REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100060012-3
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
6
Document Creation Date:
December 21, 2016
Document Release Date:
November 18, 2008
Sequence Number:
12
Case Number:
Publication Date:
July 31, 1962
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 238.94 KB |
Body:
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7.12
Finance Division, Accounts Branch DIVISION VOUCHER NO.
TO :
yJ
h
THROUGH: Monetary Branc
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.
SUBJECT
INVOICE NO(S).
V
PAYMENT TO
CONTRACT NO. T
AMOUNT
CHECK TO BE DATED
ASH PAYMENT
U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
40.42
43
X45-46
47-52
OBLIG.
53
54
57
58-67
OR COST
ALLOT
68.70
DUE
71-80
28-33
T/A NO
STATION
CODE
EXPENC
F
U
PAY
PER
REF: NO.
-
GENERAL
.
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
.
P.O. NO.
PROP. NO.
CODE
N
D
,
LIQ.
ADVANCE
ACCT. NO.
CA
YR
LEDGER
ACCT
NO
62-67
CK. NO.
OBJECT
DEBIT
CREDIT
I3e-33
PROJECT NO.
IFY
S
CODE
EMP.NO.
.
.
X REF. NO.
CLASS
DIV.
I r J 1:
-
1
-
7
(' I,
4
l/I I I- 1~
I
t
i
q
S-q
-
CI-I_I_I_I
-I-1 I
I-~1
JJ--_
I
.
I:;d
1,'s f~ ~ t_I_I_JJ-I-IJ_IJ
-
--I
,
~,:1
" 1 l .I ....l I.
11 t
1
1
I,
1,
-
,
-
,
t 'r;,
t F.1 f
i,
f, r r 6' I
t f;{.'+.I I 1-
,
1.
r t,
i''r ,
,
J
.gig
V
L
r .1 1
,
_
t I,
"I 1
t 'I
,
,.I
,
`
~
". - ~i6 `
C
by
,,?~
'
,
?"
C
~'~
~+
"1
~
,
..
I. -I f r 17 ~.
'., ,
(`
1' 1
(
,
' L-
L
,
I-N >;
.
'.'r 1
t
Staedard-Fo s No. 1031
7 GAO 5h(IIt
-_* 1034-10b-n4
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
F LIC VOUCHER FOR PURCHASES
ERVICES OTHER THAN PERSONAL
U. S. Government
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York July 11, 1962
(Give place and date)
Payee's Account No. Z-2798 Discount Terms
TO_ Eastman Kodak Company
Rochester 4, New York
Contract No. EG_400 Task IV Date 8/23/60 Req. No.
Shipped from to Weight
No. and Date of
Order
-~? winu onner tnvormation deemed necessary)
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
1962 Provisional G & A Expense
Fixed Fee
t Approved for =$
By ----
Title
Exchange rate =$1,00
5/21/62 Direct Charges
6/17/62 11962 Provisional Overhead
US,! -oyc7i
COPY OF
Date Invoice Recd.
Govt. B/L No.
Amount verified; correct for
(Signature or initials)
$26.00
48.36
5.50
5.63
FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be sho n of er c ssification optional)
Check No.
Check No.
on
` Cash, $ _ , on , l 9 Payee
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 $ and
over h.s offcial title. ----- Title
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
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 C].
(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 ADVERTISIN
3. Without advertising, under an exigency of the service which existed,Rrio 1 4o lie rder_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 baca use of
------------?------------------------------------------------------------------------?------------------ -----------------------------------------------------------------------
- -------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------
------------------------------- ----- -- ----------------------------------------------------------- --------------- - ------- ------------------------------ ------------------------ - ----
---------------------------------------------------------------- ----?-----------------------=---------------------------------------------------------------
(Here state in detail the nature of the exIgency or eiwataitauaes'-ad44r which thesecuring 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 2008/11/18: CIA-RDP65-00523R000100060012-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
StaMLdaj Prm No. 1035-Revised
- Form prescribed b
Comptroller General, U. S.
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
Sheet No. ----- 1--_-- of Bureau Voucher No.
-------------------
U.S.
---
----------- or establisbment)
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
supply scheduie~
(Enter description, B and other information deemed necessary)
5/21/62
through
6/17/62
public Voucher for Purchaseond
Services Other Than Personal
Contract EG-400 Task IV
Direct Charges
Salaries and Wages
Total Direct Charges
1962 Provisional Overhead
Salaries
Burden Center & Wages Rate
17L $26.00 186%
Total 1962 provisional Overhead
1962 Prov sional G & A ense
7.4%
Manufacturing Costs $74.36
Fixed Fe
75. of $53,636.00
Less Fee Previously Billed
QUAN
$26
jOO
Bear
$48
en
36
V I
48.36
4,25 .79
4.240.16
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
CONTINUATION SHEET
5.150
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. FD-400 Task IV
B.V. No. 60 7/11/62 Z- 2798
Total Costs Provided for in Contract $ 80,514.00
Total Fixed Fee Provided for in Contract 5,636.00
$ 86,150.00
Accumulative
Totals
Costs for Period
5/21 62 thrn L17 62
Salaries and Wages
$ 5,128.00
426.00
Overhead
9,538.08
48.36
Materials
41,891.00
-0-
Subcontract
Travel
General & Administrative Expense
4,185.22
5.50
Total Costs Incurred Excluding Fee
60,742.30
.79.86
Fixed Fee
4,251.79
5.63
Total Claimed
X664,994.09
$85.49
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3
12 July 1962
Under Contract EG_400, Task IV, we are submitting
Bureau Voucher No. 60 in the amount of $85.49 which repre-
sents charges incurred during the period 21 May 1962 through
17 June 1962.
STAT
cc - JLB
ELG
FGF
EJB
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060012-3