REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000800110005-7
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: November 17, 2016
• Document Release Date: June 29, 1999
• Sequence Number: 5
• Publication Date: September 13, 1961
• Content Type: FORM

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YoucHER N?. 7.12 REQUEST FQR PAY~NElVT AND POSTIfdG VQUCI"IER ~ vouCHER No. 7.12
To Finance Division, Accounts Branch
DIVISION voucHER No.
.
THROUGHo Monetary Branch
~ ~ ~ t ~ j? ,~ .. ` ~~
,~~
_~...~' f t ..
Request payment be made and, or transaction be recorded as indicated below. Pertinent do~t}nientation in support of
this transaction is on file in this office.
SUBJECT
INVOICE NO(S). Y ~ !-^" ~~
~,l tMP:..,,..:.,,~ ,/
,p
PAYMENT TO ~f y'~~r
CONTRACT NO. ~''`
..
c.~d
..-?.
AMOUNT ~ (~~
_ 1 ~
CHECK TO BE DATED _~~ ~~
`:ASH PAYMENT
U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF ~
SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
1 HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE $
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE I9IGNATURE OF PAYEE
I DATE
I SIGNATURE OF AGENT
DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 19.33
84.38
s3
,ygs48
47.52
$8.67
68.70
28.33
STATION
aD-az
F
PAY
OBLIG.
s3
$4-g7
ALLOT. OR COST
DUE
71-80
AMOUNT
T/A No.
CODE
ExPENC
~
PER.
REF. NO.
GENERAL
ACCT. NO.
DATE
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
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N
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e
AavANCE
ACCT. NO.
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LEDGER
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CODE
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X REF. NO,
CLASS
DEBIT
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PREP
DATE
AUTHORIZED CERTiFY1N~ OFPICER
DATE
TOTALS
_ ~
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(Ifi~hen Filled In}
 Standard'Form No. 1034
7 GAO 5030 PUR~.I C VOUCHER FOR PURCHASES ANn D.O. VOU. NO.
1034-106
Approved For Releast~.2~~/Q~H~IdP6~60dAbFZpA0800110005-7
(Department, bureou, or establishment)
Voucher prepared at
(Give place and date) -
faayee's Account No. Discount Terms
TO Eastman Kod:xk Company
(P
ayee)
Rochester ~+, New York
Contract No. tJ'p_(j35 Date Req. No.
Shipped fro _ to Weight
Date Invoice Recd.
Govt. B/L No.
No. and Date of
Dats of Delivery
ARTICLES OR sERVICES
(Enter description, item number of contract or Federal supply
Quant(t
UNIT PRICE
--- _
AMOUNT
Order
or Service
schedule, and other Information deemed necessary)
y
Cost Per
`
Invoice No.
3~+ (prig. Inv. Att)
.~~h _ p _
35 (prig. Inv. Att)
_ p _
36 (prig . Inv . Att)
g~;l~ , 9~
-
TOTAL
(PAYEE MUST NOT USE THIS SP
ACE
DIFFERENCES
COMPLETE ~
PARTIAL
FINAL
PROGRESS ~
Amount verified? correct for
`"
ADVANCE
t Approved for =$
By.
Title
Exchange rate
THE REYEASE OF THIS FORM MUST BE E%ECUTED WHEN PURCHASES ARE MAD
ACCOUNTING CLASSIFICATION (Appropriation Sym
STATOTHR
Check No. on Treasurer of the United States
Check No. on
(Name of Bank)
Cash, $ , on 19 Payee
'When used in foreign countries, insert name of currency of country ~in which used.
Per
f If the ability to certify and authority to approve are combined in one person, one signature only is nec-
essary; otheryyse tfjg pp~ryyiIlq~ff~er~vjy r~~I~~e~~d0%~f~`P1~~h~=R~P~' Q~360R000800110005-7
over his offi~l[~]'P~'vVe~ rV1
 Approved For Release 2000/04/11 :CIA-RDP64-003608000800110005-7
METHOD OF OR ABSENCE OF ADVERTISING
I. 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 --------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------ -----------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --
(Here state in detail the nature of the exigency or circumstances under which the securing o[ competition was impracticable under 3 and 4)
NOTE.-The above form "Method of or Absence of Advertisingg is to be used when urchases 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 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
001001719
Approved For R~I~~~O/04/11 :CIA-RDP64-00360R~ 000800110005-7
 Standard Form No, 1094
7 GAC, 5030
1~~9~9~d~ed For Release
E7. $, Gov?rnment
Date 2~2~~59 Req, No,
Weight
VaucEser prepared at R?ehester~ New York August 16, 1961
(Give place and date)
Pa~ree`s account [Vo. ~-2335 DiscounE Terms
Eastartan Kodak Company
(Payee)
313 State Street Rochester ~.,~ Nesw York
(Address)
Contract No. ~~'~~~
PY'O~eCt ~!(~,t1
Shipped from
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
~ TOTAL
(PAYEE MIAST NOT USE THIS SPACE) Tranef'erred o
DIFFERENCESBo~? ~~
Cr. ~~311.C0}
Cr. (8.33?
Cre 11.9.33
119.33
Amount verified; coi
(Signature or initials)
Pursuant to authority vested in me, I certify that
~` Approved for =$ this voucher is correct and proper for payment.
By_
Title_ ~ STATOTHR
(Authorized Certifying Officer) (pate)
Exchange Rate -$1.00
- THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FARM
ACCOUNTING CLASSIFICATION (Appropriation Symbol musf be shown; other classification optional!
Check No, on Treasurer of the United States
Check No
.
on
(Name of Bank)
Cash, $ 19
on Payee
'
* When used in foreign countries, insert name of currency of country
in which used.
f If the /a~b~ility to certpif~ja~r,~d aut~~I,~pri~, t~,~~e v
Y/'y~~d"~'d/~~tir~(JiCel~~sot~~n ~~~ ~~oN?~~ry b ~~` _
nature onl g i s on he ine e ow
"Approved for $ ', and over his official title.
Title _
ARTICLES OR SERVICES
(Enter descriptrion, item number of eonfract or F?deraf supply
schedule, and other information deemed necessary)
BU. VOU. NO. 34
Invoice Recd.
Govt, B/L No.
Addition Direct Chargea
tc~ 12th
Period 1961 provisional G&A Expense
1960 Cos
Dat? of D?Ilvery
or Service
 Approved For Release 200.0/04/11- : C1A-RDP64-003608000800110005-7
w~,~r~aa of aR ~BS~r~c~ a~ a6v~~~cis~i~a
l.. Advertising in newspapers Yes Q Na ^:,
2. (u) Advertising by circular letters sent to dealers.
(b) .4nd by notices` posted in. public places Ycs ~ ? No [].
(lf notices were not posted in addition to advertising by circular letters sent to dealers,
"made belaw.)
explanation bf such omission must Le
3. Without. advertising, under an c~n,g~~ah~ q~ tb~s scr~rice which existF.l prig to t13e ?r~l~~ a~~~ wowrlc not admit or t'nc achy incident tr
advertisir:
(Here slate in detail the nature. of Che 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. Iii case of a written agreement (formal contract, proposal, and acceptance, or less ~tormal
agreement) Standard Form No. 1036 should b~e used far abstracting the method of or absence of advertising and award of contract. (Sec 7
GA(3 4500 and 5000.)
OOlOQ~~is
-Approved For Release 2000/04/11 :CIA-RDP64-0036.OR000800110005-7
 Approved For Release 2000/04/11 :CIA-RDP64-003608000800110005-7
STATOTHR
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Approved For Release 2000/04/11 :CIA-RDP64-003608000800110005-7