PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100100007-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: December 22, 2008
• Sequence Number: 7
• Publication Date: February 19, 1958
• Content Type: FORM

1L,, / I ropy ov
Standerd Form No. .1034
7 GAO 50T
1Jt34-107-i6
U. S. Government
Voucher prepared at
Payee's Account No.
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4
PUBLIMOUCHER FOR PURCHASES AND OD. O. VOU. NO
R THAN PERSONAL
.
SER ES OTHE
Use continuation sheet(s) if necessary BU. VOL. NO.
(Department, bureau, or establishment)
Rochester. New York January 18, 1961
(Give place and date)
Z-2053 Discount Terms
Eastman Kodak Company
(Payee)
343 State Street
Rochester 4, New York
Contract Nciff.?CJ-2219 Date 2/19/58 Req. No.
Shipped frwss - ~ to Weight
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)
11/28/60
Reimbursable Costs Incurred
$29617.42
thro h
12/25/60
TOTAL
$2.617-4_2
(PAYEE MUST NOT USE THIS SPACE
)
PAYMENT:
STAT
DIFFERENCES
COMPLETE
PARTIAL u
FINAL
Z
PROGRESS
Amount verified; c
ADVANCE
(Signature or initial
t Approved for =$
By
rJ~~noSi
Da') nn
Title Rn+T Lt
Exchange Rate =$1.00 o.Lv..eao S Barr
MENT IN ANY FORM
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)STAT
Check No. on Treasurer of the United States
Check No. on
? When used in foreign countries, insert name of currency of country in which used.
t If the ability tc 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.
IGEx 1960-SS690
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4-?F
 a,oT- -- ___ -__- Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4
maw yreSC:.Dea oy
(Jomgtrolle*~(leneral, U. 8 Pu Voucher for Purchases anda
- ~_
September 7
1950
,
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Person ;l r,/ G c~46 -4
aovernmenL
U. S. --- --------------------------------------------------------------------- Sheet No. ---------- of Bureau Voucher No. --- 25
(Department, bureau, or establishment) " '
No. and Date
of Order
Rate
$19.52
10.84
MaterialSubject to Matfl.Handlfg. Exp.
Purchases-Fixed Price
$1,717.00
Material Not Subj. to Matfl.Hdlg. Exp.
Purchases-Interdivisional
$ 14.00
Stores Material
23.00
Petty Cash Purchases
18.00
Total Material
Travel Expense
1,71700
00
1, 772 00
00 CR
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
19 769F00
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4
e
January 19, 1961
Under Contract HF-CJ-2219 we are forwarding Bureau Voucher
No. 25 in the amount of $2,617.42 which represents reimbursable costs
incurred during the period November 28, 1960 through December 25,
1960.
STAT
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100007-4