PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000800140053-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 5
• Document Creation Date: November 17, 2016
• Document Release Date: October 4, 1999
• Sequence Number: 53
• Publication Date: December 21, 1959
• Content Type: FORM

Fltant,'.t ] ,.t Ferran No. 1034-Rovvidcd D. O. %i-, ;i,rlo. ------------------------------
Form prescribed by
Comp roller General, U. S. PUBLIC VOeiER FOR PURCHASES AND
(Gen. R ftlpr Release g@ffi@I -1dTWkArfliWP QR0004gQ,.,4P053-1
(Amended February 20, 1082)
Page Z of 1
U. S- --------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
TO ------------------------ Eastman-Kodak_Company---------------------------
------------------------------------
(Payee)
-------------------------------------- -------------------- Rochester- 4,-New York----------------------
-----------
(Address) (City) (State)
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Data of Delivery
or Service
Dollars
1,890
267, 56'
65,858
Shipped from to Weight Government B/L No. Total3f-
I certify that the above bill is correct and just and that payment has not been received.
Date .-------------------- *Payee --------------------------------------------------------------------------
(This certificate not required when alike certifcate is made by payee on attached bill or bills)
SIGN
ORIGINAL Title ___
ONLY
Cts.
76
77
-97
Title ---------------------------------------------------------- Date --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM STATOTH R
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No- ------------------------ dated ------------------------------ 19-----,for $-------------------------------------- on Treasurer of the United States in
Paid by I { favor of payee named above.
Cash, $------------------------- on ------------------------------------, 19-----. Payee ----------------------------
(Sign o,idnal only)
* When a voucher is signed or recoipted in the name of a company or corporation, the namo of the person Per ----------------------------------------- ---
ng tho~y yq t~ t a muyt~i py~ e? ---_""'"--"-"-"-`-"
Johritin Doe X741 > ,614 ma~cbl/ '! P5 - 3608000800140053-1
tIf the ability to cortify and authority to approve are combined in one person, one signature only is nec- Title -----------------------------------------
essary; otherwise the approving officer will sign on the line below "Approved for $---------------------- and
over his official title. 16-22900-5
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms Invoice No.
30 Credit
31
32
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000800140053-1
6 1 L 1. rd t QF OR ABSENCE OF ADVERTISING
szr
000
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.)
ABSENCE OF ADVERTISING
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 ------------------------------------------ --------------------------------
-------------------------------------------------------------------------------------------------------------- ; ---------------------------------------------------------------------
------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------
------------------- --------------------------------------------- ______________
--- ------ 1-------------------- ____
Here state in detail the nature of the exigency or circumstances under hi
which th
i
e secur
ng of competition was impracticable under 3 and 4)
in
is b
g
'
e used when purchases are mane 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-RDP64-0036OR000800140053-1
 Standard Form No. 1034 } O7 NO
~
D
o
U. S. U. S. Government
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York November 9, 1959
(Give place and date)
Payee's Account No. Z-131 Discount Terms
TO Eastman Kod k CoiTmanp
(Payee)
3)13 Add ressl
Contract No. P.0.-660
Shipped from
Rochester Ls New York
Date l2/22/55 Req. No.
to Weight
Invoice Recd,
Govt. B/L No.
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of D
ate of Delivery
(Enter description, Item number of contract or Federal supply
Quantity
Order
or Service
schedule, and other information deemed necessary)
Cost
Per
12/29/58
Adjustment of Reimbursable Costs
through
Incurred
C
redit
($ 16,890.56)
6/1/59
C
TOTAL
i 6 6
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
COMPLETE E
PARTIAL ^
FINAL
_
7 O . S )
PROGRESS
Amount verified; c
ADVANCE
(Signature or initia
Pursuant to authority vested in me, I certify that
t Approved for =$ this voucher is correct and proper for payment.
By
Title
Exchange rate =$1.00
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)
CA
.
.
'GAO5030 PUBLIC V011,10mR FOR PURCHASES AND
1034Ap'proved For ReleaSOR3QQp$04MERC19RDFM4 GOR00080014005 ,51
BU. VOU. NO.
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.
e?t If to he Ap 'K. I e Ong a'~4s rAI14190b A9,041fr 7 ? `70 A-M P ~ 00360 R000800140053-1
ary; over his official title. Title
STATOTHR
 Approved For Release ?10/2,110 0C DP64-0036OR000800j3 10
METHOD OF OR ABSENCE 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 --------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----------
---------------------------------------------------------------------------------------------------------------------------------------------------- ------ ----------------- ----- - -
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --
(Here 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 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000800140053-1
 Approved For Release 2000/04/11 : CIA-RDP64-00360R000800140053-1
STATOTHR
Approved For Release 2000/04/11 : CIA-RDP64-00360R000800140053-1