REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100090005-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 5
• Content Type: FORM

Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
I
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
TO Finance Division, Accounts Branch
THROUGH: Monetary Branch
DIVISION VOUCHER NO.
s f
i
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).
PAYMENT TO {,1 _Y }M1/Y,
AMOUNT {1
CONTRACT NO.
// /"=- - C Mfr
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
43
45-46
47.52
58
67
28-33
T/A NO.
STATION
CODE
40.42
EXPEND
P
U
PAY
PER
OBLIG.
REF. NO.
53
54-57
GENERAL
.
ALLOT. OR C03T
ACCT
N
68-70
DUE
71.80
AMOUNT
DESCRIPTION-
CODE
.
DA
.
O.
DATE
ADVANCE ACCOUNTS 13.27
P.O. NO.
PROP. NO.
N
LIq
ADVANCE
LEDGER
62.67
132-33
DIV.
PROJECT NO.
r-
FY
D
5
ODE
ACCT. NO.
EMP.NO.
YR
ACCT. NO.
CK. NO.
X REF. NO
NO.
OBJECT
CLASS
DEBIT
CREDIT
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25X1
REPA
DATE
AUTH
ORIZED CERTIF-YING OFFICER DATE
TOTALS
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FORM
4-61
SECRET ( f )
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
SECRET
(When Filled In)
 N'( 0+03!
tyrtc~.(t t, o rso
1034n106.04
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
PUBLI`JOUCHER FOR PURCHASES AND 4P
SERRY~ffCES OTHER THAN PERSONAL 53
Rochester, New York April 15, 1963
d t
Voucher prepare a
z-2o53
Payee's Account No. Discount Terms
Eastman Kodak Company
343 State Street
Contract No. HF-CJ^2219
Shipped from
Rochester 4, New York
Date 2/19/58 Req. No.
to Weight
Date Invoice Rec'd.
Govt. B/L No.
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of D
ate of Delivery
(Enter description, item number of contract or Federal supply
Quantity
--
-
Order
or Service
schedule, and other information deemed necessary)
Cost Per
2/25/63
through
Reimbursable Costs Incurred
$938.39
3/24/63
TOTAL
$938 X39
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
COMPLETE ^
PARTIAL ^
_________ __
_----. --'- __-_ __-- .... _
FINAL ^
-- ----STAT-
PROGRESS ^
Amount verified; correct for_
ADVANCE ^
(Signature or initials)_
- -
Approved for =$
By
Title
Exchange rate = $1 .00
Check No.
on
' 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-
essary, otherwise the approving o1cer will s 9,, on the line below Approved for S and
over his ofrc-al wit.
;ing Officer)
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
 Standard Form No. 1035 Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
JfG'AO 5030 r c v oucner ror r- urcnases a~
"~ 1035-105
rvices Other Than Personal
CONTINUATION SHEET `
Government---------------------------------------------------------------------- Sheet No. -- 1------ of Bureau Voucher No. - 53 ------
(Department, bureau, or establishment)
Date of
ARTICLES OR SERVICES
UAN-
UNIT PRICE
AMOUNT
No. and Date
of Order
Delivery
(Enter description, item number of contract or Federal supply
or Service
schedule, and other information deemed necessary)
Cost
Per
2/25/63
Labor Category Rate Hour
Amo
t
through
3/24/63
Engineer #3 $11.20 j .0
$ 44
80
Engineer Shop 11.24 ,(6.o)
Cr.
(67
44)
Laboratory Hand WG-13 957 40.0
382.
801"/
11 it WG-11 8:63"41.0
353
83
Guard Time 7.47 / 3.1
22
46
$737.15
Material Sub .to Mtl.Hdl ens
Purchases - Fixed Price
164.00
Material Handling Expense
/
15.0% of $164.00
24.60
G & A Expense
o6.rf $188.60
12.64 V
$938.39
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
 Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8
? ?
15 April 1963
Under Contract HF-CJ_2219 we are forwarding Bureau
Voucher No. 53 in the amount of $938.39 which represents
reimbursable costs during the period 25 February 1963
through 24 March 1963.
STAT
cc: JLB
ELG
FGF
EJB
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090005-8