PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000600040172-2
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
4
Document Creation Date:
December 9, 2016
Document Release Date:
June 2, 2001
Sequence Number:
172
Case Number:
Publication Date:
March 2, 1959
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 151.4 KB |
Body:
Staradard Form No. 1034-Revised
?FcFm proscribed by 1 LIC
Comptroller September General, U. S.
7, 0 1
t(aen. Reg. No. 51, npp. joved Fore -ER
196 ~1~
(Amended February 20, 1952)
U. U.S.
-------------------------------
-----------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at.
THE UNITED STATES, Dr.,
Date of Delivery
or Service
To ------------------------------------------------- Zihca?_son Ramo Wooldx'3det Ine
(Payee)
----------------------------------- -------------------------------- I`O Aelee ~+, California
(Address) _----
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Payee's Account. No. ----_--------__-
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms Invoice No.
2365
2366
2367
X23368
2369
2370
.2371
2372
Approved For Release 2001/08/1gA-RDP64-0036q
Use continuation sheet(s) if necess
ary
Shipped from to
Weioht tl--.-.
100401
Conti:
25, 77t
10'
13, 70
2F
1,1+1(
88 i
71
29
148-'
29~/
02-,-
141 64v--
405
89"-
1' 27.-
Standard IT, Form No. 1034-Revised
'Form prescribed by ,J
Comptroller General, U. S.
September 7, 1960,pl1 in~ oved ForQe
Gen. Reg. No. 61, Supp. r
(Amended February 20, 1962)
1SD. O. Vou. No.
00600040172-2
L Bu. Vou. No- ---------------------------------
U. U.S. ----------------------
-------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To ----------------------------------------------- Thompson Remo Wooldridge, Inc.
-------------------------------
(Payee)
Lod Angeles 45~ California
(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, anJ other information deemed nece
)
QUANTITY
UNIT PRICE
AMOUNT
ssary
Discount Terms Trvyoiee No.
Cost
Per
Dollars
Cts.
2374
234
71
2375
7,763
56
2376
54
6
2
7'
7
2
227
R4
2379
129
PAYMENT:
2380
227
70
Complete El
2381
9, 0
Partial El
Appr
ved For Release 2001/08/152-RDP64-00360
0006
00401
2-2
8
Final ^
Use continuation sheet(s) if necessary
eon
mad
10
Shipped from
t
o Weioht c ..~. rz rT AT-
Standard Form No. 1034-Revised
` Farm prescribed by
Comptroller General, u roved F
September 7, 1960 pp
4Gen. Reg. No. 51, Supp. No. 11)
(Amended February 20, 1952)
SERVC E R9 THAN PE11ON1~000 800040172-2
U. S bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. -__-------_____-
To Thom icon-Rama-Woo----- e, Inc--------------------
(Payee)
---------------------------------------------------------------------- Los-Angeles-45,-California -----------
(Address) (city) (State)
f
li
D
f D
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
UNIT
PRICE
AMOUNT
No. and Date o
very
e
ate o
S
i
and other information deemed necessary)
schedule
QUANTITY
Order
erv
ce
or
,
Discount Terms Invoice No.
Cost
Per
238
4 , 76
1
61
238
17
11
2385
1
8g
2386
58
92
2
6046o
60
2388
41
54
2389
10,96
15
PAYMENT:
2390
6
855
Complete El
i
l ^
Appr
ved For Release 2001/08/15 26 4-RDP64-00360
00060
04017
-2
27
30
Part
a
Fi
l ^
continu
na
Use continuation sheet(s) if necessary
ei?_a
:,. W.ht Gvernment B/L No.
Total
"
>/
-"
y/`
-'
s
Standard Form No. 1031-Revised [[uu IIt~ p
Dorm prescribed
7, 1960prescribed , 1proved Fo UV O
~eM09/1IA~j~,~
Comptroller General, U
N 511)
o. -(a(Amenen. February 20, 952)
D. O. Vou. No. -------------------------------
. 3
000600040172-2
,
.SERVICES OTHER THAN PERSONAL Bu. Vou. No. ---------------------------------
U. U.S. -------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------------------------------------- ------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- ----------------
To ---------------------------------------------Thompson -- no_Wooldridge, --Iuq.-------------------------
(Payee)
------------------------------------------------------------------- Log Argeles__k5-,t--California --------------
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
I
i
N
Q
Cost
Per
Dollars
Cte.
Discount Terms
nvo
ce
o.
2392
523
2393
9, 021
9
2394
7
2395
9,557
30
PAYMENT:
Complete ^
Partial F-1
Final El
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
120,195
ayee must NOT use this space)
(P
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
Date -------------------- * Payee -------------------------------------------------------------------------
-----------------------------------------------
-------------
-----
(This certificate not raqulrod when a like certificate in made by payee on attached bin or bills)
Per -------------------------------------------- Title ---------------------------------------------
Amount verified; cor
(Signature or initials
` S
Contract No. A-101 Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for
t Approved for $ -----------------------------------
By ------------------------------------------------------------
SIGN
ORIGINAL
ONLY
5X1A
( Check No- ------------------------ dated ------------------------------ 19-----, for $-------------------------------------- on Treasurer of the United States in
Paid by j { favor of payee named above.
l Cash, $----------------------- on ------------------------------------? 19-----. Payee -------------------- I
(si?a .00-1 only)
* When a voucher is signed or recoipto Sd in t e me q),a company o~ r i x1~ na
writing the company or corporsA QI a >~ICar IF _~i@~glgch_athd~ s~ ~pi#c ~
"John Doc Company, per John t eere ary' , or reasurer", as t e case may be.
~4
0
36OR000600040172-2- -------------------------
Title -------------------------------------------------------
16-22000-b
t If the ability to certify and authority to approve are combined in one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for $-------------------", and
over his official title.
8