REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100090017-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 17
• Publication Date: April 24, 1962
• Content Type: FORM

Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER I VOUCHER NO. 7.12
TO Finance Division, Accounts Branch DIVISION VOUCHER O.
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).
PAYMENT
CONTRACT NO. ~ -
A T
CHECK TO BE DATED
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.
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
47-82
58.67
gg
7O
28-33
T/A NO.
STATION
CODE
40-42
EXPEPoC
F
U
PAY
PER
OBLIG.
REF. NO.
1.3
54-57
GENERAL
ALLOT. OR COST
ACCT
NO
.
DUE
71-80
AMOUNT
DESCRIPTION-
cooE
N
.
_
CA
.
.
DATE
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
LIQ.
ADVANCE
A
LEDGER
62-67
132-33
2-
ow.
PROJECT NO
. FY
O
S
CODE
CCT. NO.
EMP. NO.
YR
ACCT. NO.
CK. NO.
X REF. NO.
OBJECT
CLASS
DEBIT
CREDIT
6Y' /'1
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AUTHORIZED CERTIFYING OFFICER DATE
TOTALS V-7
25X1
a.l.~
SECRET
(When Filled In)
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
 ,S'omlard Form No. 1f31
1 (:AO 5000
103 4-108-04
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5 7
PU C UCHER FOR PURCHASES AN ""
WRVWS OTHER THAN PERSONAL is S -' 41
U. 5. - Government
Voucher prepared at Rochester__New York April 13, 1962
Payee's Account No. _ Discount Terms
TO Eastman Kodak Company
(Payee)
343 State Street
Contract No. HF-CJ--2219
Shipped from
No. and Date of
Order
Date of Delivery
or Service
Rochester If,, New York
Date 2/19/58 Req. No.
to Weight
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Date Invoice Rec'd.
Govt. B/L No.
UNIT PRICE
Cost I Per
1/26/62
through
5397.77
,/25/62
97.77 '
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
^
t Approved for =$ t
By ---- -
Title t
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES ARE MADE OR
ACCOUNTING CLASSIFICATION (Appropriation Symbol
Amount verified; co
(Signature or initial
STAT-
STATa
Check No. on Treasurer of the United States
Paid by Check No. on____-_
(Name of Bank)
Cash, $ - --- r on 19- -- - Payee
' When used in foreign countries, insert name of currency of country in which used.
t If the ability to certify and author ty to approve ore combined in one person, one signature only is nec- -
essary; otherwise the apprw.ng officer will sign on the line below "Approved for $ and
over his official title. Title
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
 Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
- Form prescribed ~ Voucher for Purchase-**
,.' Comptroller General, U. S.
September 7, 1950
(Gen
R
N
.
.
eg.
o. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U . S- --------------------------------------------------------------- --------------------------------- Sheet No. ------------ of Bureau Voucher
(Department, bureau, or establishment)
No. and Date
of Order
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other Information deemed necessary)
Labor Catego Date
Engineer ##`2 W-12&-'
11 #3 11.74
it #4 10.22
Laboratory Hand (wg-15) 11.12
Guard Time 7.65V
Ma.teria1-Prot Sub1j,._ to P1tf1.Hd1 .Expense
Purchases-Petty Cash
QUAN-
TITY
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
 Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5
13 April 1962
Under Contract HF-2219 we are submitting Bureau
Voucher No. 41 in the amount of $397.77 which represents
reimbursable costs incurred during the period 26 February
1962 through 25 March 1962.
STAT
cc - JLB
ELG
EJB
Q A
I '~ J\
a
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090017-5