REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100040019-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: November 17, 2008
• Sequence Number: 19
• Publication Date: November 6, 1962
• Content Type: FORM

Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
SECRET
(When Filled In)
REQUEST FOR PAYMENT AND POSTING VOUCHER
Finance Division, Accounts Branch
THROUGH: Monetary Branch
Request payment be made and/or transaction be recorded as
thistransaction is on file in this office. indicated below. Pertinent documentation in support of
_I THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD B__E_TAKEN INTO ACCO_UN_T ASINDICATED BELOW-
I HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE $
DATE (SIGNATURE OF PAYEE DATE OF OFFICIAL FUNDSIN CURRENCY ON MY BEHALF.
SIGNATURE OF AC ENT - -
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
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FORM
4-61
I---
I
28-33
T/A NO.
34-39
STATION
CODE
43
40.42 F
EXPEND U
CODE N
_1
DATE
It, ',-10
ATE (SIGNATURE OF RECIPIENT
PER. REF. NO.
LIQ. ADVANCE
CODE ACCT.NO.
21 (
Vt.,rb
54-57
GENERAL
LEDGER
ACCT. NO.
58.67
ALLOT. OR COST
ACCT. NO.
DIVISION VOUC
HER NO.
) t
62-67
CK. NO.
X REF. NO.
68-70
DUE
DATE
OBJECT
CLASS
7(/o
71-80
AMOUNT
J7Y-
SECRET
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
 Voucher prepared at
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
Rochester, New York October 30, 1962
(Give place and date)
Payee's Account No. 2-2798 Discount Terms
343 State Street Rochester 4 New York
Contract No. EG-400 Task VII Dote 8/23/60 Req. No.
Shipped from to Weight
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, Item number of contract or federal supply
schedule, and other information deemed necessary)
Direct Charges
1962 Provisional Overhead
1962 Provisional G & A Expense
Title
Exchange rate =$1.00
THE REVERSE Of THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MAD
Date Invoice Rec'd.
Govt. B/L No.
$17.00
18.49
2.34
ing Off i. r)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be s own other classification optional)
Cash, $. , on 19 Payee
When used in foreign countries, insert name of currency of country in which used.
Per
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
one, his offic
al t
tl
---
i
i
e
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
I Check No.
 Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
METHOD OF OR ABSENCE OF ADVERTISING
METHOD 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
----- ----------- ----------------------------------------------
5. Without advertising, it being impracticable to secure competition because of _____________________
------------------------ -----------------------------
-------------- -------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
--- ----------------------------------------- - - --- -------
ere 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
roper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance. or
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.)
16
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
 . Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
standliA1 Form No. 1036-Revised
Form prescribed by
Comptroller General, U. S.
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
ublic Voucher for Purchasoand
Services Other Than Personal
CONTINUATION SHEET
U. S. --Goverment-------------------------------------------------------------------------- Sheet No. ------ of Bureau Voucher No. --- 8,r
Date of
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
o
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract EG-400 Task VII
8/13/62
Direct Charges
through
10/7/62
Salaries and Wages
5,
00
Matfl. Subj, to Mat'l. Hdlg. Exp.
Stores Material
124
00
Total Direct Charges
$17,
00
1962 Provisional Overhead
Salaries
Burden Center & Wages Rate
den
27 $5.00 328%
$164
,40
1962 Fro sional Matfl. Hdlg. .
17.4 of $12.00
2
09
Total 1962 isional Overhead
18
49
1962 Pr i.sional G & A Expense
6.6% of Manufacturing Costs $35.49
2
.34
617
1d
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
 Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
0 ?
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. EG-400 Task VII
B.V. No. 85 10/30/62 Z- 2798
Total Costs Provided for in Contract $ 26,070.00
Total Fixed Fee Provided for in Contract 1,825.00
$ 27,895.00
Accumulative Costs for Period
Totals 8/13/62 thru 10 62
Salaries and Wages $ 2,222.00 $ 5.00
Overhead 8,897.59 18,49
Materials 11,440.00 12.00
Subcontract
Travel
General & Administrative Expense 1,488.93 2.34
Total Costs Incurred Excluding Fee 21i,048.52 37.83
Fixed Fee 1,551.25 -0-
Total Claimed $25,599.77 $37.83
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
 Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8
31 October 1962
Under Contract EG-L00, Task VII, we are submitting
Bureau Voucher #85 in the amount of $37.83 which represents
charges incurred during the period 13 August 1962 through
7 October 1962.
STAT
cc: JLB
ELG
FGF
EJB
Approved For Release 2008/11/17: CIA-RDP65-00523R000100040019-8