REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100080018-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 21
• Document Creation Date: December 21, 2016
• Document Release Date: December 17, 2008
• Sequence Number: 18
• Content Type: FORM

Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
TO : Finance Division, Accounts Branch
DIVISION VOUCHER NO.
THROUGH: Monetary Branch
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). 131 /.j1
PAYMENT TO E' f}
CONTRACT NO. s- -. , .l I
AMOUNT .:! G
T +~
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 I SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT I DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13.33
34-39
43
45-46
47.52
58.67
68-70
28-33
STATION
40-42
F
PAY
OBLIG.
53
54-57
ALLOT. OR COST
DUE
71.80
T/A NO.
CODE
EXPEND
PER.
REF. NO.
GENERAL
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. No.
PROP. NO.
CODE
N
LIQ.
ADVANCE
ACCT
NO
YR
LEDGER
N7
CX
NO
O
132-33
DIY.
PROJECT NO.
sY
D
S
CODE
.
.
EMP. NO.
ACCT. . NO.
.
.
X REF. NO.
BJECT
CLASS
DEBIT
CREDIT
I,?`YI I~
JI~j
h
/j
~~Jj(~
/~ ( i,
,
4-
-
~
Fl I
1
L(I
,
I{
1
,
r
~" /, t:
C
i'
60 0
-I ~I
II.
~
f
L`1
A
i/
/
oo
/3 y~
T!V/,o
f)~ (, ~ ',/jj
V !~'~` J
~.
ail
?,)y y/,
!f
fjjr f. ~
?~` _
I ~:~ I~1
111 i,
,
1
,
/,.
~ `art s.~ +I1.
I?
IJ_ _I_I_I
~
_
T
O
_1-I IJ-IJ-1-I
-r
l
w
,l
-1-11_1-I-I 4
1_.;
r
I
,
1 1 1
1 1 1
+~.
G -
~)
I I 1 1 1 1 1 1 1 1
I - 1
l,
1,
,
s'?'
,
1 i l I (
(
PREPARED
DATE
AUTHORIZED CERTIFYING OFFICER DATE
25X1
'j/-- 1'
TOTALS
/)'?~
I yy.~
SECRET
(When Filled In)
FORM SECRET (1 )
4-61 1822
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
Stand 7 GAO 5030 '?'? PUq' VOUCHER FOR PURCHASES ANDQ D. 0. VOU. NO.
1034-10' S1~CVICES OTHER' THAN' PERSONAL
i Use continuation sheet(s) if necessary
Voucher prepared at
(Payee)
Rochester 3, N. Y.
Payee's Account No. Discount Terms
TO Eastman Kodak Co.
Contract No. EG-400, Task bate Req. No.
Shipped from to Weight
Dote Invoice Rec'd.
Govt. B/L No.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
Quantity
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Cost Per
Invoice Numbers
10 (Orig. Inv. Att.)
$ 140.31
12 ft
922.46
131
1,005.30
156 tt
( 775.20)
TOTAL
1,292.87
(PAYEE MUST NOT USE THIS SPACE)
PAYMENT:
DIFFERENCES
COMPLETE
PARTIAL
FINAL ^
PROGRESS
Amount verifiede correct for
ADVANCE E
it
t Approved for
=$
By
Title
(Date)
Exchange rate
=$1.00
g officer)
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
A .............s:,... G.,...
Paid by Check No.
t If the ability to certify and authority to approve are combined in one person, one signature only is nec-
estarv: otherwise the auprovina officer will sign on the line below "Approved for $ ". and
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100680018-5
4e
STAT
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Standard Form Nn. 1034
7 IMO' 5031
r 103*4-10'}416
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
PU13 VOUCHER FOR PURCHASES NjD ~` t' o.-
SER' ICES OTHER THAN PERSONA
COP . 10
Use continuation sheet(s) if necessary OU. N1.
U. S Government
(Department, bureau, or establishment)
Rochest.Pr _ New York July 5, 1961
(Give place and date)
8
Discount Terms_
Payee's Account No. Z-279
TO Eastman Kodak Company
(Payee)
343 State Street Rochester 4, New York
Contract NoEG-400 Task I Date 8/23/60 Req. No.
