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: 
AttachmentSize
PDF icon CIA-RDP65-00523R000100180004-9.pdf506.41 KB
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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