DISBURSEMENT BY TREASURY CHECK

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100100018-2
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 5
• Document Creation Date: December 21, 2016
• Document Release Date: December 18, 2008
• Sequence Number: 18
• Publication Date: June 6, 1960
• Content Type: MEMO

Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
(when falmd in)
M40PAMM FM o Chief, Dimuct Diviaasiom
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CDnfi iil PUM ttente Awaiting Del
to cheek sha d be ei'aalteal$ &i a>+tated in Pamgmyh 1. a
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2 - Addressee
,-r'-' Contract H'F-CJ-2219 '(Posting)
1 - Voucher File
EL.nh/DPD-Fin/6 June 1960
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
 Stendard Form No. 1034
7 GAO 5030
1034-107
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
IC VOUCHER FOR PURCHASES A D. 0. VOU. NO.
ERVICES OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
BU. VOU. NO. 16
Voucher prepared at Rochester, New York May 11, 1960
(Give place and date)
Payee's Account No. Z-2053 Discount Terms
TO Eastman Kodak Company
(Payee)
343 State Street Rochester 4, New York
(Address)
Contract No. HF-CJ-2219 Date 2/19/58 Req. No.
Shipped from to Weight
Date Invoice Rec'd.
Govt. B/L No.
No. and Date of
Order
Dote of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Quantity
UNIT PRICE
Cost Per
AMOUNT
3/21/60
through
4/17/60
Reimbursable Costs incurred
$2,233.22
TOTAL
$2,233.22
PAYMENT:
(PAYEE MUST NOT USE THIS SP
ACE)
DIFFERENCES
COMPLETE ^
STAT.
PARTIAL ^
FINAL ^
a
l
~
PROGRESS ^
ADVANCE ^
Amount verified; c
(Signature or initia
a~~?d
''
Pursuant to authority vested in me, ify that
t Approved for =$ t ment.
Title
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR
STAT-
Check No. on Treasurer of the United States
Paid by Check No. on
(Name of Bank)
Cash, $ on , 19 Payee
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- Per
essory; otherwise the approving officer will sign on the line below -Approved for $ and
over his official title. Title
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
 Standard Form No. 10,35 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
7?"? W??
.~'
103.5-104 blic Voucher for Purchasesid
}
Services Other Than Personal
CONTINUATION SHEET
U. S. ------- U1 S= 3OVernInent--------------------------------------------------------- Sheet No. ---1------ of Bureau Voucher No. -- 16
(Department, bureau, or establishment)
No. and Date
f O
d
Date of
Delivery
ARTICLES OR SERVICES
(Enter description
item nu
f
b
t
F
l
d
QUAN
UNIT PRICE
AMOUNT
o
r
er
or Service
,
m
er o
con
ract or
e
era
supply schedule,
h
TITY
and ot
er information deemed necessary)
Cost
Per
3/20/60
Labor Categories Rath!
Ho
rs
-Ampmul
t
through
4/17/60
Engineer #1 $18-51
26
0
$481
26
Engineer #2 13.30
4
,0
53,
20
Engineer Shop 9.85
5
6
55
16
Laboratory Hand #2 9.64
8
0
12
$666
74
Material-A?ot Subject to Maul Handl I Ex
pense
Purchases - Fixed Price
108
00
Travel Expense
1,356
.00
G-& A Expense
70of($1,464.00)
102
.48
$2,233
122
"
"
t/
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
EASTMAN KODAK COMPANY
Apparatus and Optical Division
Rochester 4, New York
Attention of:
Property Accountability Office
Contract H.F.-CJ-2219
Analysis of Material from 3/21/60 thru 4/17/60
Claimed on B.V. L-2053 - 16
Not rub ject to r'iaterial Handling Expense
P.O. Vendor Description Qty. Total
,
Purchases - Fixed Price
L-4699 - 00459 EK Co. - Kodak Pk. Repair Power Supply 1 $ 50.00
Petty Cash EK Co. - A & OD Cash Outlays by
58.O(STAT
Total Material $ 108.00
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2
w
o:" / OF /
May 13, 1960
Under Contract HF-CJ-2219 we are forwarding Bureau
Voucher No. 16 in the amount of $2,233.22 which represents re-
imbursable costs incurred during the period March 21, 1960
through April 17, 1960.
The travel billed in Bureau Voucher No. 16 is explained
3/13/60-3/20/60
STAT
Springfield, Mass. $585.00
Del Rio, Texas
Riverside, Calif.
Jet surcharge
3/13/60-3/22/60
6
Springfield, Mass.
Del Rio, Texas
Riverside, Calif.
Macon, Ga.
L Y,2 7 Jet surcharge
Total
16,00
746.00
STAT
9.00
$1,356.00
STA.STAT
Enc.
cc - ELG
JL3
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100018-2