DISBURSEMENT BY TREASURY CHECK
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100100029-0
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
5
Document Creation Date:
December 21, 2016
Document Release Date:
December 17, 2008
Sequence Number:
29
Case Number:
Publication Date:
February 16, 1959
Content Type:
MEMO
File:
Attachment | Size |
---|---|
![]() | 210.75 KB |
Body:
re'6.
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
(.!
14140140,001 Faig C.ttlar,s, Finance Division
Aram(Az ttongetary Yiraneh
SUBJECT
DiSbursesszt by 7.''xkoitisury Mods
WuThar tioo 935
Ciopy of
16 Mowry' /959
4
? It is, kindly rwereteti 'thata U. S. '',VreetastoyCbd b* drawl, in
favor of thA enalvg4nry iitheremdarth thie =mat stet-414.4/ bt:Lich
"b4c..g applteable t* the coatratt cr apvisetiont antra. Tita* faltiatrigt LTIS2b*r
kW/ U.:WIC* identifiezati4-2,z,, met appear on the gilegalc,,
Mack dralvn,i stsimproadt compony
b. Amount.;
c?, Contract Ntrabeg.r';
? InvOi Iltunbtir 4
? Ci*edt, to be dattzi:
4640?21119
,3? . ?
'18.11itrisir 1959
ac, Partinent g.sog,n14*Pyatation in connection tgrith this classified
trtualSvigiarei VAthicit has rot bot nci gLttCcerptrnUers Itratvuotion tiv 32
Nat:1AV Z:k.-56 atteg.x arivmval by the. I= 15mbe.: 1956)i, is on fit* In
th* Office of the ampt.rolltaya DPLI-T,Nr.
3. The payment requestea is bised yrovess wade by the Ocatraftor
to dote end should be procitsmotl aggnst General Ledger ACIXttat 3.3e9
ttLe1"Distarsaoanta of Am:rex/Mated Ands atrargsgable to Crlatieteatial Panda
Allatraeatts Awaiting ,Dig Certifiesti.trz." Ms Allotment Si epplicable to
this rsquest is , and the amount :is chargeable to
Gemara Ledgew AoZc
?4. Tha *heck itgalate :dated is stated in paragraph 1 and mailed
it the attaciamd seif4dtdressed enve?.opeo If no any e is attavhade the
undersignad should be contacted on spttension en paymtat is 25X1
inkidy tor disposition.
25X1
frd Ctrcifying f.rtic,:tr
16 rartiggy 1959
CP.cc?.3
;54
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
standard Form No. 1034. Approved
*,Form prescribed by
? Comptroller General, U. S.
September 7, 1950
Men. Meg, No. 51, Supp. No. 11)
(Amended February 20, 1952)
U.S. ? - u. s.
Voucher prepared at
For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
11111LIC VOUCHER FOR PURCHASES
'SERVICES OTHER THAN PERSONALW Bu. Vou. No.
D. 0. Vou. No.
Government
(Department, bureau, or establishment)
Rochester, New York January 23, 1959
THE UNITED STATES, Dr.,
To Eastman Kodak Company
3143 State Streetj
(Address)
(Give place and date)
Payee's Account No. Z-2053
(Payee)
Rochester h, New York
City
State)
3
PAID BY
?
/ 2-
(For use of Paying Office)
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
QUANTITY
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cts.
PAYMENT:
Complete ?
Partial ?
Final ?
11/3/58
through
12/28/58
Reimbursable Cost Incurred
Use continuation sheet(s) if necessary
7214.148
Shipped from to Weight Government B/L No.
Total
724
148
I certify that the above bill is correct and just and that payment has not been received.
(Sign original only)
n Eastman Kodak Company
(Payee must NOT use this space)
STAT
Differences
Amount verified; cora rt for
4,
17.2e-
ft.r
Datt_a/23/5C)
Per
a evtilleate not required when a like certificata I. nude by my.. on attaehed bill or bill.)
cc.. A & 0 Division
Title C QMP tr Oiler
(Signature or initials
Contract No. HF-JC-2219 Date 2/19/56 Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
t Approved for S.
By
Title
SIGN
ORIGINAL
ONLY
t
Date
Invoice Rec'd.
Title
Date
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
ACCOUNTING CLASSIFICATION (For completion by Administrative Office)
Appropriation, limitation, or
project symbol
Appropriation title
Lirnien. or Proft.
Amount
AjO I r-1 I Ion
Amount
?
Allotment symbol
Amount
Obligations
liquidated
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Symbol
Amount
Symbol
Amount
{ Check No. dated 19 for $ fon Treasurer of the United States in favor of
Paid by lpayee named above.
Cash, $ ,on , 19 Payee
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example:
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
If the ability o 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.
Per
Title
(Bien original only)
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
Foim,No. 1035 .Approved ForRelease2008/12/22 : CIA-RDP65-00523R000100100029-0
Comptroller General, U.S. Pifflic Voucher for Purchases an
Form prescribed by
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
Services Other Than Personal
s?-?
CONTINUATION SHEET
U. S. Government
(Department, bureau, or establishment)
Sheet No.
of Bureau Voucher No. 3
No. and Date of
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
-
TITY
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cts.
11/3/58
Labor Categories Rate Hours
Amo
t
through
12/28/5:
Engineer #1 $19.0634.0
648
04
Engineer #2 13.13, 4.?
52
52
38.0
700
?
Total Labor
700.56
Material
Purchases - Fixed Price
23.00
1959 General and Administrative Expense
4% of Material ($23.00)
.92
724.48'
_
U. S. GOVERNMENT PRINTING OFFICE 16-62666-1
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
NOV
EASTMAN KODAK COMPANY
Rochester, New York
Attention of:
Property Accountability Office
Contract HF-CJ-2219
Analysis of Material from 11/3/58
through 12/28/58
Claimed on BV #3 Z-2053
P.O. Vendor
Description
'Qty.
Total
Purchases Fixed Price
Petty Cash EK Company
Cash Outlay by E. L. Green
12 P '58
9.10
H ItH
It It tI II It
13 P '58
13.55
Total Purchases - Cost Type
22.657/
SUMMARY
Purchases - Fixed Price $ 23.00
Eastman Kodak Company
Apparatus and Optical Division
STAT
Comptroiler
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0
?
Dear Sir:
?typ -
/
January 28, 1959
Under Contract NO. HF-JC-2219 we are forwarding Bureau
Voucher No. 3 in the amount of $724.48 which represents costs
incurred during the period November 3, 1958 through December 28, 1958.
Enclosure
Approved For Release 2008/12/22 : CIA-RDP65-00523R000100100029-0