REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100050004-3
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: November 18, 2008
• Sequence Number: 4
• Publication Date: February 7, 1963
• Content Type: FORM

Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
-"---"~" -~ ? " ' REQUEST FOR. PAYMENT AND POSTING VOUCHER
to Finance Division, Accounts Branch
THROUt3Hs Monetary Branch
Request payment be made and/or transaction be recorded as indicated below. Pertinent rioc,~entatio:. ir, supFort of
this transaction is on ~ ire ~r. t~.is office.
TH#" ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF$
SHOULD BE TAKEN INTO ACCOUNT AS .INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT, WHOSE SiGNAT RE APPEAR8 BELOW, ?~'O: RECEIVE S
DATE `'I SIGNATURE OF PAYEE ~ ';" I DATE ;'{;$I- NATURE OF
i ~y j~,.J~/J~ 1
~I 'I I 1 F 1~ 1 I I I 1 (. 1 j I 1 1
.. I 1 I I I 1 I 1-~ ~ j I
~~-!-L.-~~!_IJ I 1 I Imo: ~~ 1 1
1 1
1 1 i I 1 7% 1 b t"., I 1 Y 1 1 1 1 1
~_I i 1 j l1 1` 1~~ l ~~~ J 'K.. j I I 1 j Y
1. I 1 j j ,~b }6 1r,_~ 1~ ~' 1 I I 1 ~ I
I I 1 I t t f ~(. 1 1 1' 1 I 1 I I 1 j 1
-LI I-L_L_i~.__{~. tl--~--IJ_LI I I 1 1 11
1 I I I ~. ~~ (..7 1 Y f ~ 1 I I I' 1 1
-1-1 ~ I I Y ~I I 1 I~ I I 1 1 I 1 jl
7.-I -1 i .i' i I 1 1~ 1 1 1 I I I 1.~1
-1-1-d--.j_~ I ~ ~ ~ ~ ~ ~ I 1 I 1 ~ I
I 1 'lY" 4: {Tj I I I 1 1 I
_~ 1- 1%%iJ~ 1 1 I 1 1 I I j 1 1 I j I
I t f*`b"I I I I I I I I I I 1 1 1
I I I ~- ~~ I I I 1 I 1 I I I i I I I
-1
i I" 1 i i i i I I I 1
I I I I I' 1 I I I I I I I I 1 1 1 1 1
1 I~~ I I :! ~ I I I 1 1 1 1 1 1 i i i!
ss-aa
TIQ NO.;;'r
U.B.'TREASURY CHECK
34-39
STATION
CODE
Approved
40.42
EXPEMO
4E-46
PAY
PER.
LIq.
CODE
AGENT CASHIER-CHECK
47.52
OBLIG.
REF. NQ.
AOYANCE
ACCT. HO.
AUTHORIZED CERTIFYING,
S
SECRET
(When Filled In)
E4=57
GENERAL
LEDGER
ACCT.. NO.
vF OFFICIAL FUNDS JN CURRENCY ON MY BEI?IALF.
AC-ENT I DATE ;;tSIGNATURE OF RECIPIENT
58.87 ~ 88.70
ALLOT OR GOST?. DUE
ACCT: `NO. DATE
INVOICE NO(S). ~~
CONTRACT NO. ~ ~~~ ~ ~~~ , / ^ _.,..
CHECK TO BE DATED ~j (J
62-87
CK, NO. OBJECT
X REF. NO. CLASS
TOTALS
71-80 '
AMOUNT
SECRET
2008/11/18 :CIA-RDP65-005238000100050004-3
 Standard Form \o. 1034
i GAO 5000
- 1034108-04 ~
U. S. Government
Voucher prepared at
Payee's Account No.
Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
PU VOUCHER FOR PlJRCHASES AND .,~.,,
THAN PERSONAL
VICES OTHE
..yy~
Use co~ntinuaRBn sheet(s) iE necessary
Rochester, New York Januar~~ 23, 1963
Z-2798 Discount Terms
TO Ea,stmar_ Ko~.ak Company
iPayee)
Rochester G., New York
Contract No. nr=^1.100 Task V Date 8/23/60 Req. No.
Shipped from to Weight
No. and Oote of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Date of Delivery
or Service
12/3/62
through
12/30/62
Date Invoice Recd.
Govt. B/L No.
Amount verified; car
(Signature or initials
~ 915.00
725.26
109.90
1 0.1.6
E rsuant t .authority vested in me, I certify that
nt.
acting Officer
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Direct Charges
1962 Provisional O~rerhead
1863 Pr_ovisioral G ~~ A Expense
Exchange rate = $1,00
THE REVERSE Of THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE M
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be sho~n; ott~r classification optional)
Check No. on
on 19
h
C
Payee
, $
as
t IF the ability to certify and authority to approve ore combined in one person, one signature only is nec-
and
n on the line below "Approved for 5 '
ff
ill si
i
i
h
h
o
,
cer w
g
ng o
erw
se t
e approv
essary;
t
over his official title. Title_
Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
 Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
ENC~ D~ ADY~RTISING
~ ~~~~.
