL
SIGN
ORIGINAL
ONLY
THE REVERSE OF TRIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FDRM
( Check No. ________________________deted _______________________:_____, 19_____, for $______________________________.._______ on Treasurer of the United States in
Paid by { {favor of payee named above.
Cash, $------------------------? on ------------------------------------? 19-----. Payee -------------------------------------------------------------------------
(Si?n a+ia~ml only)
"When a voucher is sig ed or roceipte the 0 of a comp r tjpu, t ,r~rrss;;gqqq[[,,tt~,~q~~,rs
writing the company or ci~l ~~~g~~~ Zpu$t~r(~tt3~
"John Doo Company, per o n Sm t ecru ary', or reasurer' , as the case may bo.
t If the ability to certify and authority to approve are combined in ono poreon, ono signature only is nec-
essary; otherwise the approving offiwr will sign ou the line below "Approved for $______.____________", and
over his official title.
Title
D. O. Vou. No- -------------------------------
00040116-4
su. vou. No- ---------------------------------