Shipped from to Weight
Date Invoice Rec'd.
Govt. B/L No.
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of Date of Delivery
(Enter description, item number of contract or Federal supply
Quantity
Cost
Per
Order or Service
schedule, and other information deemed necessary)
$203.00
lAddtl to
Direct Charges
Costs
(74.04)cr.
Through
1961 Provisional Overhead
5/14/61
11
35
1961 Provisional G & A Expense
.
TOTAL
x$''1400-31
(PAYEE MUST NOT USE THIS SPACE
)
PAYMENT:
DIFFERENCES
COMPLETE
PARTIAL
FINAL
PROGRESS F'j
Amount verified; correct for
ADVANCE
(Signature or Initials)
Pursuant to authority vested in me, I certify that
t Approved for =$ this voucher is correct and proper for payment.
By
Title (Authorized Certifying Officer) (Date)
Exchange Ra-e =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORK
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No. on Treasurer of the United States
Paid by l Check No. on (Name of Bank)
Cash, $ , on , 19 Payee
* When used in foreign countries, insert name of currency of country in which used.
t If the abiJty 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. Title
T'NG OF-EICEx t960.?556940
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
gt iII`^y'.~1.`~ Form No. luoo-nev,sv,
/
Comptroller G1ro1presceibeaeneral, , U. S.
Pule Voucher-for Purchases an*
September 7, 1950
(`Gea. Reg.'No. 51, Supp. No. 11) Services Other Than Personal
? CONTINUATION SHEET
Government ----------------------------------------------------------------------- Shed No. ----1----- of Bureau Voucher No. _10------
U. S. ---------------------
(Department, bureau, or establishment)
d D
N
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
o. an
ate
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Task I
ddfl to
Direct Charges
Costs
Through
Salaries & Wages
6 42.
00 or
5/1Lt/61
Material-Subj. To Mt'l Hdlg. Exp.
Stores Material $5.00
$5.00
Material-Not Sub j. To Mt'l Hdlg. Exp.
Interdivision $240.00
240.0
Total Material
245.1,
00
6
Total Direct Charges
203.
00
1961 Provisional Overhead
Salarie
Burden Center & Wages
Rate
Bur
en.
17L Research & Eng.- Military 42.00 c
178%
$ 7L1.
76 or
Products
$42.00 c
.
$ 74.
76 cr
,
1961 Provisional Mt'l Hdlg. Exp.
14.4% of $5.00
.
72
Total 1961 Provisional Overhead
cr.74.
0L1.
1961 Provisional G & A Expense
8.8% of Manufacturing Costs $128.96
11.
35
$1LGo.
31
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 ppp~7-
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
? 40
Contract No. EG-100 Task I
B.Y. No. 10
7/5/61
Total Fixed Fee Provided for in Contract
2798
$ 121,620.00
6,702.00
$ 128,322.00
Accumulative
Totals
Additional to
Costs WNP
thru 5/14./61
Salaries and Wages
$ 31,947.00
42.00 Cr,
Overhead
59,788.39
(74.04)cr.
Materials
19,544.00
245.00
Subcontract
-
-
Travel
-
-
General & Administrative Expense
9,418.15
11.35
Total Costs Incurred Excluding Fee
120,697.54
140.31
Fixed Fee
6,471.90
-
Total Claimed $127,169.44 $140.31
AO 1240 0 (1-61)
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
ROCHESTER 4, NEW YORK
P
Total
Billing
rogram
1
18,538.12
20.48
2
16,558.94
18.24
3
80,169.19
88.40
11
903
19
13.19
4
,
.
0
U. S. GOVERNMENT
EG-100 Task I
Z-2798
Attachment to B. V. #10
$127,169.44 $140.31
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
July 7, 1961
Under Contract EG-400, Task I, we are submitting
Bureau Voucher No. 10 in the amount of $140.31 which
represents additional costs through May 14, 1961.
? STAT
Xnc.
cc - ELG
JLB
19 ~ 9~ t E 1~r
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/1(2/17:FACIA-RDP65-00523R000100080018-5
1034"
Standard Form 3
HASES nAft D. O. VOL. NO.
