PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100050013-3
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
12
Document Creation Date:
December 21, 2016
Document Release Date:
November 18, 2008
Sequence Number:
13
Case Number:
Publication Date:
May 18, 1962
Content Type:
FORM
File:
Attachment | Size |
---|---|
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Body:
Standard Form No. 1034
i 7 FAO 5030
1034-106
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
ru W vuuLnLK rUK rUKLI1AJtS AN D. o. VOU. NO.
VICES OTHER THAN PERSONAL
U. S.
Voucher prepared at
Payee's Account No.
TO F.slatinan Kodak Company
(Payee) :-T
Contract No. EG-400
Shipped from
Rochester, New York
Req. No.
Weight
Invoice Rec'd.
Govt. B/L No.
No. and Date of
O
d
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal su I
pp Y
Quantity
UNIT PRICE
AMOUNT
r
er
or Service
schedule, and other information deemed necessary)
Cost Per
Invoice No.
48 (Orig. Inv. Att)
$ 7
839
99
49 (orig. Inv. Att)
,
.
27,357.98
TOTAL
97
$35
197
PAYMENT:
(PAYEE MUST NOT USE THIS SPACE)
.
,
I
^
COMPLETE
DIFFERENCES
PARTIAL El
STA
FINAL
PROGRESS
Amount verified; correct for
1-55 Q
ADVANCE
(Signature or initials) Z
Approved for
Pursuant to authority vested in e, I certi.y
$
at
y
ent. 4 7 6p STA_
itle
xchange rate
=$1.00
(Date)
--
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
B
I IN ART FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbo must be shown; of er cipssIficotion optional)
Check No. on Treasurer of the United States
Paid by Check No. on
(Name of Bank)
' 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. Per
essary; otherwise the approving officer will sign on the line below "Approved for S and
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
t
T
E
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
METHOD OF OR ABSENCE OF ADVERTISING
1. Advertising in newspapers Yes ^ No O.
2. (a) Advertising by circular letters sent to -------------------- dealers.
(b) And by notices posted in public places Yes ^ No O.
(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 --------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------- -
--------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
(Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
g is to be used when purchases are made or services secured under
NOTE.-The above form "Method of or Absence of Advertisin '
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 2008/11/18: CIA-RDP65-00523R000100050013-3
4 Standard Form No. 1031
7 GA( : 000
_1034-UI5-04
Use continuation sheet(s) if necessary VOUCHER NO. 4i
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
PUS VOUCHER FOR PURCHASES AND?
S ICES OTHER THAN PERSONAL
Government
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York May 18 1962
(Give place and date)
Payee's Account No. Z-2798 Discount Terms
TO Eastman Kodak Company
(Payee)
Contract No. EGJ400 Task V Date 8/23/60 Req. No. Dote
Shipped from Invoice Recd.
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Date of Delivery
or Service
~throu h
12/31/61
10/2/61
Rochester 42 New York
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply Quantity
schedule, and other information deemed necessary)
Direct Charges
1961 Provisional Overhead
1962' Provisional G & A Expense
Fixed Fee
(PAYEE MUST NOT USE THIS SPACE)
$2,538.00
1, 285.16
504.91
511.92
ST
Amount verified; correct for
(Signature or initials)
t Approved for =$
By
Title
Exchange rate
Pursuant to authority vested in me, I cer
this voucher is correct and proper for payment.
THE REVERSE OF THIS FORM MUST BE EXENTEO WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No.----_-
on Treasurer of the United States
Paid by Check No ---
No. on
(Nome of Bank)
Cash, $ , on __ , 19 Payee
when used in foreign countries, insert name of currency of country in which used.
I It the ability to certify and authority to approve are combined in one person, one signature only is nec. Per
efsary; otherwise the approving officer will sign on the line below "Approved for $ and
over his official title.
Title
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
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 --------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------?- ----- I ------=-- - -----------
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 acceptan(e. or
loss 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.)
76A 5\cT
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
,panru. -mvrm NO. luub-itevlsea
Form prescribed by
Comfroller General, U. S.
