PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100160035-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 9
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 35
• Content Type: FORM

Standard Form No. 10n4-eteviseu
Form prescribed by
Confptroller General, U. S.
September 7, 1950
(Gels. Reg. No. 51, Supp. No. 11)
(Amended February 20, 1952)
F&IC VOUCHER FOR PURCHASES AN?
SERVICES OTHER THAN PERSONAL Bu. You. No. ---------------------------------
U. S. --------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To --------------------------- Edgerton,--Gezmesh?aen --and__Griert--InC----------- -------
(Payee)
(Address) (City) (State)
Page 1 of 1
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
h
d
l
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
sc
e
u
e, an
other information deemed necessary)
Discount Terms Tnv No
Cost
Per
Dollars
Cts.
646
$10,520
47
.
56
16,286
22
57
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
1 28
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences ----------- --------- -
--------------
-----
(Sign original only)
---------------------- --------------- -
----STAY
-----
ate Payee
----------------------------------------------- -
-
--------------
--
-----
(lhie aortificate not reavirad when a like certificate ie made by Dayee on attached bill or bill.)
Amount verified; c
----------
- ----
/-
(G
Per ---- --------------------------- Title ----------------------------------------------
(Signature or initi
-------------
-----
Pursuant to authority vested in me, I certify that this account is correct and proper for p
t Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
Title ---------------------------------------------------------- baLl; i
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)
STAT-
Check No. ________________________ dated ------------------------------ 19_____, for $______________________________________J on Treasurer of the United States in
Paid by j I. favor of payee named above.
l Cash, $------------------------- on ----------------------------------- 19-----. Payee -------------------------------- ------------- -------
lSien original cnly)
? 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: Per
Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 stnndarFo ormN b ao"y Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
CoclBpttproller General, U. S. WLIC VUUCNIMWK I 1950
(Gil. It ems' N r
o ii Spp. No. 11)
(Amended February 20,1952) SERVICES OTHER THAN PERSONAL Bu vou. No. ______ 46 ______________________
U. S. ------------------- C_Qntra&iing--4fficer---------------------------------------------------------------------
Voucher prepared at --------------------------------------------------------------------------------------~ '--- -----3
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
TO ----------------------- Eld exton,--- Gex .es -e _ __~r e s znc.-----------------------------------
(Payee)
P
-J~
COPY!
LOF
tiC,/-,
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other inform
ation deemed necessary)
Q
_
Discount Terms %
Cost
Per
Dollars
Cte.
Month ending 31 July 1959
Direct Labor,
3,047
16
Materials & 5eervices
6,103
78
Travel
2,826
75
Freight & Express
1
32
34
Other Direct Charges
622
.25
PAYMENT:
Burden
2,333
.82
Complete ^
G & A
121 346
Partial El
1 ,313
Final ^
Less: May, Ch~rg~s 4n P o Ject 2684
5,799
-96
Use continuation sheet(s) necessary
Shipped from to Weight Government B/L No. Total
~, O
O9
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
(P
Differences --------------------------------
---------------
-----
(Sign original only)
1) 9j ~g *Payee Fdgerton,_-Germeshausen &rier,~ Inc.
ate -4--
---------------
----?
+
e -'as e.M I. =do br pyee on eitwLd 60 or bilY)
A
correct for -----------
mount verified;
n
i
(r
~
J
:
J
~p
or initials)
(Signature
- ______
bc-
___
___
__
__
_
__
___
_
___
Contract No. .4 TE 213. to 4126Z57 Req. No.
Pursuant to authority vested in me, I certify th~t this account is correct and proper for payment.
f Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
SIGN
ORIGINAL
ONLY
STAT
t -------------------------------------------------------------------------
(Authorited Certifying Officer)
Title ------------------------------------------?---------------------------------
Check No. ------------------------ dated ------------------------------ 19 ------ for $ -------------------------------------- on Treasurer of the United States in favor of
Paid by payee 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.
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.
Date Invoice Recd.
(Sign orirind only)
Per
Title ------------------------------------------------------
16-22900-e
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 standard. Form No, Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
Form prescribed by
'Compt]'oller General, U. S. Mlic Y t 7ou~.31is `h43.L* L Ii a I or Fth4c& j-
~.