P
~
URC
VOUCHER FAR
PIl
o.
.^+r 0~4-lU7-lo C SERVICES OTHER THAN PERSONAL
?
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York July 21, 1961
(Give place and date)
Payee's Account No. 2-2798 Discount Terms
Contract No.EG-400 Task I Date 8/23/60 Req. No.
Shipped from to Weight
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
ntit
Q
UNIT PRICE
AMOUNT
(Enter description, item number of contract or Federal supply
y
ua
Order
or Service
schedule, and other information deemed necessary)
Cost
Per
Adjustment arising from the
application of audited and
i
j
approved 1961 revised provisional
recovery rates
r"I
Overhead Adjustment
$1,726.13
G & A Adjustment
59.5
.
$1
'
0
0
Overrun
'8R
2
2
TOTAL
922.46
(PAYEE MUST NOT USE THIS SPACE
)
PAYMENT:
DIFFERENCES
COMPLETE
PARTIAL
FINAL
PROGRESS
4 -
Amount verified; correct for
ADVANCE
71
(Signature or initials)
pursuant to authority vested in me, I certify that
Approved for =$ this voucher is correct and proper for payment.
By ?
Title (Authorized Certifying Officer) (Date)
Exchange Rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
t If the ability to certify and authority to approve are combined in one person, one sig- I Per
nature only is necessary; otherwise the approving officer will sign on the line below
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5 ICE: 1960.556c40
Eastman Kodak Company
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
? ? ?
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
B.V. No. 12 7/21/61
Z- 2798
Total Costs Provided for in Contract
$ 121,620.00
Total Fixed Fee Provided for in Contract
6,702,00
$ 128,322.00
Accumulative -Coats 94r__PezJzd
Totals h>ru
Adjustment to 1961 Revised
Provisional Rates
Salaries and Wages
$ 31-m-00-
overhead
61,514.5_,
$1,726.11
Materials
19 544.00
Subcontract
Travel
General & Administrative Expense
9,477-70
59.55
Total Costs Incurred Excluding Fee
122 483.22
1.785.68
Overrun
861.22
-863.22
x x 'X
121
20.00
22.
Fixed Fee
6,471-20
-
Total Claimed
$128,091.90
$ 922.46
AO 1240 2 (1-911
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
ROCHESTER 4, NEW YORK
U. S. Government
EG-400 - Task I
ATTACHMENT TO B.V. 112
Z-2798
Program
Accumulative Total
This 3i11in
1
$ 18,798.47
$ 260.35
2
16,791.44
232.50
3
81,294.88
1,125.69
- 3yJ d'?
4
12,070.33
167.14
633. 1-"
Total
128,955.12
1,785.68
Less Overrun
863.22
863.22
$128,091.90
$ 922.46
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
24 July 1961
Under Contract EG-400, Task I, we are submitting
Bureau Voucher No. 12 in the amount of $922.46 which
represents adjustment arising from the application of
audited and approved 1961 revised provisional recovery
rates.
cc - ELG
JLB
jig W~t? t Elva
OPO 7 9
EoPY / OV
STAT
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5 c_Tv
Voucher prepared at Rochester, New York July 12, 1963
343 State Street Rochester 4, New York
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
Quantif
UNIT PRICE
AMOUNT
Order
or Service
h
d
l
d
h
i
f
y
C
sc
e
u
e, an
ot
er
n
ormation deemed necessary)
ost
Per
1960 Negotiated Overhead Adjustment
,
$ 885.68
1960 Negotiated G&k Expense Adjustm
ent
298.22
1961 Negotiated Overhead Adjustmen
(536.25) (
1961 Negotiated G&.. Expense Adjust
ent
(1
2)40.14) C
1961 Direct Charges - Material
,
74.00
1961 G & A Expense
1~
(513.01) C
Fixed Fee
1 005-30
4.92.29
Reclaim Overrun
513.01
COMPLETION VOUCHER
TOTAL
1 005 e30
PAYMENT:
(PAYEE MUST NOT USE THIS SP
ACE)
DIFFERENCES
COMPLETE
PARTIAL
FINAL El
PROGRESS L
Amount verified; correct for
ADVANCE
(Signature or initials)
t Approved for
By
Title
Exchange rate _
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
THE REVERSE OF THIS FORM MUST BE EXECUTED 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.
