DISBURSEMENT BY TREASURY CHECK

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP65-00523R000100100022-7
Release Decision: 
RIPPUB
Original Classification: 
S
Document Page Count: 
5
Document Creation Date: 
December 21, 2016
Document Release Date: 
December 17, 2008
Sequence Number: 
22
Case Number: 
Publication Date: 
January 19, 1960
Content Type: 
MEMO
File: 
AttachmentSize
PDF icon CIA-RDP65-00523R000100100022-7.pdf196.14 KB
Body: 
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 SECRET Voucher No. D Azaw ) ORMIW i FOR : Chief, Finance Division ATTENTION : Monetary Branch SUBJECT : Disbursaent by Treasury Check 1. It in kindly requested that a U. S. Treasury Check be drawn in favor of the ccmpany listed hereunder in the amount stated' which will be applicable to the contract or agreement shown. The contract number and invoice identification must appear on the check. a.. Check dxavn in favor of: '4-~ b. Amount - c. Contract Number: E'? d. Invoice Number: e. Check to be dated,: A any 11~* 2. Pertinent documentation in connection with classified transaction. which has not been included in accordance wi Comptrollers Instruction No. 32 the Office of the Comptroller, D - P. 2he 3? payment requested is based on progress the Contractor to data and should be processed against General count No. 138 titled "Disbursement of Appropriated Funds Checrge a to Confidential Funds- Allotments Awaiting DCI Certification." The Allotment gy$bl applicable to, this request is .IJMS T 4~!'~9 aging the amount is chargaable to General Ledger.. count No. 601.0. The check. should be-dated as stated in paragraph 1 and mailed in the attached self-addressed envelope. If no envelome attached the undersigned should be contacted on extenai when pay nt25X1 is ~rcady for disposition, VP oAirthorized Certifying Officer L9 ufty Wis. Dist: 7Addressee VIL - Contract '-CJ-2219 (post) 1 - Voucher File EL:nh/DPD Fin/19 January 1960 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 Standard Form No. 1034 7 qAO 5030 1034-107 U. S. Government Use continuation sheet(s) if necessary Voucher prepared at Rochester, New York Payee's Account No. Z-2053 Discount Terms Eastman Kodak Company 343 State Street Rochester, New York Contract No. HF-CJ.2219 Date 2/19/58 Req. No. Shipped from - to Weight December 21, 1959 Date Invoice Rec'd. Govt. B/L No. (Give place and date) ARTICLES OR SERVICES UNIT PRICE AMOUNT No. and Date of Date of Delivery (Enter description, item number of contract or Federal supply quantity Order or Service schedule, and other information deemed necessary) Cost Per 11/2/59 Reimbursable Costs Incurred $2,022.92 through 11/29/59 TOTAL $2,022.92 (PAYEE MUST NOT USE THIS SPACE) PAYMENT: DIFFERENCES STAT COMPLETE ^ PARTIAL ^ FINAL ^ PROGRESS ^ Amount verified; cor ADVANCE ^ (Signature or initials i t Approved for Pursuant to author ty vested in m = $ nt. By t /,g ~(, Z, Title (Date) Exchange rate =$1.00 STAT THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE 0 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 PUBL~~~,V1l000HER FOR PURCHASES AND *D. 0. VOU. NO. SER~fCES OTHER THAN PERSONAL 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 nec- essary; otherwise the approving officer will sign on the line below "Approved for $ ", and over his official title. Payee Per Title Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 ata.nda.rd Form No. 1036-Revised Form prescribed by Comptroller General, U. S. Put , Voucher for Purchases an September 7, 1950 (Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal CONTINUATION SHEET U. S. ________ U. S. Government _______________ Sheet No. ___I_______ of Bureau Voucher No. Date of ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT - No. and Date of Order Delivery or Service (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) TITY Cost Per Dollars Cts. 11/2/59 Labor Categories Rate Ho s through 11/29/5 Engineer #1 $18.37 12 0 $220 .44' Engineer #2 13.10 7. 0 91 70/ Engineer #3 10.03 64 0 641 -92"' Shop 9.51 84 .0 798 84 Laboratory Hand #1 10.87 4 .0 43 !i8 Laboratory Hand #4 7.9 71.E 0 111 16 17 .0 1,907 Material - Subject to Material Handling ens Purchases-Fixed Price 53.00 Stores Material 3.00 56 00 Material - Not Subject to Material Handli ng E ense Purchases-Fixed Price 7 00 Total Material 103 00 1959 Provisional Material Handling Expens e 12.1% ofd.00 6 .78 1959 Pro sional G&A Expense 5.1 of 109.7 5 60 $2,022 . Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 Eastman Kodak Company Rochester, New York Attention of: Property Accountability Office Contract HF-CJ-2219 Analysis of Material from 11/2/59 through 11/29/59 Claimed on BV-L-2053-12 Subject to Material Handling Expense Purchase Order Vendor Purcha-s~ es - Fixed Price 00403 Bocar Engravers 00405 John M. Forster Co. 068075 i:" 91 Alum 8" 1g. Not Subject to Material Handling Expense Description Qaantii Total Knobs, Switch Plates 3 - 20 & and Name Plates 3 ea $ 28.00 Gears 14 25.00 $ 53-00 Stores Material Stock Number Description Quantity Total 2 Purchase Order Vendor Petty Cash EKCo. - A&O D Petty Cash EKCo. - A&O D Descript Ann Cash Outlays by Refund for Freight Charges paid on Omaha Pro 47-1842 9 . 3 lb. $ Quantit Total $ 68-49 STAT (21.85) $ 46 SUM M17 Material Subject to Material Handling Expense Purchases - Fixed Price $ 53.00 Stores Material 3.00 $ 56.00! Material Not Subject to Material Handling Expense Purchases - Fixed Price 47.00 Total Material $ 103.00 Eastman Kodak Company STAT Comptroller Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7 December 23, 1959 Under Contract HF-CJ-2219 we are forwarding Bureau Voucher No. 12 in the amount of $2,022.92 which represents reimbursable costs incurred during t'-,.e period November 2, 1959 through November 29, 1959. STAT cc - JLB ELG 65, lid 8E 1 E 330 Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100022-7