DISBURSEMENT OF TREASURY CHECK

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100100002-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 18, 2008
• Sequence Number: 2
• Publication Date: June 12, 1961
• Content Type: MEMO

Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
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Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
 Standard Form No. 1O34
`r t 7 PAO 5030
1034-107-16
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
PlIC VOUCHER FOR PURCHASES i o. VOU. NO.
RV CES OTHER THAN PERSONAL ~0
Use continuation sheet(s) if necessary BU. VOW. NO.-
U. S. Conerr._ment
(Department, bureau, or establishment)
Rochester. Fern York June 29 1961
Voucher prepared at
Date of Delivery
cr Service
Payee's Account No. Discount Terms
TO Te`,nstmpp 706-p 1g: Commm rv
(Payee)
'L St?te Street
Li/17/61
through
5/14/6?.
Contract No. ? ''CJ'2219 Date 2/19/58 Req. No. Date Invoice Recd.
Shipped from to Weight
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Rr)cb'?ter )40 Yetr vor1k
Cy,
Amount verified; correct for
(Signature or initials)
tl__ K82..n;
< 1fl. ._-0.
STAT
/J82.&5
t Approved for =$
By
Title
Exchange Rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE M
ACCOUNTING CLASSIFICATION (Appropr' ion S~
Check No.
Check No.
that
nt.
~Ivamb STAT-
on Treasurer of the United States
on
(Name of Bank)
Cash, $ , on 19 Payee
wnen 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-
nature only is necessary; otherwise the approving officer will sign on the line below
"Approved for $ ", and over his official title.
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Reimburselbl.e Copts TrrTirrnfl
Per
Title
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9 ~Ec 1860.656840
 Standard Form No. 10W Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
' orm prescribed by
? CoiNtroller General, U. S.
September 7, 1950
(Gen. Reg. No. Or, Supp. No. 11)
TVlic Voucher for Purchases
Services Other Than Persona
CONTINUATION SHEET
U. U. S- ----------------------- -------------------------------------------------------------------------- Sheet No------------ of Bureau Voucher No. 30 ------
(Department, bureau, or establishment)
No. and Date
No.
Date of
D
li
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
of
e
very
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
4/1.7/61
Labor Catepory Rate
_- -----------
Hour
fiinov .
t
thrnv h
5/14/61
Fngip.eer #,'i2
,41.Lo82
17?0
251
4
4
X43 1.1hO
7,00
855
00
Shot 1Co7t!
2606
?85
F8
Laboratory Hand *2 10071
V900
21
h2
rr r- 03 9070
`800
77
60
n rr #4 9.00
V 1.0
9
00
Gu,ir(l. Time 7042
50L
40
07
1- .5.
q-
7_
M?.teriP1- i'?ot subiec.t to Mt'1.0Hd1-'o 'x~no
Petty Cash Pttrchaees
18
00
STAT
Tra.vel Fxnerse
. -
Datee - -.. .
From To ace
Amo
nt
Ali o
2/ 8/61 x'/7/61 i1 b.1 in AFB
etc.
$6
00
4
dj m
2/28/61 3/1o/6. .r rr
rr
4
,o0
4/1.1 /61_ 4/12 /6_ ? ra s1, o - H ~
5
oo
4/12/61 4/12/6. I ra sh 0 , D0
, 0
5
00
A0
y.;
Total Tr=vel Expense
20
00
G.8-- A, 1' n ense
8089 ofnRon0
3
34
$1,582
,05
0/
V
V
th
V
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9
0 ID
June 5, 1961
Under Contract HF'-CJ-2219 we are submitting Bureau
Voucher No. 30 in the amount of $1,582.05 which represents
reimbursable costs incurred during the period April 17, 1961
through May 14, 1961.
cc - ELG
JLB
STAT
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100002-9