Cash, $ .
chary; otherwise the approving officer will sign on the line below "Approved for $ and
over his official title. Title
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Staadard"Forth No. 1035 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
7 GAO 5000
.
1035-106 Pu10 Voucher for P;irchases an*
Services Other Than Personal
J.S. ('>overrrnent Sheet No. l 131
of Voucher No.
(Department, bureau, or establishment)
No. and Data
of Order
Contract FGL.00 Task I
Additional to Costs through 5/].4/6
Matti, Not Subj, to Mat'l. Hdlg_ . I
Interdivision $71.00
Total Direct Charges
1960 Negotiated Overhead & G-&A Adj.
1961 Negotiated Overhead & G&A Adj.
Fixed Fee
Reclaim Overrun
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 1~ (o? RATE ADJUSTMENT
[Negotiated Contract EG-1i00
Provisional
Task I Invoice 2r! ? A _r-7
Period Billed v `a
ADJUSTMENT BASE: Overhead - Year Cost Incurred - Inv _L thru
G & A - Year Cost Billed - Inv. thru a'
LABOR
19ko COSTS
19_
ADJUSTED 19 6o OVERHEAD
Burden Ctr.
Billed 19?
Billed 19~
RATE
19
40 Billings
194Z
Billings
Z Al
77a
z 7.
3
Sa
41"
176
P~l
~Gy
s
L
7
S
to
2O
1Jo
a S
"
o -Labor
0
Material
ADJUSTMENTS:
A. Labor Overheads
1. Adjusted Overhead (above)
2. Less: Billed Inv. L thru+'-S
3. Labor Overhead Adjustment
B. Material Handling Overhead:
1. Adjusted Overhead (above)
2. Less: Billed Inv. L thru J
3. Material Handling Overhead Adjustment
C. General and Administrative Expense:
1. Total Charges: Inv..- thru y'
2. Overhead Adjustments (A3 plus B3)
3. Total Allavable Cost Bass
4: G & A Rate
5. Adjusted G & A Expense
6. Lose: G & A Billed Adjusting Period I
7. G& A Expense Adjustment
D. Total Adjustment (C2 plus C7)
* Final - Not Subject to Further Adjustment
L Bi11in a 1 kL Biliin s Total
S (r
Z 3 Z 0 3S
2-11 1,9,2 LrAf -7 / P-WL
Z G 3 V4 L*
v
O ? la 2
Z
74/
0 S
dl -7
G 3 S
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5 -
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
194J RATE ADJUSTMENT
QNegotiated Contract EG-400
Z QJ
Task I Invoice
0 Provisional
Period Billed
/) / /2
ADJUSTMENT BASEL Overhead - Year Cost Incurred - Inv. thru
G & A - Year Cost Billed
- Inv. thru U3/
LABOR
19/ COSTS
19-
ADJUSTED 19.4-1- OVERHEAD
Burden Ctr.
Billed 19_~/
Billed 19-
RATE
19 Billings
19_ Billings
Y-04.
S_
2Y
7
'
Ifid
' -3 P
2
14
7
.
.v
.
