PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600040134-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: December 9, 2016
• Document Release Date: June 2, 2001
• Sequence Number: 134
• Publication Date: January 13, 1959
• Content Type: FORM

.-----_-Form prescribed by
cemseptemb e7~o r&ved For Rel
(Gen. neg. No. 51, Supp. No. 11) N
(Amended Februslry 20, 1952)
.ti
D. O. Vou. No. -------------------------------
A
1N RI'
N4 4 e. 2358 ---------------
U. S. ____C0ST__REIMBURSABIE ---- ---------------------------------------------------------------------------------
(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
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from
Date of Delivery
or Service
ARTICLES OR SERVICES
supply
(Enteschedule, and other information deemed necessary)
Discount Terms
Use continuation sheet(s) if necessary I I
to Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received.
4,218
?,218
X31
---------------
---------------
------ ------------------------ --------------
whta a llka certifioale ie made by yeyea on etteohod b)ll ee bills) jj
-- ------ ----------- - ---
Amm7fit VPrl F9Pri' correct for _----____--
-I (Signature or initials) -c~ -----------------------------
Date Req. No. Date
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
By ----- ------- ------------------_---=-------------- ---
SIGN
ORIGINAL
ONLY
t --=--------- ~_-. - - ------------------? -------------
(Authorized dertifying Officer)
Title Date ------------- -------- ---------------- ------------ ------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No. _ Jon Treasurer of the United States in favor of
---------------------- dated ------------------------------ 19------ for $ - 1 payee named above.
Paid by
Cash, $? ? on - -- -- --? 19- Payee ? ? ------------ - -
(81?u or!?Inel mdy)
When a voucher 1 si ned or ra41. in he name of a company or corporation, the name of the person Per -----------------------------------------------------------------
writing the company,~i eaaee10a120fl I ' IR.RE) W-WIN R000600040134-4
"John Doo Company, a John tBMW hen, tare are or rcasuror s o sd
}If the ability to cart fy and authority to approve are combined in one person, one signature only is nee- Title _______________________________________________________
essary; otherwise the approving officer will sign on the line below "Approved for $______-___-____--__", acrd 10-22900-e
over his official title.
 Approved For Release 2001/08/15 : CIA-RDP64-0036OR000600040134-4
Approved For Release 2001/08/15 : CIA-RDP64-0036OR000600040134-4
 mw 1w
Approved For Release) 2
001/0,8
/15: I
A-RD 6
4-006
0R00 6
00041
34-4
O
{
?
{
0 C)
t--'
x
j
o
x
{
1
o
!
-
i
!
N
N
b
a z"
y~
41
to tn
K H
r-j
41
co
I
{
O O
I
!
d
{
~
l7
i
0
0
Tax
Class
Cost
Element
TR.
uI
CODE
0
i
0
o
p
i
j
j
li
i ~
I
I
I
~
N
~
i
~
I
l o
I
I !
{
I
W
N
O
j
i
o
i
i
h
I
I
i
j
I
I
i
I
c
M !
'
O
I
lt
Ap
roved
or Re
lease 2
1
01/08
/ 5 : CI
RDP6
-0036
0 0006
d004Q;1
4-4
 Ap
proved
or Rel
Iease 2
(01/08/
15 : CI
-RDP6
-0036
ROOO6O
004O1 ~
4-4
Ol
o
N:
e x
d
tTl
M
F-'
t;.
ci
0 x
M
M
x
a
rn z
x
p
o
tr a
(X%
K
a o
(
d
(
U
0
z
"7
Tax
Class
Cost
Element
lh
TR.
o
CODE
N
V
ca
a 0
H
d
?
M
x
-T
CD
.3
N
n
U
o
G
a
I
o
N)
N
(~.
m m
O z
m
o z
I
M
i
Ql
o
Ap
proved
for Re
ease 2
01/08/
5 : CIA
-RDP6
-0036
R00060
00fpli
34-4
H
0
Z
 tApO
roved
or Rele
ase 2d
01/08/1i
5 : CIA
RDP641
-00360
200060
00401
4-4
J
N
t7 x
w
W
h
_
i
x
~
w
O z
0
ro
x x
pq
N)
Mz
o
x ~
a
? o
c
0
0
!,
Tax
Class
Cost
Element
Ul
TR.
CODE
NJ
N
V,
A ~
N
C)
H
_
z
C
C)
v
C)
0
N
d
N
m m
O
~
bye
?x
o
j
M
CxJ
0i cr
o)
0
r
S
c
c'
App
oved F
or Rel
ase 20
01/08/1
5: CIA
RDP64
00360
060
Q
40
-4
1
]
I
I
?
w err w
14
O
x
N