PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000800140007-2
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
3
Document Creation Date:
November 17, 2016
Document Release Date:
October 4, 1999
Sequence Number:
7
Case Number:
Publication Date:
December 2, 1960
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 85.96 KB |
Body:
Standard Form No. 1034
7 GAO 5030
' d?p'1Yroved For Release,
epar men., ureau, or establishment)
Rochester, New York December 2, 1960
U. S. D. S. Government
(D t
Voucher prepared at
Payee's Account No. Z-1311 Discount Terms
Contract No. Poo* 660
Shipped from
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Date of Delivery
or Service
10/3/60
through
10/30/60
4
140
45JfH'4P4A?VNffi
Rochester 4, New York
Date 12/22/55 Req. No.
to Weight
ARTICLES OERVICE
(Enter description, Item number of contract or Federal supply
schedule, and other information deemed necessary)
Project Ito"
Reimbursable Costs Incurred
i 8O81V4 bib - 47
BU. VOU. NO.
UNIT PRICE
Cost Per
$36,361.26
1+2
Amount verified; correct f r 3~ +
t Approved for
=$
By
Title
Exchange rate
= $ 1.00
Date Invoice,Rec'd.
Govt. B/L No.
this voucher is correct and proper for payment.
Pursuant to authority vested in me, I -certify that
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Eastman Kodak Company
343 State Street
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.
t If the ablyy~~vv f fy~p g~th ~p 0 y~o~y ~f 1 frfl1esi ~rn ~p R rP6 PQ~
essary; oPi _rw- c ~.IN{ o{Nce` Hk1i14g ~Y IfAfi~b~lof~4"~pr , for $ , and v
over his official title. Title
PUB
(Signature or in itia Is)
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000800140007-2
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.
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(Here state In detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 9 r `
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 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
001001749
000203?
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000800140007-2
Approved For Release 2000/04/11 : CIA-RDP64-00360R000800140007-2
STATOTHR
Approved For Release 2000/04/11 : CIA-RDP64-00360R000800140007-2