DISBURSEMENT OF TREASURY CHECK
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100160011-3
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
6
Document Creation Date:
December 21, 2016
Document Release Date:
December 11, 2008
Sequence Number:
11
Case Number:
Publication Date:
May 18, 1961
Content Type:
MEMO
File:
Attachment | Size |
---|---|
![]() | 273.49 KB |
Body:
, .*
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
SECRET
(Where tilled
P2PDPANDUK FOR: ,Chief, Finance Drivioion
AStr:ZTICT
sttuk,P,,xn
4 1101Wtary Branch
g tAsbarsentent ,cor TrersgUryQr2lec".1k
? Itoue:her 11o. 9229
? 18 My 1961
1, It to recv!..ttcd that a U. i'. Trea.eury Chr.;:ck drawn In nvbr
of the cosparw Liotea hereunder. The contract aumbev and. invniw
1,4entificatIon.
tit appear on the CO
Cho-lk ar-4-n in fnifn? of
Amouat
Ccrttt-f.-wt Autifber
Check to be dated',1
Edgerton, Oermeshausen and Grier, Inc.
$65,010.12
TE-2191
104 and 105
23 May 1961
2, -Pertinent documentation in connection -with thte
t.m.anactioa in on file in the Orfice of ...he COmptroller, VFD-20!F,
. 3. The'dteck .60,ou1d lel dated as stated in Para8muh 1 and mailed.
la trae, attached oelf-addreosed envs.A.uTe. If no eavolove is attadhed,.
the undertigned should be contacted on extenolon,873T/8735. Alen 2.6,ymeint
it ready for dispoaitIon. ? ?
-
? ,
4. The payment should be processed against neneral Ledger Acco4nt,
no, 133, titled rDiab%-arMement of Appropriated PandivChargeabie to Coati-
rinds AlIcteenti Awaitinm DCI Certifitation."-The flebe7a1
Ledger. Accorwati, Allotment Symbol, and Object C1 applicable to this
request is' as ..tol4that: . .
.taTt..1271=1' " . ? OBJIM.
?
Accomrr
?1112,21Mit SIDCBOL
CLAW -
Rae.
r-7Hc7Vryff'-
/Y15111 ?
.601.0
11264966-5300
740
2191
?i6,834 -1/4/4r
601.0
1128-1960..5300
740
23.93.
30,72344A44J- 7/0/
Cash
Dist:
2 dd
Contract TE-2191 (Posting)
1 - Voucher
HEB:jt/DPD-Fin/18 May 1961
3 t
L
$65,010.32
vslak
?
A ? ,7;:"" r..!?
18 May 1961
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
Standard Form No. 103 Approved For Release 2008/12/11: CIA-RDP65-00523R000100160011-3
7 GAO 5030 i t.113 %., vuum-iLrt run rum.nmaE3 AN
0
VICES OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
U. V. %RAI. NV
i?t-106
BU. VOU. NO
U.S.
Voucher prepared at
(Department, bureau, or establishment)
(Give place and date)
Payee's Account No Discount Terms
TO
Edgerton, Germeshausen and Grier,
Inc.
(Payee)
Las Vegas, Nevada
(Address)
Pare 1 of 1
Contract No. WE-2191
Shipped from
to
Date
Req. No.
Weight
Date Invoice Rec'd.
Govt. B/L No.
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)
UNIT PRICE
AMOUNT
Quantity
Cost
Per
Inv. Nos.
$60,665.78
4,344.34
104
105
TOTAL
$65,010.12
PAYMENT:
COMPLETE El
PARTIAL El
FINAL
PROGRESS 0
ADVANCE
(PAYEE MUST NOT USE THIS SPACE)
DIFFERENCES
Amount verified; correct for
667eio 2''
(Signature or initials)
t Approved for =$
By
Title
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
Pursuant to authority vested in me, I certify that
STAT
ACCOUNTING CLASSIFICATION (Appropriation Symb
STAT
/(/Ye/
lig Officer)
Paid by
Check No
Check No. on Treasurer of the United States
on
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
(Name of Bank)
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
7 ,$;4g 5030
Standad Form Ac. 034 NO
? 10-4-107-16 P C .4140i4AM
VICES OTHER THAN PER 1S -c/
t'40u. .r 1
Use continuation sheet(s) if necessary U. NO 104
BU.
U. S. Contracting Officer
Voucher prepared at
-COPY bg
(Department, bureau, or establishment)
11 May 1961
(Give place and date)
Payee's Account No. Discount Terms
TO Edgerton, Germeshausen & Grier, Inc.
(Payee)
PAID BY
(Address)
Contract No. TE-2191
Shipped from
Date 4./26/57 Req. No.
to Weight
Date
Invoice Rec'd.
