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:
Attachment | Size |
---|---|
![]() | 196.14 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