PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100060021-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: November 18, 2008
• Sequence Number: 21
• Publication Date: January 25, 1962
• Content Type: FORM

Standard Form No. 1034
7 GAO 5030
1034-107-16
U. S. Government
Voucher prepared at
Payee's Account No.
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3 F
ERVICES OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
(Department, bureau, or establishment)
Rochester, New York January 25, 1962
Z--2 798
Rochester 4, New York
Contract No. EG-400 Task IV Date 8/23/60 Req. No. Date
Shipped from to Weight
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description
item number of contract or Fed
l
l
Quantity
UNIT PRICE
AMOUNT
Order
or Service
,
era
supp
y
schedule, and other information deemed necessary)
Cost
Per
11/27/61
Direct Charges
$1,377.00
through.
12/31/61
1961 Provisional Overhead
'
39.06
1961 Provisional G & A Expense
104.79
Fixed Fee
TOTAL
27
32
1
PAYMENT:
(PAYEE MUST NOT USE THIS SPACE)
.
,
COMPLETE F-]
DIFFERENCES
_
STAT
PARTIAL F-1
FINAL ^
PROGRESS ^
ADVANCE ^
Amount verified; correct for
19 Or -9 12-
(Signature or initials)
Approved for
B
=$ paym
ent. STAT
y-_
Title_
( Date)
Exchange Rate
=$1.00 13ant
t
rac Officer
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE M G
REEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
* 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 sig-
nature only is necessary; otherwise the approving officer will sign on the line below
"Approved for $ ", and over his official title.
Per
Invoice Rec'd.
Govt. B/L No.
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3
 Standard brm No. 1035- Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3
Form prescribed by
Oomptraller General, U. S. ?blic Voucher for Purchase d
7eptember 7, 1950 s
(Glen. Reg. No. 51, Supp. No. 11) Services Other Than Persona
CONTINUATION SHEET
Government
U. S- ------ Goverment
------------------------------------------------------------------------ Sheet No. ____l ------ of Bureau Voucher No. 29
(Department, bureau, or establishment)
No. and Date
of Ord
r
Data of
Delivery
ARTICLES OR SERVICES
(Enter description
item number of c
ntr
t
F
d
l
l
Q
ITY
UNIT PRICE
AMOUNT
e
or Service
,
o
ac
or
e
era
supp
y schedule,
h
d
T
an
ot
er information deemed necessary)
Cost
per
Dollars
Cts.
11/27/61
Contract EG-400Task IV
through
12/31/61
Direct Charges
Salaries and Wages
$21.
00
Material-Not subj. to Mtf1.Fd,lg.Ex,pens
Interdivision
1,356
00
Total Direct Charges
$1,377
00
161 Provisional Overhead
Salaries
Burden Center & Wages
-
Rate
Bur
den.
17-L 2
1.00
-1-87
/ $39
_0 TV
Total 1961 Provisional Overhead
39
06
1961 Provisional G&A Expense
7.4% of Manufacturing Costs $1,416.06
104
79"o
Fixed Fee
33-915f of $5, 636.00
$
1 19 1 0
Less Fee previously billed
1804
1
16S
S-'7
$1,9627.
32
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. EG-400 Task IV
B.V. No. 29 1/25/62
Z- 2798
Total Costs Provided for in Contract
Total Fixed Fee Provided for in Contract
$ 80,514.00
5,636.00
$ 86,150.00
Accumulative
Totals
os for Period
11~27~lthru 12/31/61
45.00
$ 21.00
d W
i
ages
es an
Salar
83.70
39.06
d
Overhea
25,289.00
1,356.00
Materials
Subcontract
Travel
1,880.91
104.79
General & Administrative Expense
Fee
d Excludin
27,298.61
1,520.85.
g
Total Costs Incurre
~
1,91 p/
106.47.
Fixed Fee
Total Claimed
$29,209.21
$1,627.32
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3 f 4/3
COPY
26 January 1962
Under Contract EG-400, Task IV, we are submitting
Bureau Voucher No. 29 in the amount of $1,627.32 which repre-
sents charges incurred during the period 27 November 1961 through
31 December 1961.
cc - JLB
ELG
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060021-3