Govt. B/L No.
No. Date
Date Delivery
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
and of
Order
of
or Service
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Quantity
Cost
Per
Month of April 1961
Direct Labor
Materials & Services
Travel
Burden
G & A
$16,767.77
21,006.88
883.34
16,998.69
5,009.10
$60,665.y8
TOTAL
$60,665.78
PAYMENT:
(PAYEE MUST NOT USE THIS SPACE)
VIFFERENCEc
COMPLETE
F - I 9 ? r ,/,' 0 j
_-'
__
PARTIAL
.//a2 ,
_,---7-7
FINAL 0
14) E.- /7C 6-
.2,. 6. 3`/;', -:,
PROGRESS
,,e,z, ...)
Amcunt verified; correct tor
ADVANCE Li
(Signature or initials)
?
t Approved for =$
By
Title
Exchange Rate
=$1.00
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
(Authorized Certifying Officer)
(Date)
THE FEVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEA AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
TAT
Paid by
( Check No on Treasurer of the United States
Check No on
(Name ol 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 sig-
nature only is necessary; otherwise the approving officer will sign on the line below
"Approved for $ " and over his official title.
Per
Title
tr O. S. GOVERNMENT PRINTING OFFICE, 19E0-S56940
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
Form Approved For Release 2008/12/11: CIA-RDP65-00523R000100160011-3
bli Voucher for Purchasesaid
'Services Other Than Personal
7 GAO 5030
10,35-105
U.S. Contracting Officer
No. and Date
of Order
30 April
CONTINUATION SHEET
104
Sheet No. of Bureau Voucher No.
(Department, bureau, or establishment)
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
QUAN-
TITY
UNIT PRICE
AMOUNT
Cost
Per
Direct Labor $16,767.77
Materials & Services 21,006.88
Travel 883.34
*Burden 16,998.69
Total Direct Costs
$55,656.68//
G &A
Total Direct Costs @ 9%
5,009.10
$60,665.78 t./
*Burden:
1961 Non
remium Direct Labor $15,17740 @ 112
- $l6,998.6
U.S. GOVERNMENT PRINTING OFFICE 1959 0-499748
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
4 k t t
rrn I4o.
7.11r0 5030 1034
P NO 'VOUCHER tOR PORN!
1034-107-16 SWVICES OTHER THAN PER
u. S. Contracting Officer
Use continuation sheet(s) if necessa
(Department, bureau, or establishment)
11 May 1961
Voucher prepared at
(Give place and date)
U. NO
Payee's Account No Discount Terms
To Edgerton, Germeshausen & Grier, Inc.
(Payee)
Contract No. TE-2191
Shipped from
Date 4/26/57 Req. No.
to Weight
Date
Invoice Rec'd.
Govt. B/L No.
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)
Quantity
UNIT PRICE
AMOUNT
Cost Per
Fixed Fee April 1961
$6,066.58
TOTAL
PAYMENT:
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
(PAYEE MUST NOT USE THIS SPACE)
if 6
3 3 oz
DIFFERENCES
77
$6,o66.58
Amount verified; correct f
(Signature or initials)
dff-f-7.
f Approved for
By
Title
Exchange Rate ?$1 00
Pursuant to authority vested in me, I certity mar
this voucher is correct and proper 'foe payment.
STAT
(Authorized Certifying Officer) (Date)
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Paid by
( Check No on Treasurer of the United States
/ 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 sig-
nature only is necessary; otherwise the approving officer will sign on the line below
"Approved for $ " and over his official title.
Per
Title
^ ..,?,TING OFFICE: 1960-5S6940
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3
Approved ForRelease2008/12/11 : CIA-RDP65-00523R000100160011-3
Standurtliorm No. 1035 ! t!ft-1 h Fj)g
5030 lic Voucher fOi}PLIASAISeS Id
'44 5-105
erldices Other Than Personal
CONTINUATION SHEET
U. S. Contractjmg_Qfficer Sheet No. 1 of Bureau Voucher No.
(Department, bureau, or establishment)
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)
Costs-April 1961
Fixed Fee (10% of above)
Fixed Fee Previously Billed
Amount this Voucher
"1 cer ify that the Fixed Fee claimed is c
and t t it is proportionate to the progre
Contra t."
QUAN-
TITY
rrect
S mad
,ZOGERTON G-414y1ESHAWEN 8:GRIER, 11C.
rreasurer
UNIT PRICE
AMOUNT
Cost
and j
on t
Per
st;
$60,665.78
6,o66.58
-o-
$ 6,066.58
STAT
U.S. GOVERNMENT PRINTING OFFICE 1959 0-499748
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160011-3