.. r- ptember 7, 1950
10(Oeu. Reg. No. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U . S- ----------- S0atraeting--Officer-------------------------------------------------- Sheet No. ------1---- of Bureau Voucher No. ---46----
(Department, bureau, or establishment)
No. and Date
of Order
July Non
Date of
Delivery
or Service
ARTICLES OR SERVICES I QUAN-
(Enter description, item number of contractor Federal supply schedule,
and other information deemed necessary)
Direct Labor:
Week Ending 7/5/59
406.45
192.75
413.52
730.06
1,304.38
3,047.16 z
6,103.78
2,826.75
32.34
622.25
2,333.82
Total Direct Costs @ 9%
7/10/59
7/19/59
7/26/59
Month " 7/31/59
Total Direct Labor
Materials & Services
Travel
Freight & Express
Other Direct Charges
Burden
Total Direct Costs
G&A
Less: May Charges on Project 2684
Burden: -7
rect Labor 2,917.28 Q 80% $2,333.82'P
*Materials & Services
P. 0. NO. Check No.
23852 6550
23707 6452
23780 6563
23587 6566
Petty Cash 6493
It if 6493
R It 6493
it n 6493
23857 6572
Vendor
Federal Service
Shelley Radio Co., In
Precision Mach. & Con
Sarrett Office quip.
Electronic Supply
O'Neill Lumber o.
General Auto Parts
Woods Electricol Corp
t.
VOUCHER #46
14,966.1o
1 346.,)5'
1 ,313. 5
6
5,792.
10,520. 9
5,733. 2
26.
44.)o
42. 5
5. 5
7. 0
3.50
5. 4
236. 1
6,103.18,
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 Standard Form No. 10 Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7 -----------------------
Comptroller prescribed oy ~f 7 T ~pp~~sr~ s.e e~
Comptroller General, Ii. B. 1 LIC VO V R JLIR 36AUM 1ANW''
fig. No. 51 er 7, 1950
pp. R THAN PERSONAL Bu. Vou. No- ----_
(Gard Reg. on No. 11) SERVICES 47_
(Amended February 20, 1952)
U. S. ----------------- Contra.cting_)'fi_c.ex------------- ---------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------------------------------------------------------------- t -- (Give place and date) I~et 1 T-44
THE UNITED STATES, Dr., Payee's Account No. _____-__--____--
To ----------------- Edger_tnn,__ rmGhan,;en_,c_Zrier,--In.c.-----------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
COPY I OF- _
L= sve~
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(En-L& scription item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
dule, aria other information deemed necessary)
Q
Q
Cost
Per
Dollars
Cte.
Discount Terms
Month ending 31 July 1959
Fixed Fee
$1,631
31
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No. Total
(Payee must NOT use this apace)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
--------------- ----
(Sign original only)
-----------------------------------------------
--------------- -----
_ *Payee Ed ertan, Germeshausen & Grier, Inc.
59__
__ _
9J?' I
Date
------------------------------------------------
--------------- -----
*
__
-
not n aired when a Me eertlaeate is made by my" on attasbad bin a bill.)
Amount verified;
corre
ct
for
STA
~
~
(Signature or initialsjrx ,_____......
-------
26/57 Req. No.
t Approved for $ -----------------------------------
By ---------------------------------- - -- - - ------ ---
Title -------------------------------------------------------
SIGN
ORIGINAL
ONLY
t ------------------------------------------------------------------------------
(Authorized Certifying Officer)
Check No. dated _____________________________, 19_____, for $-------------------------------------- {on Treasurer of the United States in favor of
J payee named above.
Paid b
y
' 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.
tIf 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.
T
(Sian oriaiaal only)
Per ----------------------------------------------------------------
Title ------------------------------------------------------
16-22900-e
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 Standard Form No_ Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
Form prescribed by
Cpmptitler General, U. S. W d
Se mber 7, 1950
Men. Reg. No. 61, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S. ---------- Contracting--Offizer-------------------------------------------------- Sheet No. ----I ------ of Bureau Voucher No. J.7 ------
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
QUAN
-
UNIT PRICE
AMOUNT
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.
Costs for July 1959 -1
16,313-
05
Fixed fee Earned (100 of above)
1,631.3
1
Fixed Fee Previously Billed
_0
Amount of this Voucher
$1,631.
1
'I certify that the Fixed Fee-claimed is c
rrect
and j
st; a r
d
that it is proportionate to the progress
de or
-the C
ontrac
t."
EDGERTON, GERMESHAUSEN & GRIER, INC.
Controller
STAT
VOUCHER #4.7
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 Standard Form No. 10 Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7 _______________________
Frm prescribed ,
Foort
16eptAnber 7, 1950
? (Gen aged Feb1,Su pp. 19. 11) SERVICES OTHER THAN PERSONAL Bu. you. No. _______ ______________
U. S. ------------------- antracting--Officer-----------------------
--------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at -------------------------------------------------------------------------------------------S- -44-- 43
THE UNITED STATES, Dr.,
(Give place and date)
Payee's Account No. ----------------
To ----------------- dgerton,--Oermshausen__&..Grier,-lnc.------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
UANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, an! other information deemed necessary)
Q
Discount Terms
Cost
Per
Dollars
Cta.
