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: 
AttachmentSize
PDF icon CIA-RDP65-00523R000100060012-3.pdf238.94 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