1. Advertising in newspapers Yee ^ No Q.
2. (a) Advertising by circular letters sent ?to ____________________ dealers.
(b) And by notices posted in public places Yea ^ No ~.
(If notices were not_poeted in addition to advertisiag by circular letters sent to dealers, explanation of such omission must be
made below.)
A/'. t
'~
.
3. Without advertising, under sn exigency of the aerv'ice which extsted~:peior to the.order and ~-ould -not admit of,the dehy iaddenL to
advertising. , . ,-
4. Without advertising in accordance with ------------------ - ? ;~: ~;- ~. ,
5. Without advertising, it being impracticable to secure competition beeeniee=ot~~~_~___s_ ~?? "?
--------------------------------------------------------------------?,-*tr -,?-~~ar- -?-- ^s--+ ----------------------------------------------------------------
(Here state In detail the naturo of tDe ezlgency or tl+~a'am~a6e! mtp~~~y~~iti~~ 4~DeWILoa.RaLimtliictiCSbb tinder a aa~ ~,
_. .,, _. .a~- .
NOTE.-The above form "Method of or Absence of Advertisingg is to be used when purchases arc made qr services secured under
pproper authority without written agreement in any farm.. 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 2008/11/18 :CIA-RDP65-005238000100050004-3
 Standard corm No. lo3s Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
'-~d.~? 5?3? ~lic Voucher for Purchases ~d--~:..
1035-105 s
' - ~ ervicest Oitl~er Than Persona
CONTINUATION SHEET
U. S. ___Go_v__ernment _____________ Sheet No. ___~-______ of Bureau Voucher No. ___102__
- ----------- ---------------------------------------------
(Department, bureau, or establishment)
No. and Date
f O
Date of
Delivery
ARTICLES OR SERVICES.
E
~
jTy
UNIT PRICE
AMOUNT
o
rder
or Service
(
nter description, item number of contract or Federal supply
j'
schedule, and other information deemed necessary)
Cost
Per
Contract Er-x.00 Task V
12/3/6?_
1~irect Chanrges
through
12/30/62
Salaries and Tnrages
X373
00
A?at tl~ Subj. to Ma,t f le Hdl~a Exp?
Purchases -Fixed Price
~p216
,~
1+?at t 1. Not Sub ' e to i~Tat f 1. Hdl~e F
Stores Meterial
326
Total Material
542
00
Total ?direct Charges
1962 Provisional Overhead
Salaries
Burden Center ~ ~~Tages Rate
den
5 ~ 6.00 365%
`~
~ 21
90 e
17h 367ro0 182
rt
667
94
$373.00
X689
81~ ~
1962 Provisional T~atll. Hdlg. r ~.
16,4p of X216,00
35
1~2
Total 1962 Provisional Overhead
1963 Provisional G & A Expense
~`,
6.7~ of Mf~;e Costs ~$1~61~0.26
Approved For Release 2008/11/18 :CIA-RDP65-005238000100050004-3
 Approved For Release 2008/11/18: CIA-RDP65-005238000100050004-3
?
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. l''G-L~00 Task V
B.V. No. 102 1/23/63 Z- 27.98
Total Costs Provided for in Contract
Total Fixed Fee Provided for in Contract
$ 19~., 505.00
_ 13,615.00
~ 208120.00
Accumulative
Totals
Costs for Period
12 ~ 62thru 12 30/62
Salaries and Wages
~ 21~'1~21.00
~~'e 373.00
Overhead
58,961.03
725.26
Materials
S1,L..01.00
542.00
Subcontract
Travel
General & Administrative Expense
9,1~.09.0l~
109.90
Total Costs Incurred Excluding Fee
174192?07
X1,750.16
Fixed Fee
1.1,572.75
-o-
Total Claimed ~185,76t~.82 X19750,16
Approved For Release 2008/11/18: CIA-RDP65-005238000100050004-3
 Approved For Release 2008/11/18: CIA-RDP65-005238000100050004-3
?
~~~~---) Or J
25 January 1963
Under Contract ECr_400, Task V, we are sub-
mitting Bureau Voucher No. 102 in the amount of
$1,750.16 which represents direct charges for the
period 3 December 1962 through 30 December 1962.
cc - JLB
ELG
FGF
EJB
Approved For Release 2008/11/18: CIA-RDP65-005238000100050004-3