PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100100014-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 18, 2008
• Sequence Number: 14
• Publication Date: August 19, 1960
• Content Type: FORM

StaAdard Form No. 1034
7 GAO 5030
1034-107
U. S`
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
PI?IC VOUCHER FOR PURCHASES AII~ D. 0. VOU. NO.
~"ERVICES OTHER THAN PERSONAL
"4.
Ue S. C-overrgnent
(Department, bureau, or establishment)
New York August 19, 1960
Rochester
'
Voucher prepared at
(Give place and date)
Payee's Account No. Z-2053 Discount Terms
TO Eastman Kodak Company
(Payee)
343 State Street
Rochester 4.9 New York
Contract No. HF--CJ-2219 Date 2/19/58 Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
~ 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)
6/13/60
tarough. Reimbursable Costs Incurred
7,'10/60
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
STAT
r~
YMEb4
C0 PLETE El
PARTIAL ^
FINAL El
PROGRESS El
ADVANCE El
Amount verified; correct for-
(Signature or initials
$1,468.73
STAT
del, 68,73
STAT
Pursuant to authority vested in me, ce Iry mat
t Approved for =$ this voucher is correct and proper for payment.
By t (Authorized Certifying Officer) (Date)
Title
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No. on Treasurer of the United States
Paid by Check No. on (Name of Bank)
1 Cash, $ , on , 19
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 necd-
essary; otherwise the approving officer will sign on the line below "Approved for $ and
his official title.
Payee
Per -
Title_
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
stenndard Form No. 1~, ,~.. .. ,
Form prescribed by
Comptroller Gene ral , U. S. ?blic Voucher for Purchased
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
` CONTINUATION SHEET
_ _____ __________ _________________________________ Sheet No. ---1------ of Bureau Voucher No.
U. S. Government------------------------------------------------------------
(Department, bureau, or establishment)
19
t
f
D
ARTICLES OR SERVICES
TUAN-
UNIT P
RICE
AMOUNT
No. and Date
e o
a
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
of Order
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
6/13/60
Labor Categories Rate
Ho
rs
Amou
nt
through
7/1C/60
rc ~~
Engineer ??1 $19.52
2
.0
50
~2
Engineer `2 11.02
#3 10.84
i
En
1
3
.0
-0
22
346
.32
.W
.
g
neer
o 9.85
Engineer Shop
1
r. 8
0
Cr. M
80)
c
66
.o
$99C1
4102.1
Material-Not Subject to Hat 'l, Handling
EM-
Petty Cash Purchases
i12L
.CO
Material-Subject to Matll. Handling e
se
Purchased-Fixed Price
21
8.C0
Total Material
40
.00
E;)cpense
t - ial Handlin
M
g
a
13% of $278.00
3
.i1
G & ~A~Expense
7% of $4.38.14.
3
.67
$1146E
,713
/
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
EASTMAN KODAK COMPANY
Apparatus and Optical Division
Rochester 4, New York
Attention of:
Property Accountability Office
Contract HF-CJ-2219 July 10,
1960
Analysis of Material from June 13, 1960 through y ,
Claimed on B. V. L-2053-18
Not Subject to Material Handling Expense
Petty Cash Purchases
$ 124.
Su
ct to Material Handling Expense
F.O. No.
Vendor
Description
Qty.
Total
Purchases - Fixed Price
L- 690-00829
Ames Rubber Corporation
11
Roller Assy.
11 it
3 3
1
$ 16.
22.
L-) i.690-00829
11 11
C
Motors
3
228.
T,-x.690-00691
o.
Electric Indicator
ter
h
R
Bearings
6
12.
_
L-4690-00872
es
oc
Syracuse Bearing
4 277
Total Material $402.00
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6
August 22, 1960
Under Contract HF-CJ?2219 we are forwarding Bureau Voucher
No. 19 in the amount of (1,468.73 which represents reimbursable costs
incurred during the period June 13, 1960 through July 10, 1960.
STAT
cc - JLB
ELG
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100014-6 _