REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100060019-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: November 18, 2008
• Sequence Number: 19
• Publication Date: March 1, 1962
• Content Type: FORM

Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
VOUCHER NO. 7-12
REQUE
VOUCHER NO. 7.12
ST FOR PAYMENT AND POSTING VOUCHER
TO Finance Division, Accounts Branch
THROUGH: Monetary Branch
fDIVISION VOUCHER NO.
Request payment be made and/or trans
action he recorded as indicated b
l
this transaction is on file in this office.
e
ow. Pertinent documentation in support
of
SUBJECT
INVOICE No( S).
PAYMENT TO
::=
:f
.7 x
D
CASH 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
DATE SIGNATURE OF PAYEE
D
. TO RECEIVE $
OF OFFICIAL FUNDS IN CURRENCY ON M
ATE
SIGNATURE O
Y BEHALF.
F AGENT DATE SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
43
45-4s
47-52
28-33
TA No.
STATION 4
CODE EX
F
U
PAY
OBLIG. 53
REF. NO.
58-67
54-57 88-70
ALLOT. OR COST
DUE 71-80
GENERA
DESCRIPTION-
ADVANCE ACCOUNTS 13
27
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UTHORIZED-CERTIFYING OFFICER '
DATE
(TOTALS
SECRET
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
SECRET
(When Filled In)
 1 Form 00 1034
iffilli- GAO 000
1034-109-04
d. Jr L1 / L I' ." '
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
,BLIC VOUCHER FOR PURCHASES ID I COPY OF
SERVICES OTHER THAN PERSON
Use continuation sheet(s) if necessary VOUCHER NO.__33
Voucher prepared at
Rochester, New York February 19, 1962
Z-2798
Eastman Kodak Company
343 State Street Rochester 4, New York
(Address)
Contract No.EG-400 Task IV Date 8/23/60 Req. No.
Shipped from to Weight
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Exchange rate _
Date of Delivery
or Service
1/1/62
through
1/28/62
(PAYEE MUST NOT USE THIS SPACE)
Date Invoice Rec'd.
Govt. B/L No.
Amount verified; correct for
(Signature or initials)
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Direct Charges
1962 Provisional Overhead
1962 Provisional G & A Expense
Fixed Fee
$61.00
26.04
6.44
6.76
4100, 2LL
"' STAT
=$1,00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No.
Check No.
When used in foreign countries, insert name of currency of country in which used.
} If the ability to certify and authority to approve are combined in one person, one signature only is nec- Per
essory; 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-RDP65-00523R000100060019-6
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
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.)
3. Without advertising, under an exigency of the service which existed prior to the order and would ng{ tof the delay incident to
advertising. til,:`~j'l st:~it{
4. Without advertising in accordance with --------------------------------------------------------------------------------------------------------------------------
ti
-------------------
NOTE.-The above form "Method of or Absence of Advertising is to be used when purchases are made or services secured under
}roper 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 he 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-RDP65-00523R000100060019-6
 st1-nczacd orm No. 1o,_Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
Form prescribed by JpPublic Voucher for PurchaM and
Comptroller General, U. S.
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S. _-Government Sheet No. ___1______ of Bureau Voucher No. _33 -------
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Service
1/1/62
through
1/28/62
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
Contract EG-1.00 Task IT
Direct Charges
Salaries and Wages
Material-Not Subs. to Mtlle Hdl . ~~i
Interdivision
Total Direct Charges
1962 Provisional Overhead
Burden Center
Total 1962 Provisional Overhead
1962 Provisional G & A Expense
7.4% of Manufacturing Costs $87.04
34.02% of &5,,636.00
Less Fee Previously Billed
QUAN-
TITY
Rate
47.
02 t en
y6 , 917.
910.
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
? i
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. EG-400 Task IV
B.V. No. 33 2/19/62
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 Costs
Totals 1 1 6
for Period
thru 1/28J62
es
laries and Wa
S
5900
$l?o
g
a
Overhead
109.74
26.04
Materials
25,336.00
47.00
tract
bco
S
u
n
vel
T
ra
eral & Administrative Expense
Ge
1,887.35
6.44
n
l Costs Incurred Excluding Fee
Tot
27,392.09
93.48
a
Fixed Fee
1,917.36
6.76
Total Claimed
$29,309.45
$100.2b
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6
? 0
??X3051
COPY OF
20 February 1962
Under Contract EG-400,^ Task IV, we are submitting
Bureau Voucher No. 3T n amount of $100.24 which repre-
sents charges incurred during the period 1 January 1962 through
28 January 1962.
cc - JLB
E LG
dad z~ ~l ~~ s~~
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060019-6