3
719
-
3. s
3
v0
17
pS
L-
/3 o
3
S
o
Z
3
,
2
To -Labor
S`
779
Material
I d'
' Y
W
1
ADJUSTMENrS:
A. Labor Overhead:
12i [ Billies 19- Billies
Total
1. Adjusted Overhead (above)
2. Leas: Billed Inv. thru L
.~ S 0
2 0
3. Labor Overhead Adjustment
d
d 0
B. Material Handling Overhead:
1. Adjusted Overhead (above)
2? Less: Billed Inv. Y_ thru LI
a
3. Material Handling Overhead Adjustment
C. General and Administrative Expense:
Moiated
f
1. Total Charges: Inv. 3 thru 1-31
a
?,Z-, P
2. Overhead Adjustments (A3 plus B3)
3. Total Allocable Cost Base
,S S
J
Z
h. G & A Rate
5. Adjusted G; & A Expense
6. Less: 0 & A Billed Adjusting Period
zaz
7. 0 & A Expense Adjustment
1-2 17, a /
D. Total Adjustment (C2`plue p7-)
-
* Final - Not Subject to Further &djustment
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
EASTM&N KODAK COMPANY
APPARATUS & OPTICAL DIVISION
ROCHESTER 4, NTnT YORK
U. S. Government
EG-400 Task I
Attachment to B.V. #131
2-2798
Accumulative
Total
This
Billing
Prob am
1
4 18,757.16
146.77
16,754.66
130.69
3
81,116,65
633.34
4
12,043.74
94.50
Total
$128,672.21
11,005.30
Less Overrun
(350.21)Cr.
--0-
Total
$128,322.00
$1,005.30
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
Contract No. EG-400 Task I
B.V. No. 131 7/12/63
Completion Voucher
Z- 2798
Total Costs Provided for in Contract $ 121,620
Total Fixed Fee Provided for in Contract 602
$ 128,322
1960 Negotiated Rate Adj.
1961 Negotiated Rate Adj.
and additional Cost in 1961
Accumulative XXXUMXw'
Totals
Salaries and Wages J 31,947.00
Overhead 61,863.95 $ 349,43
Materials 19,618,00 74.00
Subcontract
Travel
General & Administrative Expense
Total Costs Incurred Excluding Fee
Less Overrun
Total Costs IX
Fixed Fee
Total Claimed
8,541.26 (936.44) Cr.
121,970,21 (513.01) Cr.
(3 50.27.) Cr. 513,01-
121A620,00 ..0..
6,702.00 1,005.30
X128,322.00 $1,005.30
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
0 S.&
16 duly 1963
adz 63J
Under Contract EG-400, Task I, we are submitting
completion voucher No. 131 in the amount of $1,005.30.
STAT
cc-JLB
ELG
FGF
EJB
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
Standard Form No. 4034 PUBLI OUCHER FOR PURCHASES AND ift
7 GAO 5000 C.~
10~k108-04 I.1~KrACES OTHER THAN PERSONAL 156
Government I PAID BY
Voucher prepared at
(Deportment, bureau, or establishment)
Rochester, T!ew York -November 15, 1963
Payee's Account No. 2-2798 Discount Terms
ED st:aan Kodak Company
343 State Street
Rochester 4, New York
'G-400 Task. I Date 8/23/60 Req. No. Date Invoice Rec'd.
Contract No.
Shipped from to Weight Govt. B/L No.
ARTICLES OR SERVICES UNIT PRICE AMOUNT
No. and Date of Da,- of Delivery (Enter description, item number of contract or Federal supply Quantity Cost Per
Order or Service schedule, and other information deemed necessary)
Correction to B.V. 5 dated iaruh 1 , 196
Overbilling for fixed fee due to re uctio_
in_ total amount of fixed fee under ask I
A.s billed `6 tp 1.90
8 %? ~of original total fixed fee fo $7, 64.o0 . , 7
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Should. be 6 6.
85~ of revised total fixed fee for6, 70 .00 5, 9 70
Accu ilative totals as appearing in
Coma etion Voucher B.V. #131 are correct TOTAL D 7 ?2
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
correct for
if
d
Amount ve
__
r
ie
;
-
Si
t
or initials)
ure
(
gna
-
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
(Authorized Certifying Officer) (Date)
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED 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
Check No. on
Paid by (Name of Bank)
Cash, $ , on , 19 Payee
When used in foreign countries, insert name of currency of country in which used. Per -
t If the ability to certify and authority to approve are combined in one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for $ and
Title -
over his official title.
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
 Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5
hau 23 It 27 A ' S3
15 November 1963
Under Contract EG-400, Task I, we are submitting
Bureau Voucher No. 156 in the amount of $775.20 which is a
credit applying to Bureau Voucher No. 5 dated 15 March 1961.
cc - JLB
ELG
FGF
EJB
Approved For Release 2008/12/17: CIA-RDP65-00523R000100080018-5