September 7, 1950
((}en. Reg. No. 51, Supp. No. 11)
Wlic Voucher for Purchases 411
Services Other Than Personal
CONTINUATION SHEET
Goverment
____---___- Sheet No. -__-_1 ____ of Bureau Voucher No. ---_ --8-_-
(Department, bureau, or establishment)
No. and Date
Date of
Delivery
y
ARTICLES OR SERVICES
(Enter descri
ti
n
it
b
f
F
d
l
UNIT PRICE
AMOUNT
Order
or Ser
ice
p
o
,
em num
er o
contract or
e
era
supply schedule,
TITY
v
and other information deemed necessary)
Cost
Per
Dollars
Cts.
10/2/61
Contract EG??I.00 Task V
through
12/31/61
Direct Charges
Salaries and Wages
2,22
.00
Material Sub'* to Matti. Hdlg, LbMesse
Purchases - Fixed Price 27 .00
Stores Material 23.00
VOL
Material Not Subj* to Mato. Hdlg. Ex
p*
Petty Cash
10
Total Material
.313
400
Total Direct Charges
$2,538
1961 Provisional Overhead
Salaries
Burden Center & Wages Rate
den
5 $ 3.00 03 ?
?09
14 12.00 260
3
.20 41
15 11.00 240
2
.40 L/
000~
17R 104.00 172.
17
.88
17L 2,012.00 186"
3,74
.32
24 29.00 219
6
.51
26 56.00 318
17
.08
$2,227.00
223,
.
1961 ovisional Material Hdlg. Expense
17. % of 301.00
5
.68
Total 1 Provisional Overhead
4,285
16
1962 Provisional G & A ense
744 of Manufacturing Costs 6,823.16
504
01
Fixed Fee
3*76% of $13,615.00
5
92
I
___.5111
92
ja839-
99
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
x
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
I
- EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. ECP-400 Task V
18/62
B.V. No. 48 5/
Z- 2798
ided for in Contract
P
t
$ 194,505.00
s
rov
Total Cos
d Fee Provided for in Contract
Fi
13615.00
xe
Total
$ 208,120.00
Accumulative
Totals 10
Costs for Period
2? 61 thru 12/'31/61
ies and wages
l
S
r-
_J2,227_00
ar
a
Ove rhead
28K.16
311.00
Materials
bcontract
S
u
vel
T
ra
ral & Administrative Expense
G
504.91
ene
Total Costs Incurred Excluding Fee
7,328.07
511.92
Fixed Fee
Total Claimed
$7, 839.99
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
i 40
21 May 1962
Under Contract EG-400, Task V, we are submitting
Bureau Voucher No. 48 in the amount of $7,839.99 which
represents charges incurred during the period 2 October
1961 through 31 December 1961.
cc - JLB
FGF
ELG
EJB
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Standard Form No. 1031
7 GAl) 5000
1034-103-04
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
pU~C VOUCHER FORPURCHASES SPERSONAL AN*
S~ItVICES OTHER THAN VOUCHER NO. 19
Gove nment
(Department, bureou, or establishment)
Voucher prepared at Rochester, New York
payee's Account No. Z-2798
TO Eastman Kodak Company
(Payee)
343 State Street
May 18, 1962
Rochester 4, New York
IAddressl ~__
Date
Invoice Rec'd.
EG..400 Task V Date 8/23/60 Req. No.
Govt. B/L No.
Contract No. W
ht
i
e
g
Shipped from to UNIT PRICE
RVICES
AMOUNT
ARTICLES OR SE
schedule,tand iother information dteem or Federal Quantity Cost
No. and Date of Date of Delivery (Ente
Order or Service
Per
X
10,264.00
1/1/62
Direct Charges
through
d
13~, 541.97
4/22/62
1962 Provisional Overhea
1,761.64
1962 provisional G & A Expense
1,790.37
Fixed Fee
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By --
Title
Exchange rate.
