DISBURSEMENT BY TREASURY CHECK
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100160039-3
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
7
Document Creation Date:
December 21, 2016
Document Release Date:
December 11, 2008
Sequence Number:
39
Case Number:
Publication Date:
May 27, 1959
Content Type:
MEMO
File:
Attachment | Size |
---|---|
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Body:
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
MEXCHANIXIM FM kLt, Finance
MOTION tbaetary Branch
SUBJECT : Disbureement by Treasary Check
A
voticht;2. so. 1767
27 ItteY 1$19
1. rt ie kindly requested that a U. S. Treasury Check be drama in
favor of the company listed heeeurder in the amount stated, ehich eill
be applicable to the oontract or agevement ebelona The =tract number
and invoice identification must appear on the cheek,
a.
b.
d.
e.
Check dreva in favor of:
Amount:
Contract Number:
Invoice NUmbere
Check to be dated:
Edgerton,. Germehausen 8: Grier* Inc.
$31,906.96
TEA2191
=A 41
Am 1939
2. Pertineat documentation in connection eith this classified
transaction ehich hes not been inclmded in Comptrollers tnetructima No, 32
(Notice 20.'56, after approvel by the CCI 15 Decenber 1956)0 le CU file in
the Office of the COMptroller? D2DeDle/P.
3. The payment reqpeeted is based oa progress made? by the Contractor
to date and ebould be prooeseed against General Ledger Accoteet No. 1350
titled "Disbursements of Appropriated Punds Chargeable to Confidential FUnd? s
Aueeeesees evaitipgACI_Cpatigicattonon The Allotment Symbol applicable to
this request is 964uvule7Jewt 010Y/ 0 and the mount is ehargeable to
. General Ledger AZZO-FIK-go6:1:
4. The Cheek Should be dated. aa tete in paragesph 1 and mailed
in the attached self-addressed envelope. If no is attached, the
undereigned chorale'. be oontacted on extension Alen Payment is
reedy fOr dispoaition.
?
SIGNER
_ ?
Avrtzfrieur ?
?25X1
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
25X1
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
Standard Form No. 1034?Revisea
Form prescribed by
Comptroller General, U. S.
September 7, 1950
(Gen. Reg. No. 51, Stipp. No. 11)
(Amended February 20, 1952)
fiUBLIC VOUCHER FOR PURCHASES
SERVICES OTHER THAN PERSONAL'
Bu. You. No.
Page 1 of 1
U.S.
(Department, bureau, or establishment)
Voucher prepared at
THE UNITED STATES, Dr.,
To
Edgerton,'
(Give place and date)
Payee's Account No.
Germeshausen and Grier, Inc.
(Payee)
Las Vegas, Nevada
(Address)
(City)
(State)
PAID BY
No. and Date of
Order
PAYMENT:
Complete El
Partial
Final El
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 Invoice No.
40
41
Use continuation sheet(s) if necessary
QUANTITY
UNIT PRICE
AMOUNT
429,006.
21900.
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.
Date *Payee
(Sign original only)
(Th)s certificate not required when a like certificate is made by imyee on attaehed bill or bills)
Per Title
Contract No. M"'2193- Date Req. No.
Differences
45311906.
Cts.
33
63
96
Amount verified;
(Signature or ink
Date
ii y--ez
ct
STAT
Pursuant to authority vested in me, I certify that this account is correct and proper for
1" Approved for $
By
Title
SIGN
ORIGINAL
ONLY
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STAT
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Paid by I Check No. dated 19 for $
, I
Cash, $ , on 19 Payee
f on Treasurer of the United States in favor of payee named above.
(Sian orisioal on)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.
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.
Per
Title
16-22900-5
Approved For Release 2008/12/11: CIA-RDP65-00523R000100160039-3
Approved ForRelease2008/12/11 : CIA-RDP65-00523R000100160039-3
Standard Form No. 1034?Revised
Comptroller General, II. S. LIC CARR
Vfsvm prescribed by
-... September 7, 1950
, (Gen. Reg. No. 51, Supp. No. 11) SERVICES OTHER
(Amended February 20, 1952)
Bu. Vou. No.
