REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100050002-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 5
• Document Creation Date: December 21, 2016
• Document Release Date: November 18, 2008
• Sequence Number: 2
• Publication Date: April 15, 1963
• Content Type: FORM

Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
SECRET
(When Filled In)
VQUCHER NO.7-12
((
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
Finance Division, Accounts Branch DIVISION VOUCHER NO.
TO
Monetary Branch / t .`,
THROUGH:
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
this transaction is on file in this office.
INVOICE NO(S).
SUBJECT -
/,
PAYMENT TO y~
CONTRACT NO.
AMOUNT ! .? S'"-- 9 t/ L!
7
CHECK TO BE DATED
1
SH PAYMENT
4
~.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVES OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER.. CCOUNTS 13.33
34-39
40
42
43
45-46
47-52
OBLIG
58.67
66.70
71.80
28-33
STATION
-
F
PAY
.
53
54.57
ALLOT. OR COST
DUE
AMOUNT
T/A NO.
CODE
EXPENC
U
PER
REF. NO.
GENERAL
ACCT. NO.
DATE
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
P.O. NO.
PROP. NO.
CODE
N
.
LIQ.
_
ADVANCE
ACCT. NO.
CA
YR
LEDGER
ACCT
NO
52.67
CK. NO.
OBJECT
DEBIT
CREDIT
X82-33
DIV.
PROJECT NO.
FY
D
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CODE
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.
.
X REF. NO.
CLASS
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FORM
4-61 1822
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Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
Sfttntlnrd Forms No. 1031
7 GAIL 000 _
1034-10)r-04
PU C VOUCHER FOR PURCHASES AN?
W VICFS OTHFR THAN PFRCONAI
eZ-
U. S. Government
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York March 20P 1963
(Give place and date)
Payee's Account No. _ 2-2798 Discount Terms
TO_ Eastman Kodak Company
(Payee)
343 State Street Rochester 4; New York
(Address)
4
% ,i-j
Mme OF
Contract No. EG-400 Task V Date 8/23/60 Req. No. Date Invoice Rec'd.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
Quantity
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Cost Per
1/28/63
Direct Charges
?105,00
through
2/24/63
1963 Provisional overhead
2240
1963 Provisional G & A Expense
8.54
*
TOTAL
135.94
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
COMPLETE
--
PARTIAL
FINAL
----
PROGRESS
Amount
verified; correct for
__
ADVANCE
(Signature or
t Approved for =$
By --
Title
Exchange rate $1 .00
Pursuant to authority vested in nie, I certify hat STAT
thi nt.
15A PR
(Date)
Iting Officer)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; of r classification optional)
Check_ No. __ on
When used in foreign countries, insert name of currency of country in which used
t If the ability to certify and authority to approve are combined in one person, one signature only is nec
essary, otherwise the approving ofFcer will s,gn on the line below Approved for S and
over his offcol title.
Per
Title
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
METOD OF ADVERTIM NG
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.)
. , AVAE1-1i - AID ING
advertising.
4. Without advertising in accordance with -------------- ____:_______________
5. Without advertising, it being impracticable to secure competition beesuse a[ ---------- --------- __________ :__.____________________________.
--------------------------------------------------------------- ---------
(Here state In detail then at ure of the exigency d~elfettn~i Cads aAktz He` at compeWtian wrs impractipbb #der 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 ofa 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.)
ILLEGIB
--METHOD- OF OR' ABSENCE -OV ADVERTISING
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
R lic? Voucher for Purchases
ervices Other Than Persona
CONTINUATION SHEET
U.S. _ Government 113
_______ ______________ Sheet No. ______ of Voucher No. ----------
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
QUAN-
UNIT
PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply
TITY
or Service
schedule, and other information deemed necessary)
Cost
Per
Contract EG-400 Task V
1/28/63
Direct Charges
through
Salaries and Wages
79
00
2/24/63
Matfl. Subj. to Matll. Hdlg. Exp.
Purchases - Fixed Price
26.
00
H-?
Total Direct Charges
X105.00
1963 Provisional Overhead
Salaries
Burden Center & Wages Rat
B
den
17L X151.00 182
$274.
82 -
27 72.00)Cr. 356
256
32)Cr,
vv
t 79.00
' 18-
50
1963 Provisional Mat'l. Hdlg, Exx
15.0% of $26,00
3.
90
Total 1963 Provisional Overhead
22.40''
1963 Provisional G & A Expense
6.7% of Mfg. Costs $127.40
8.5
X135.94
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. X4-400 Task V
B.V. No. 113 3/20/63
Z- 2798
Total Costs Provided for in Contract
$ 194,505.00
Total Fixed Fee Provided for in Contract
13,615.00
$ 208,120.00
Accumulative
Totals
Costs for Period
1/L8/63 thru 2 2 63
Salaries and Wages
$ 25,126.00
$ 79.00
Overhead
60,248.18
22.40
Materials
81,428.00
26.00
Subcontract
___
Travel
General & Administrative Expense
9,544.33
8.54
Total Costs Incurred Excluding Fee
196,346.51
135.94
Fixed Fee
112572.75
0-
Total Claimed
6.187,919.26
$135.94
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050002-5