PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP65-00523R000100180004-9
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
13
Document Creation Date:
December 22, 2016
Document Release Date:
June 8, 2010
Sequence Number:
4
Case Number:
Content Type:
FORM
File:
Attachment | Size |
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Body:
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard Form No. 1034 PUBS .VOUCHER FOR PURCHASES ANUS
7GAO5030 91 w~.sr?n Tuw~l rsrDeAIIAI
Use continuation sheet(s) if necessary
Voucher prepared at (Give place and date)
Payee's Account No. Discount Terms
TO Edgerton, Germashausen & Grier, Inc.
(Payee)
Contract No. TE 2191
Shipped from
No. and Date of
Order
Date Invoice Rec'd.
Govt. B/L No.
Req. No.
Weight
ARTICLES OR SERVICES
Date of Delivery (Enter description, item number of contract or Federal supply
or Service schedule, and other information deemed necessary)
Invoice No.
87
(ori-g.
Inv.
Att)
88
Orig.
Inv.
Att)
89
Orig.
Inv.
Att)
go
(orig,
Inv.
Att)
91
(Orig.
Inv. Att)
92
(Orig.
Inv. Att)
COMPLETE
PARTIAL
FINAL
STAT PROGRESS
ADVANCE
STAT Approved for
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
By
Title
Exchange rate =$1.00
contracting Officer)
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES AR FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other ssi (cation optional)
Paid by Check No.
I
h
$
C
on Treasurer of the United States
on
, on , 19
,
as
Payee
Per _
Title_
' 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.
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Amount verified; correct fo
(Signature or initials)_-_.
$ 2,755.22
2)633.92
31,506.00
3,150.60
23,506.67
2,350.67
$65,903.08
Pursuant to authority vested in me, I certl~ y that
A,:..,,,,,dCXw4 s-nrrort nncLAS1'ooer fG1 Oayment.
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Stan "j No. 1-034 D. O. VOU. NO.
?' 3-GAb 4030 PUB VOUCHER FOR PURCHASES ANOqF
1034-107 S ICES OTHER THAN PERSONAL 87
Contracting Officer
Voucher prepared at (Give place and date)
Payee's Account No. Discount Terms
Edgerton, Germesnausen & Grier, Inc.
Contract No. TE 2191
Shipped from
No. and Date of
Order
Date4/26/57
Req. No.
Weight
PAID BY
Date Invoice Rec'd.
Govt. B/L No.
ARTICLES OR SERVICES
Date of Delivery (Enter description, Item number of contract or Federal supply quantity
Fixed Fee July 1960
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
(PAYEE MUST NOT USE THIS SP
$2,755.22
Amount verified; correct fore
(Signature or initials)
Pursuant to authority vested in me, I certify tat
t Approved for =$ this voucher is correct and proper for payment.
By
Title (Authorized Certifying Officer)
(Date STAT
Exchange rate =$1.00
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)
Check No. A 92 on Treasurer of the United States
Check No. on
(Name of Bank)
Cash, $ , on , 19 Payee
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
e
over his official title. Titl
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard Form No. 1435
5030
w 'Jr'
1035-ift Pu* Voucher for Purchases an4l
i~
Services Other Than Personal
CONTINUATION SHEET
Contracting Officer------------------------------------------------- Sheet No- ----1------ of Bureau Voucher No.
(Department, bureau, or establishment)
No. and Date
Date of
D
li
ARTICLES OR SERVICES
VAN-
of Order
e
very
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
Y
ITY
Costs- July 1960
27,552.
17
Fixed Fee (10% of above)
2,755.
22
Fixed Fee Previously Billed -
-0-
Amount of this Voucher
2,755.
I c rtify that the Fixed Fee claimed is correc and
and that it is proportionate to the progress de on
Contract. "
EDGERTbN, GEESHAUS N & GRIER, INC.
lust;
the
STAT
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard Form no. rasa PUB - VOUCHER FOR PURCHASES AND
7 GA's mo D. O. VOU. NO. 5030 1034-"?' S ICES OTHER THAN PERSONAL 88
Use continuation sheet(s) if necessary BU. VOU. NO._ V_
Contracting Officer
(Department, bureau, or establishment)
Voucher prepared at
Payee's Account No.
Edgerton, Germeshausen & Grier, Inc.
PAID BY
f'
Contract No'1 2191 Date 4/26/5i Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
^
1-1
Fixed Fee August 1960
30 September 1960
t Approved for
By
Title
Exchange rote
Amount verified; correct for
(Signature or initials)
$2,633.92
Pursuant to authority vested in me,
this voucher is correct and proper for paymen .