U. S. Contracting_Offinemr
(Department, bureau, or establishment)
Voucher prepared at
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No.
TO Edge.r.tonl___Germeahauaen&_Grier,
(Payee)
(Address)
(City) (State)
PAID BY
.aoak--14 '47.74
COPY I OF
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
PAYMENT:
Complete LI
Partial E
Final 111
Month ending 30 April 1959
Direct Labor
Materials & Services
Travel
Freight & Express
Other Direct Charges
Burden
Overhead
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
_
Date __Kpar_416-150.,
(TM. cedilificate not rewired when e like certificate is made br payee on attached bin or bills)
Differences
(Sign original only)
Edgerton, Germeshausen &Grier Inc.
Contract No. TE a
itic Controller
Dollars Cts.
4,935,2
14,60501s
2,379. 6
76. 0
729.99
3,884.54
2,395.02
$29,006.33
Amount verified; c rrect for
(Signature or initi
-e-14./26/57 Req. No.
Date Invoice Rec'd.
0633
SSTAT
Pursuant to authority vested in me, I certify that this account is correct and proper fol
.1. Approved for $
By
SIGN
ORIGINAL
ONLY
STAT
'the
Title 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. dated , 19 ,for $ ion Treasurer of the United States in favor of
tPaYee 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.
f 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.
Per
Title
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
le-22900-0
sdata. FO No, Approved ForRelease2008/12/11 : CIA-RDP65-00523R000100160039-3
* Comptroller
e= lb 111PUbliC VentleMi feirrittiitaidallprfckt
pres
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
Services Other Than Personal
CONTINUATION SHEET
U. S. Contracting__Off.i_c.e.r Sheet No. _1 of Bureau Voucher No. 40
(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)
QUAN-
TITY
UNIT PRICE
AMOUNT
Cost
Per I Dollars Cts.
April No ? Premium
Direct Labor:
4/5/59
4/12/59
4/19/59
4/26/59
4/30/59
1,068.06
441.86
467.10
782.42
2,175.78
Week ending
tt tt
Ni N,
Month "
Total Direct Labor
*Materials & Services
Travel
Freight & Express
Other Direct Charges
urden
Total Direct Costs
Overhead:
Total Direct Costs @ 9%
4,935.22
14,605.80
2,379.46
76.30
729.99
3,884.54
*Burden:
rect Labor 4,855.68 CO 80% $3,884.54,
**Materials &
P. O. No.
23383
23424 zr
23455
23253
23400
23438
23347
23413
23461
Petty Cash
23330
23330
23330
23451
23485
23489
23146
22915
Petty Cash
23422
23523
23438
23362
Services
Check No.
5664
5665
5674
5679
5691
5723
5726
5737
5738
5608
5749
5749
5772
5772
5772
5772
5830
5841
5851
5851
57E4
5834
5825
It582
552
Vendor
Davis Bros.
Demornay Bonai
O'Niell Lumber Co.
Shelley Radio o.
Woods Electric en Core.
Elmar Electron ca
General Auto P rts
Pavell Electri Supp y
Radio & Sound upply
Las Vegas Mach ne
Supper Money
O'Neill Lumber Co.
Federated Pure ser o.
H It
11 It
Federal Servic
Las Vegas Coin
Reynolds Elect
It NI
Las Vegas Mach
B.F.Goodrich S
Elmar Electron
11NI
Eme1oid Co. In
Macbi es
ical Eng.
nes
onge
cs
oduc
ts
26,611. 1
2,395012
29,00..:3
63.-8
24. 5
14.7..7
6. o
84. 3
42.19
22.'0
414..3
13. 4
3.-9
1. 5
8..3
23.:
19.415
26.:1
7. 6
5,297.0
10.?41
1514.."
217.43
3.:3
129.10
57. 2
42. 9
5.#0
5
U 8. GOVERNMENT PRINTING OFFICE 18-628138-1
VOUCHER #4o
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
Approved
Standard FOTTO. NO. itfoo?xunvs..au
.1.3.11 Form prescribed by
Comptroller General, U. S.
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
U.S.
