REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100090025-6
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
8
Document Creation Date:
December 21, 2016
Document Release Date:
December 11, 2008
Sequence Number:
25
Case Number:
Publication Date:
August 17, 1961
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 416.99 KB |
Body:
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
SECRET
(When Filled In)
REQUEST FOR PAYMENT AND POSTING VOUCHER
TO Finance Division, Accounts Branch
THROUGH: Monetary Branch
I VOUCHER NO. 7.12
DIVISION VOUCHER NO.
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.
34-39
STATION
CODE
CONTRACT NO.
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 R
.
-
11-DATE I SIGNATURE OF PAYEE _ O_F OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE I SIGNATURE OF AGENT
47.52
OBLIG.
REF. NO.
ADVANCE
ACCT. NO.
54.57
GENERAL
LEDGER
ACCT. NO.
/.C)
CHECK TO BE DATED ,.
ANK CASHIER'S CHECK ell,
58.67
ALLOT. OR COST
ACCT. NO.
/4
62-67
CK. NO.
zIr-
68-70
DUE
DATE
OBJECT
CLASS
74"
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
71.80
AMOUNT
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
ru L vuuLntK rUK t'UKLHASES AN D. 0. VOU. NO.
VICES OTHER THAN PERSONAL
U. S.
Voucher prepared at
Payee's Account No.
R1 ocnescer 1!-z New '1os'c
Page I o' 1
Date Req. No. Date Invoice Recd.
No. and Date of
Date of
Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
Q
tit
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
uan
y
Cost Per
Inv. Nos
31 az
w
G%
~ 1,339-58
32
..
971.25
TOTAL
2
10
8
PAYMENT:
(PAYEE MUST NOT USE THIS SPACE)
-
3
#3
^
COMPLETE
DIFFERENCES
STAT
PARTIAL El
FINAL El
PROGRESS El
Amount verified; C
ADVANCE fl
Approved for
-$
3y
t.
title
/ G l~?
xchange rate
-$1.00
(Da
Of 3 cex )
[
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MAD
ACCOUNTING CLASSIFICATION (Appropriation Sy
STAT-
( Check No.
Cash, $ , 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-
sory; otherwise the approving officer will sign on the line below "Approved for $ ', and
er his official title.
Per
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
7 d~'t7~ or 1}0. 1034
Pt C VOUCHER FOR PURCHASE
SERVICES OTHER THAN PERSO
Use continuation sheet(s) if necessary
(Department, bureau,, or_esfablishMent)
Voucher prepared at Roche~ter% Yore June 30, _196 .
Payee's Account No.
Z-2053
(Give place and date)
Discount Terms
TO Zastman Kodak CompanT
(Payee)
31t3 State Street
Contract NoT!'?CJ-2219
Shipped from
Roth ester L." New York
Date 2/19/78 fLeq t7
Weight
31
Govt. B/L No.
and Date of
No
Date of Delivery
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
.
(Enter description; item number of contract or Federal supply
Quantify.
Order
or Service
schedule,. an' .other information deemed necessary)
Cost
Per
5/15/61 `
Re-zsnlbu able Costs Incurred
$1,339.58
through
6/11/61
TOTAL
SPACE
(PAYEE MUST NOT USE THIS
)
PAYMENT:
,
DIFFERENCES
COMPLETE
PARTIAL
F(NAL
PROGRESS n
Amount verified;
ADVANCE..
- , ... ....
(Signature or ins
Pursuant to authority vested in me, I certify that STAT
f 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 RE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AIIREEMENT IN ANY FORM
ACCOUNTI.NG;CLASSIF[CATION (Appropriation Symbol must be shown; other classification optional)
Paid by
`When used in foreign countries, insert name of currency of country in which used.
f If the ability to certify and authority to approve are combined in one person, one Sig- Per
nature only is necessary; otherwise the approving officer will sign on the line below
"Approved for and over his official title. Title 19 79
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100090025-6 G OFFICE: 60.556940
Check No. on Treasurer of the United States
1 Check No_ on -
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
6tand4d FOrm No. 1035-Re,--
_r -I`' prescribed by
Oomptroller General, U. S. lic Voucher for Purchases
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal1
CONTINUATION SHEET
U. S. --_ Government
-------------------- ----- --- ---
(Department, bureau, or establishment) Sheet No. ----I ----- of Bureau Voucher No. -- 1
No. and Date
of Order
Date of
Delivery
or Service
5/15/61
hrough.