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES _--
27.357.98
Amount verified; correct for-!,4'
Signature or initials) - -
P u r s u a n t to authority vested i n me, I certify t a
this voucher is correct and proper for payment.
(Authoriz g Officer)
-$1;00
THE REVERSE FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ymbol must be shown; other classification optional)
ACCOUNTING CLASSIFICATION (Appropriation S
on Treasurer of the United States
t if the ability to certify and authority to OPP Title
es .----
sory; otherwise the approving officer will sign on the line below "Approved for $ ---
over his off~ual tile.
Check No. on --
Check No.
19 Payee
Cash, It
? When used in foreign countries, insert name of currency of country in which used. Per
rove are combined in one person, one ignature only is and
L STAT
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
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.)
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 --------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------- --
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
(Here state in detail the nature of the exigency or-rioeumrtaaoea.uader which the eecnttnB of competition was Impracticable under 3 and 4)
Newt:.-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 2008/11/18: CIA-RDP65-00523R000100050013-3
9ta4,dara Form No. 1036-Revised
:1 Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Comptroller General, tJ. S.
September 7, 1950
} lic Voucher for Purchases Wd
Services Other Than Personal
CONTINUATION SHEET
t
U. S Governmen
----- Sheet No. __ y______-_ of Bureau Voucher No. ___'______._
. ---- - --------- -- ------
Date of
ARTICLES OR SERVICES
UAN-
UNIT PRICE
AMOUNT
No. and Date
of Order
Deliver
Y
or Service
(Enter description, item number of contract or Federal supply schedule
and other information deemed necessary)
T ITV
Cost
Per
Dollars
Cts.
1/1/62
Contract EG-400_ Task V
throuth
4/22/62
Direct Charges
Salaries & Wages
,402
00
Material-Subject to 1Mt'1. Hd Y Expense
Purchases - Fixed Price $3,36.00
Stores Material -.-, 50.00
41
Material-Not sub~.to ~it'1.~Hd_?_f.Ex
00
187
d
i
i
c
.
Pr
ce
xe
hases - F
Pur
Interdivision 216.00
Cash k5.00
Pett
y
448.
Total Material
_,~_
3862
04
Total. Direct Charges
$10,264
OC
12.62 Provisional Overhead
Salaries
Burden Center & Wages Rate
~5 $ 3.007
Burd
$ 124
n
7
14 55.00 271
149
05-
15 384.00 237
910
08
17-L 5,094.00 186
9,474
84
24 357.00 211
753
27
26 469.00 321
1,505
49
27 9.00 338
30
142
LkS2.00
$
2,9!7
93r
terial Landlitgx
Provisional
2
/
4.OO
4
~7
j
_94
04
Total 1962 Provisional Overhead
13 541
,
9'
1962 Provisional G & A Expense
7. V of Manufacturing Cost s'123, 805.97
13,761
.6)
Fixed Fee
16-W% -Of $13,615.00
,302
29
Less Fee previously billed
511
2
1,790
3'
$27,357
9~
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
? 0
Contract No. EG-400 Task V
B.V. No. 49 5/18/62 Z- 2798
Total Fixed Fee Provided for in Contract
$ 194,505.00
13,615.oo
$ 2080120.00
Accumulative
Totals
Costs for Period
1/1/62 thru _V22162
Salaries and Wages
$ 80629.00
$ 6,402.00
Overhead
17,827.13
13,541.97
Materials
4,173.00
3,862.00
Subcontract
Travel
General & Administrative Expense
2,266.55
1,761.64
Total Costs Incurred Excluding Fee
32,895.68
25,567.61
Fixed Fee
2,302.29
1,790.37
Total Claimed
$35,197.97
$27,357.98
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3
? ?
21 May 1962
Under Contract EG-4I00, Task V, we are submitting
Bureau Voucher No. 49 in the amount of $27,237.98 which
represents charges incurred during the period 1 January
1962 through 22 April 1962.
cc - JLB
FGF
ELG
EJB
Approved For Release 2008/11/18: CIA-RDP65-00523R000100050013-3