ForRelease2008/12/11:CIA-RDP65-00523R000100160039-3
eublic Voitfoeti.ifttltt [-
Services Other Than 'Personal
CONTINUATION SHEET
Contracting_l)fficer Sheet No. 2 of Bureau Voucher No. __AC/
(Department, bureau, or establishment)
No. nd Data
ofaoider
Date of
.T. ebez:ize
ARTICLES OR SERVICES
(Enter deacriptimtnrniumtriatfio zalmer!. odr:etsrsaalr;rply schedule,
QUAN-
TITY
UNIT PRICE
AMOUNT
Cost
Per
Dollars
Cts.
Materials & Services
P. 0. No. Check No. Vendor
23503 5928 Engineered Ele.troni4s
Co.
218.19
23330 5829 Federated Pure i.ser,
Inc.
14.60
23330 5829 II If
9.32
23221 5833 General Radio
o.
97.50
23506 5835 Guebrod Bros.
ilk Co.
85.91
23510 5836 Hewlett Packar
755.00
23415 5786 Las Vegas Mach
ne
76.00
23509 5849 Ralph T.V. Ele
troni
25
23
23509 5849 9 9
12.00
23464 5852 Shelley Radio
o.
2.96
23443 5854 Silver State A
ning 1 .
257.04
23490 5854 II It
12.50
23271 5786 Las Vegas Mach
ne
361.50
22956 5786 9 9
4,550.00
23294 5786 9 It
478.71
23511 5839 Lambda Electro
ics
184.50
23221 5833 General Radio lo.
190.00
23240 If 5823 Demonnay Bonar
i
546.95
?
LI 8. GOVERNMENT PRINTING OFFICE 10-62660-1
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3
Standard Form No. 1034?Revised M.0 ?
.,.,Catoptroller General, IL S.
eUBLIC VOUCHER FOR -PURCHASES:
41
riorja prescribed bY
? September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) SERVICES OTHER THAN PERSONA Bu. Vou. No
PAO-- 301"0??s?I1
(Amended February 20, 1952)
U. S. Contracting-Officer
(Department, bureau, or establishment)
Voucher prepared at
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No.
TO Edgevton-,---Germe.shausen__&_
(Payee)
(Address)
(City) (State)
PAID BY
/Pi
dr,
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
PAYMENT:
Complete El
Partial
Final El
Month ending 30 April 1959
Fixed Fee
Use continuation sheet(s) if necessary
$2,900
CLIC.
.63
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.
(Sign original only)
erton Germezhaaisen_&,_Gri prjfl
ed when a like certificate le made by payee on attached bill., bill.)
Contract No. i? 219l
Title Controller
Differences
Amount verified
(Signature or i
,-690 6-3
STATrAT
vate 4/26/)7 Req. No.
Date Invoice Reed.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
Approved for $
By
Title
SIGN
ORIGINAL
ONLY
I.
(Authorized Certifying Officer)
Title
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 I Check No. dated 19 , for $ fon Treasurer of the United States in favor of
lpayee named above.
Cash, $ on , 19 Payee
(sign original only)
o 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.
f 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.
Ap ? roved For Release 2008/12/11: CIA-RDP65-00523R000100160n3g-fl
Per
Title
19-22900?G
Approved ForRelease2008/12/11 : CIA-RDP65-00523R000100160039-3
Startdard_Vorrn No. xvoo?novionu
?11,6rm prescribed by Vhillaikjs'elreci
,.--- -Comptroller General, U. S. blic Vo fo
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal
CONTINUATION SHEET
Gontracting_Officer Sheet No. -1 of Bureau Voucher No. _11,1
(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)
QUAN-
TITY
UNIT PRICE
AMOUNT
Cost
Per
Dollars Cts.
Cost thru 30 April 1959
239,50.3
Fixed Fee Earned (10% of above)
23,95..5]
Fixed Fee Previously Billed
210046.9(
Amount of this Voucher
$ 2,906.6::'
"1 ce
tify that the Fixed Fee claimed is correct
and j
t.,
d
that
it is proportionate to the progress made on
the
ontr
t."
EDGERTON GERMESHAUSEN & GRIER,
INC.
STAT
roller
LI. S. GOVERNMENT PRINTING OFFICE 113-62666-1
VOUCHER #41
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160039-3