REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100160005-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 5
• Publication Date: December 26, 1961
• Content Type: FORM

Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160005-0
VOUCHER NO. 7-12
VOUCHER NO. 7.12
REQUEST FOR PAYMENT AND POSTING VOUCHER
TO Finance Division, Accounts Branch
DIYISIO N VOUCHER NO.
THROUGH: Monetary Branch
j .x
Request payment be made and/or transaction be recorded as indicated bel
P
ow.
ertinent documentation in support of
this transaction is on file in this office.
SUBJECT
INVOICE NO(S)
PAYMENT TO
CONTRACT NO.
7F 2
AMOUNT
AM CHECK T
O BE DATED
CASH PAYMENT U.S. TREASURY CHECK I I AGENT CASHIER CHECK _ BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT
`
AS INDICATED BELOW.
1 HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW
. TO RECEIVE $
DATE SIGNATURE OF PAYEE DATE
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
SIGNATURE OF AGENT
DATE SIGNATURE OF RECIPIENT
II
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
~3
'
I
26-33
T/A No.
STATION
CODE
40.42
EXPENC
'
F
u
46.46
PAY
47-
-%2
OBLIG. 63
REF. NO.
54-57
GENERAL
58.67
68-70
ALLOT. OR COST DUE
DUE
"
'
DESCRIPTION-
ADVANCE ACCOUNTS 13
7
P.O
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PROP
NO
CODE
N
PER.
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ADVANCE
ACCT. NO.
DATE
AMMOUOU
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.2
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.
.
LIQ.
LEDGER
62-67
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Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160005-0
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 II Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160005-0
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
TO Finance Division, Account
s Branch
DIVISION VOUCHER NO.
Monetary Branch
THROUGH:
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
this transaction is on file in this office.
SUBJECT
INVOICE NO(S). t f ':
I
r
PAYMENT TO
CONTRACT NO.
AMOUNT
CHECK TO BE DATED
ASH PAYMENT
U.S. TREASURY CHECK
I
I
AGENT CASHIER CHECK
:T
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE
SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
43
45-46
47-52
OBLIG
58-67
68-70
26-33
STATION
40-42
F
PAY
.
53
54-57
ALLOT. OR COST
DUE
71-80
T/A NO.
CODE
EXPEND
U
PER.
REF. NO.
_
GENERAL
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
P.O. NO.
PROP. NO.
CODE
N
LIC
ADVANCE
ACCT. NO.
CA
YR
LEDGER
62.67
CK
NO
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132.33
DIV.
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FY
D
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CLASS
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Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160005-0
 Standarc. m Ivb. 1034
7tGAC 5030
1034-107-16
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160005-0
P IC VOUCHER FOR PURCHASES A
RVICES OTHER THAN PERSONAL
U. S.Contracting Officer
(Department,
Voucher prepared at
bureau, or establishment)
8 August 1961
Payee's Account No. Discount Terms
TO Edgerton, Germeshause & Grier Inc.
(Payee)
Ccntract No.TE-2191 Date 4/26/57 Req. No.
Shipped from to Weight
?_ .?_
DP
CGPY / OF.
Date Invoice Rec'd.
Govt. B/L No.
d D
f
t
f D
li
D
ARTICLES OR SERVICES
i
UNIT PRICE
AMOUNT
ate o
No. an
very
a
e o
e
(Enter description, item number of contract or Federal supply
ty
Quant
Cost
Per
Order
or Service
schedule, and other information deemed necessary)
Balance Fixed Fee
$10,341.47
TOTAL
10,
NT
(PAYEE MUST NOT USE THIS SPACE) 25X1
PAYME
:
~
COMPLETE ^
DIFFERENC
/J a1
r
PARTIAL