6/11/61
ARTICLES OR SERVICES
UAN-
(Enter description, item number of contract or Federal supply schedule, TITY
and other information deemed necessary)
Labor Category Rate (Hours
#2
#3
III Shop
Laboratory Hand #2
Guard Time
Engineer
it
$14.82 17.0
11.)l0 69.5
10-74,,'16.3
10.71 2.5
7.).2 5.5
Material-Subject to Mttl. Hdlg. I~rnense
Stores
Material-Not Subject to Mtil.-Hdlg. Ex-b,
Petty Cash Purchases
Total Material
Mater s Handling Expense
14.4% of $3.00
G?, A 4ense
8.8% of $48.43
$3
4 5
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
AMOUNT
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
June 30, 1961
Under Contract HF-CJ-2219 we are submitting
Bureau Voucher No. 31 in the amount of $1,339.58
which represents reimbursable costs incurred during
the period May 15, 1961 through June 11, 1961.
cc - ELG
JLB
194 WV OS I I
1nr
STAT
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
spared at
LIC VOUCHER. FOR RpHASENAL
ERVICES OTHER THAN
Use continuation sheet(s) if necessary
apartment, bureau, or esTCU........ -"" St 2f 1961
cl t. . York A
and date)
l
e
Payee's Account No.-
sable costs. incurred
.Exchange Rate ...
orcr ne dv10cnTED WHEN PURCHASES ARE MADE OR SERVICES SECURED
E8~StAia13__ oda
PAYMENT:
LOMPLETE La
PARTIAL 1:1
fiRAL ? - 11
PROGRESS
ac
(Give p
Discount Terms_
Rochester 4, New York
Date .2/19/58 Req. No.
to Weight
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
ACCOUNTING Ct SSIRCATION (Apoopriafl6n Symbol must be sbovirt other classification optional)
(Date)
,(Authorized Certifying Officer)
on Treasurer of the tiriited States
19 vayee__
on
Cash
,
t. }tPA'used, In fj2alari,4ountries, insert name of currency of country in which. used Per_
cnn_ One sis-
a A~rlrl3r &n essaty otherwise tfle approver g=arncer Title
I
V fo S ~, and over his official title.
U. S. GOVERNMENT PRINTING OFFICE: 1960-556940
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
Amount verified; c
or initial
(Signature
Pursuant to authority vested in me, I certify that
this voucher is cgrrect and proper for payment.
PAID BY
COPY OF
Invoice Rec'd.
Govt. B/L No.
9 .Form NApproved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
b ~....
Form prescribed by ....
Q eptember 7, General, 1950 II. S.
I11ic Voucher for Purchases ad
Septem
Material-Not subject to Mtll.Hdl .Ex ens
Stores $13.00
Petty Cash Purchases .00
Total Material
8.8% of $22.00
2200
194e"
$ 97125
W LIICF nan rersonat
CONTINUATION SHEET
U
S
-
-
-
-
-
-_--
-
.
. -----
--
--
--
--
---
--------------- ----- ---- ----- ---
--------------------------------- Sheet No. 1 of Bureau Voucher No. _32
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Servce
ARTICLES OR SERVICES
(Enter
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
QUAN-
AMOUN
T
6/12/61
Labor Category Rate
Hours
through
Am
nt
7/9/61
Engineer #2 $14.82
u
32.0
$ 474
24~
11.40
40.0
Guard Time 7.42
2.3
17
0,
9V7-
j
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6
IlPDT YT/-61'
COPY / QE
3 August 1961
Under Contract HF-CJ-2219 we are submitting
Bureau Voucher No. 32 in the amount of $971.25 which
represents reimbursable costs incurred during the period
12 June 1961 through 9 July 1961.
STAT
cc - ELG
JLB
19, w ?Z C 101V
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090025-6