-$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Check No. on Treasurer of the United States
Check No. on
Paid by (Name of Bank)
or, . 19 Pavee
' 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-
and
n on the line below "Approved for $ "
r will si
i
ff
h
i
th
,
ice
g
ng o
erw
se
e approv
essary; ot
Title
his official title. e
STAT
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
tat Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard Form No. 1vs3
7 G'2.0 5030 ?blic Voucher for PurchasesVnd
1035-105
Services Other Than Personal
CONTINUATION SHEET
Contracting --Officer ------------ Sheet No. __J.-------- of Bureau Voucher No. __88_--__.
(Department, bureau, or establishment)
f
D
ARTICLES OR SERVICES
UAN-
UNIT P
RICE
AMOUNT
No. and Date
of Order
ate o
Delivery
Service
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Cost
Per
Costs-August 1960
$26,339.2.
Fixed Fee (10`~oof above)
2,633.92
Fixed Fee Previously Billed
-0-
Amount of this Voucher
$ 2,633.92
"I ce
tify that the Fixed Fee claimed is
orrec
and
ust;
and t
at it is proportionate to the progr
ss mad
e on
he
Contr
ct."
DGE TON GERA FAUS, & GRIRR, I
C.
lie
STAT
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Steo J GAO5030 1034
PU VOUCHER FOR PURCHASES ANN D. O. VOU. NO._
1034-107 *SVICES OTHER THAN PERSONAL
BU. VOU. NO._ 89
Contracting Officer
(Department, bureau, or establishment)
Voucher prepared at 10 November 1960
(Give place and dote)
Payee's Account No. Discount Terms
TO Edgerton, Germeshausen & Grier, Inc.
(Payee)
Contract No TE-2191
Date 4/26/57 Req. No.
Shipped from to Weight Govt. B/L No.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
quantity
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Cost Per
Month of September 1960
Materials & Services
$ 8,880,50
Direct Labor
11,115.31.
Travel Expense
663.33
Burden
8,245.42
G & A
2601.x+1
$31,506-00
TOTAL
$31,506.00,-"
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
COMPLETE
PARTIAL ^
FINAL
PROGRESS E
Amount verified; correct for 1_711.150 45, 01_
ADVANCE ^
(Signature or initials)
Pursuant to
authorit
vested in me
I cent
t Approved for =$
By
y
,
this voucher is correct and proper for payment.
Title (Authorized Certifying Officer)
Exchange rate =$1.00
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)
(Date)
STAT
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 signature only is nec-
essary; otherwise the approving officer will sign an the line below -Approved for $ ", and
over his official title. Title
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
;0"3
>- 8ft-3 s' -d
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Ste"ard Form r.o.
7 GAO 105 030
1 ou"cher `for Purchases Wd
1035 Olic `f
? Services Other Than Personal
CONTINUATION SHEET
U. S. ____Q9~?tract~zg__QfeeY'________________________________________ _____ Sheet No. ____I______ of Bureau Voucher No. ----
(Department, (Department, bureau, or establishment)
No
nd D
te
Date of
ARTICLES OR SERVICES
UAN-
I
UNIT PRICE AMOUNT
. a
a
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
ITy
Cost
Per
Materials & Services $ 8,880.50
Direct Labor 11,115.34
Travel Expense 663.33
*Burden 8,245.42
Total Direct Costs
$28,904.59
G & A
Total Direct Costs @ 9% &-
2,601.41 //
T3-1,506.00 fJ
*Burden: September Non Premium Dir
t La
or
0,x$10,306.77-$8,245.42
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Stgndgr 7 GAO orm 503ria. 0 30 ,a,4
"' PUM VOUCHER FOR PURCHASES ANdW D. O. VOU. NO.
103d-107 VICES OTHER THAN PERSONAL
ARTICLES OR SERVICES
Date of Dellvery(Enter description, item number of contract or Federal supply
or Service schedule, and other information deemed necessary)
Payee's Account No.
TO Edgerton, Germeshausen & Grier, Inc-
(Payee)
Contract No. TE-2191 Date 4/26/57 Req. No.
Shipped from to Weight Govt. B/L No.
No. and Date of
Order
Fixed Fee September 1960
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Exchange rate _
BU. VOU. NO._ 90
Amount verified; correct for
(Signature or initials)
Pursuant to authority vested in me, I C u y
this voucher is correct and proper for payment.
-$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STAT
Check No. on Treasurer of the United States
Paid by No. on
y (Name of Bank)
!'__L Q 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 signature only is nec- Per
officer will sign on the line below "Approved for $ and
rwise the a
rovin
th
g
pp
essary; o
e
Title
his official title. e
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Stand' -d Form no. uu.
