PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000700120005-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: January 4, 2000
• Sequence Number: 5
• Publication Date: December 22, 1959
• Content Type: FORM

f~tan[h?r~? .t form lYo. 1a.?,4- ,tu visod
'n'orm prescribed by
~er'~~'(~1;~
(Qon. IZeg. No. 51, Supp. N
(mended February 20, 1952)
'ER
0700120005-7
page 1 of 1
tl. S. ----------------------------------------------------------~ --------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher ~re~arcd at --------------------------------------------------------------------------------------------------------
(4ive place and date)
THE UNITED STATES, Dr., Payee's Account No. ________________
To --------------------------------------gird-Atomic,--Inc.---------------------------------------------------------
(Payee)
--------------------------------------------------------------------- C~b~-~~--~$~-- tzars .-----------------------------
(Aaar~~) (city) (state)
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
and Date of
No
Date of Delivery
(Enter description item number of contract or Federal supply
UANTITY
.
O
S
i
anc~ other information deomed necessary)
schedule
Q
rder
or
erv
ce
,
I
i
N
Cost
Per
Dollars
Cts.
nvo
ce
o.
Discount Terms
6551.;.x+
578
76
6551-3/Cr.
(62
95
PAXMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
_
515
_
(Payee must NOT use this space)
1 certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
----------------------------------------------
---------------
-----
~ y
Date -------------------- Pa ee --------------------------------------------------------------------------
------ ------------------------------------
------------
-
--
-
(Thie aerti9cate not reQUued when a like oarUficate i. made by rayee on attaohod biLL or bills)
Amount verified; correct for _
+
.~^'~. !~'
V V
~
^
Q
4
Per --------- --------------------------------- Title ----------------- ----------------------------
(Signature or initials) ------- -----------
----------------
-
r_.-~_..,.,. mot,. rrv e~ ~ ~ n
Date Invoice Recd.
t APProved for $------~~----------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
L
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARC MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM STATI NTL
-- -
ACCOUNTING. CLASSIFICATION (Appropriation Symbol moat be ahown~ other classification optional)
( Check No. ________________________dsted _____________________________, 19_____, for $______________________________________ on Treasurer of the United States in
Paid by j {favor of payee named above.
Cash. $------------------------? on ------------------------------------~ 19-----. Payee -------------------------------------------------------------
------------
(gien ori?loal only)
'tiVhou a voucher is signed or receipted in the name of a company or corporation, the namo of tho person
writing the~~pppp~ t~ ~~~gg y~ n ea Ion
"John Do({O~[~h~~n~BrMfAr~ C~c~o ~i~ !tS e a e m A."t'R ~~'v
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.
for Release~~ICE1'H~
3r60RD0070D ~~OOII5=7-------------------------
 Approved For Release 2000/04/11 :CIA-RDP64-003608000700120005-7
METI~?D OF OR ABSENCE CAF ADVERTISING
1. Advertising in newspapers Yes ^ No ^.
2. (a) hdvertising by circular letters sent to ____________________ dealers.
(U) 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 _____________________________________________________ ~______-__---_-_-_-_-
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
------- -
- ---------------------------------------------------------------------------------------------------------------------------------------------------
(lIere state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
NOTE.-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 2000/04/11 :CIA-RDP64-003608000700120005-7
'} ~f