PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000700010042-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 42
• Publication Date: August 4, 1959
• Content Type: FORM

4taridard Form No. 1034-Revised
Form prescribed by D. O. Vou. No. ----------___---------_-_------
Comptroner General, U. S. PUT 'C VOUCHER FOR PURCHASES AND
(Gen. Rcg'7~d F~~yyt~ ? i-2elease 200 C1~4~a100$
bT,~. N2f Rl Bu. Vou. No. ---------------------------------
(Amended February 20, 1952)
U. S. ------------------'-----------------------------------------------------------------------------------------------------------
(Department, bureau, Dr establisbhient)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _-____-______---
To -------------------------------------------- hcmpsoa Ramo WOOZdridde _Inc,
-----------------------------
(Payee.)
-------------------------------- ----------------------------------Los--Angeles--451--California----------------
(Address) (City) (State)
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, ands other information deemed necessary)
Discount Terms Invoice No.
2483
2484
2485
2486
2487
2488
2 90
2491
Date -------------------- *Payee ------------------------------
-------------------------------------------
(Thi. certificate not required when I! k, certificate Is mnde by payee on attached bill or bill.)
Contract No. Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for pa
f Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
Cts.
(438 61
(28 65
5,175 04
22 81
197 37
14,849 76
14,130 47
(1,228 00)
21,325 89
Title ---------------------------------------------------------- Date ------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM STATINTL
Check No- ------------------------ dated -----------------------------, 19-----, for $--------------------------------------- on Treasurer of the United States in
Paid by { favor of payee named above.
Cash, $ ? on 19 Payee ------------------------------
(SI?n orieinnl only)
' When a voucher is signed or reeel ted in the name of a ca%a' car oration the name of h
writing the ' 3ie s 0 4
"John Doe o psir fShlit cc ae ,Oh ott""Treasu as the case may DO.
"~
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 $------------------1', and
over his official title.
(F-F000fi0042=1 ----------------------------------------------
Title -------------------------------------------------------
 Approved For Release 2000/08/03 : CIA-RDP64-0036OR000700010042-8
METHOD OF OR ABSENCE OF ADVERTISING
METHOD OF ADVERTISING
1. Advertising in newspapers Yes ^ No ^.
2. (a) Advertising by circular letters sent to -------------------- dealers.
(b) And by notices posted in public places Yes ^ No ^.
(If notices were not posted in addition to advertising by circular letters sent to dealers, explanation of such omission must be
made below.)
3. Without advertising, under an exigency of the service which existed prior to the order and would not admit of the delay incident to
advertising.
4. Without advertising in accordance with -------------------------------------------------------------------------------------------
5. Without advertising, it being impracticable to secure competition because of -----------._-------------------------_--_-----_-_-----------------------
NoTn.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured under
proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or
less formal agreement) Standard Form No. 1036-Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2000/08/03 : CIA-RDP64-0036OR000700010042-8