V'nAO 5030 MAL l yt
is oucher for Purchases Vd
Services Other Than Personal
CONTINUATION SHEET
U. S. ----- Co31tr-t c-ting_ Offic-e ----------------------------------------- ------------- Sheet No. --1-------- of Bureau Voucher No. __99
(Department, bureau, or establishment)
No. and Date
of Order
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Costs-September 1960
Fixed Fee (10% of above)
Fixed Fee Previously Billed
Amount of this Voucher
"I cert fy that the Fixed Fee claimed is co rect
and tha it is proportionate to the progess Imade
Contrac ."
$31,5o6.oo
3,150.60
-0-
$ 3,150.60
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard AS 3O No. 1034
PU VOUCHER FOR PURCHASES ANdr D. o. VOU. NO.
1O34-1O' VICES OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
Date of Delivery
or Service
U. S. Contracting Officer
(Department, bureau, or establishment)
Voucher prepared at 10 November 1960
(Give place and date)
Payee's Account No. Discount Terms
TO Edgerton, Germeshausen & Grier, Inc.
(Payee)
Contract No. TE-2191 Date4/26/57 Req. No.
No. and Date of
Order
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Month of October 1960
Direct Labor
Materials & Services
Travel Expense
Burden
G c& A
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for =$
By
Date Invoice Recd.
Govt. B/L No.
BU. VOU. NO.91 91
Title t
Exchange rate =$1.00
Amount verified; correct for
(Signature or initials)
$10,974.40
1,744.03
776.27
8,071.05
1,94o.22
$23,506.67
23,506.67
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
STAT,e)
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)
Check No. on Treasurer of the United States
Paid by Check No. on
(Name of Bank)
Cash, $ , on , 19 Payee
' When used in foreign countries, insert name of currency of country in which used.
r cr
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. Title
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard l _.Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
-:.,;ACj 5030 JWlic Voucher for Purchases Wd
1035-105
Services Other Than Personal
CONTINUATION SHEET
U. S. ___j_Contracting__Officer ----------------------------------------- ____________ Sheet No. ___1_______ of Bureau Voucher No.
(Department, bureau, or establishment)
d D
t
N
of
ARTICLES OR SERVICES
-
~UAN
UNIT PRICE
AMOUNT
. an
a
e
o.
of Order
Delivery
or Servic
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
ITY
Cost
Per
Direct Labor $10,974.40
Materials & Services 1,744.03
Travel Expense 776.27
*Burden 8,071.05
v
Total Direct Costs
$21,565.75
G & A
Total Direct Costs @ 9%
1,94o.9,2
50 7
'23
,
*Burden? ?
October
on Premi
Direct Labor $10,088.81 @80%-$8,07
1-05
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Ft.. . ---
`
7
UAO 5030 PU VOUCHER FOR PURCHASES ANV D. o. Vou. NO.
1034-107 VICES OTHER THAN PERSONAL
Voucher prepared at 10 November 1960
Payee's Account No.
Contract NoTE-2191 Date )x/26/57 Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
No. and Date of
Order
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Exchange rate -
-$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
(Name of Bank)
Cash, $ , on , 19 Payee
Check No. on Treasurer of the United States
Paid k Check No. on
' 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 oporovina officer will sign on the line below "Approved for E ". and
Contracting Officer
(Department, bureau, or establishment)
(Give place and date)
Discount Terms
Edgerton, Germeshausen & Grier, Inc.
(Payee)
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Fixed Fee October 1960
BU. VOU. NO. 92
Amount verified; correct for
(Signature or initials) -
Pursuant to authority vested in me, I certif'r-r?a,
this voucher is correct and proper for payment.
. Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9
Standard L .. Sanitized.
......vvas ... . _ _ ~.
iic v oucner tor rurchases Mid
ervices Other Than Personal
CONTINUATION SHEET
U. S. -_------Contracting Officer-_ - -- ----- ----- -----_-__--- Sheet No. ---I ------- of Bureau Voucher No. ---92
(Department, bureau, or establishment)
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES UAN-
(Enter description, item number of contract or Federal supply ITY
schedule, and other information deemed necessary)
EDGERTOIU(_ CF.RAIH'.QTTATTCi, R_ r! T] IhT~,',
Costs-October 1960
Fixed Fee (10% of above)
Fixed Fee Previously Billed
Amount this Voucher
"I certi y that the Fixed Fee claimed is cor ect a
and that it is proportionate to the progress made
Contract l"
d jus
n the
$23,506.67
2,350.67
-0-
2,350.67
STAT
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180004-9