Month ending 31 August 1959
Direct Labor
7,921.3
Materials & Services
9,390-1
19
Travel
2,338.
1
Other Direct Charges
651-1
5
Burden
5,826.(
o
PAYMENT:
G & A
2 351.
9
Complete El
2
0.
2r
Partial El
Less: June charges on Project 2684
,
12,194.
o
Final El
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No.
Total
16,286.
2
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences _-------_-----------------------
---------------
----
(Sign original only)
Date
e.
bill ., bill.)
----------------------------------------------- --------------- -----
37J76
Amount verified correct for ----------- ~76_7 a
(Signature or _____________
Con
Date Invoice Recd.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ---------------------------------------------------------
SIGN
ORIGINAL
ONLY
'
/
STAT
t ------------------------------------------------------
(Authorized Certifying Officer)
Check No. ------------------------ dated ------------------------------ 19------ for $--------------------------------------- Ion Treasurer of the United States in favor of
V, ;.4 { ,, J jpayee named above.
Cash, $----------------------- on ------------------------------------- 19-----. Payee ------------------------------------------------------------------------
Men ori.ivd Duly)
? 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.
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.
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
 _ Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
6tandaxti m iftesc No. Qv
ibed by . ~~
fsompcroller General, U. S. ,llc Voucher f orNit J q&
? September 7, 1950 ?
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U . S . C t t x B G t i r -------------------- ----------------- Sheet No. ------1---- of Bureau Voucher No. --56------
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Service
Burden:
~ $5,826.90
August Non Premiul Direct Labor 7,283.63 @ 8O;'o
8/9/59 8/16/59 8 23/59 8 30
59
Month " 8/30/59
Total Direct Labor
Materials & Services
Travel
Other Direct Charges
Burden
Total Direct Costs
G &A
ARTICLES OR SERVICES
QUAN
UNIT PRICE
AMOUNT
nter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
ITY
Cost
Per
Dollars
Cts.
Direct Labor:
Week ending 8/2/59 929.23
ti 761.10
it it 1
410.03
,
it 1
608.28
,
" tr
1
276-71
,
,936.03
1
7,921.38
9,390.99
2,338.01
651.45
5,826.90
26,128.
3
Total Direct Costs @ gat
2,351.
9
2 ,
2
Less: June Charges on Project 2684
12 194.
-
0
2
fie,
2
voUCfiER X56
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
E
 Standard Form No.ia Approved For Release 2008/12/11: CIA-RDP65-00523R000100160035-7
Jorm prescribed by VOUCHER FOR WHWS to ,
U. S. --------------------- GantxaGting--0ffine ------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _---------------
To -------------------- EdgextQn, Girxzr~e~bas~r) _C_Gr_iar_~ -------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
ANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
U
Q
Cost
Per
Dollars
Cta.
Discount Terms
Month ending 31 August 1959
Fixed Fee
$2,848.
3
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No.
Total
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
----
(Sign original only)
ert
Payee Date 9 3 59 + g , Germeshausen & Grier, Inc.
------------------------------------------------
---------------
-----
~)
Amount verified; correct for -----------
I
ez
of Y O
C
---
(Signature or initials _ _ _-_____
STAT-----
----
SIGN
ORIGINAL
ONLY
t ---------------------- -----------------------
(Authorized Certifying Omoer)
Check No- ________________________ dated ------------------------------ 19_____, for $...................................... on Treasurer of the United States in favor of
Paid by
---- payee (Bien named above. original only)
Cash, $ . on 19 Payee ----
' When a voucher is signed or receipted in the name of a company or corporation, the name of the perso
: Per _"______ _"_"__"'""----_--""____
writing the company or corporate name, as well as the capacity in which he signs, must appear. For eaamplen
Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
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 T
over his official title. 16-22900-6
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
- - - - -
 Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7
standard corrm prm NO. ivoo-nnviseu
Foescribed by Ihc: !~berif
t;,sptroller General, U. S ~yy'
S.
0
-
? r September 7, 195
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Persona
CONTINUATION SHEET
U. S. ----------- GQntra-ctin Of 'iC-4' '------------------------------------------------- Sheet No. --1------- of Bureau Voucher No. 57
(Department, bureau, or establishment)
d D
t
N
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
o. an
a
e
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.
Costs thru August 195
6
44793.
37
Fixed Fee Earned (10%
f above)
4,479.
34
Fixed Fee Previously Billed
1,631.
31
Amount of the Voucher
$ 2,848.
03
"I ce
tify that the Fixed Fee claimed is correct
and j
ust- a
nd
that
it is proportionate to the progress made o
the
Contra
ct."
EDGERTON, GERMESHAUSEN & GRIER, INC.
Controller
STAT
VOUCHER #57
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160035-7