PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000800030036-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: March 25, 1999
• Sequence Number: 36
• Publication Date: April 13, 1959
• Content Type: FORM

Stardarfl 'Form No. 1034-Revised (71r))
800030036-2 7
THE UNITED STATES, Dr.,
Payee's Account No.. ...............
To _Convair_ -- Division of General- Dwkwaes Corporation=__ San Diego
Post 0ffice('o 1950
San Diego 12x California
--------------------------------------------
(Address) {City) (State)
No. and Date of
Order
FOIAb3a
Date of Delivery
or Service
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to
Use continuation sheet(s) if necessary
Weight Government B/L No.
sP.McaL_y ?. f - '
~lt 41 7 :..tG &tin v J01 : ii _2v y
ft;yl gertuy that the.abvve I0II is correct, and just and that payment therefor has not been received.
''(Sikn original only) Convair
A Division of General Dynamics Corporation
Date U-- 9 *Payee -------------------------------- c-S'gp__D-'i-@g
-- ---------------------
(Payee must
Account verified; correct f364,. -
_
FOIAb3a
Pe __ Title z,`3te__ __ ervis r (Signature or initials ;''-_-_
Contract Date 5w. Req. No. Date Invoice Rec'd.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $----------------------------------- FOIAb3a
SIGN
ORIGINAL
ONLY
Title --------- Date --------------------------------------------------------------------------
r THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Appropriation, limitation, or
project symbol
sL
------------------------------------
A Iotment symbol
}' J(51,CL11Yi.)6 i -.:I..Tiy llG:_.3
------------------------------------
------------------------------------
-- __ __ ------------- -- ----.....?-------------------._.--------------------
Amount
I
---------------------
---------------------
---------------------
ObIIgatiopa
liquidated
---------------------
-----------
-- --- I- E --
t ------------------------------------------------------------------------------
(Authorized Certifying Officer)
---------------------------
---------------------------
Limit'n. or Proj't.
Amount
-------------------------
-------------------------
--------------------------
Check No dated , 19 , for $ f on Treasurer of the United States in
Paid by 1 favor of payee named above.
Cash, $ r On :Payee ----- -
%Birn original only) - -
* When 'vouoher is signed or receeiiiptted in tthhe~trnnaeme~e of a company or ,or oration. ~thename ofd/tthhheee pereoonm wel nu tha eoe Den y~oor ooo~rpppoora).
ehscar may~Nia3j[~7 9(7`
name. eewell er~ 140, ptl'yi tMrlt bDroJ6 hbr6~tMTI IDrta~OtreA_r~.Sr ll Ieel~'1. aw AR ~le aDDr~o f.a 60R00O~SAI 9 7QQ36--2________________________
if x.. A
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information doomed necessary)
Discount Terms -
For reimbiii dtevnt ; of Fort Worth costs
incurred during the period:
November 1, 1958 to Fobruary 28, 1959
---- --------------------
ti
-------
-------------------------
Appropriation
Amount
-------------------------
-------------------------
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 FOIAb3a
Approved For Release 2000/08/26 : CIA-RDP64-00360R000800030036-2
Approved For Release 2000/08/26 : CIA-RDP64-00360R000800030036-2