DISBURSEMENT BY TREASURY CHECK

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100180011-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 8
• Document Creation Date: December 22, 2016
• Document Release Date: June 8, 2010
• Sequence Number: 11
• Publication Date: March 28, 1958
• Content Type: MEMO

_ Sanitized Copy Approved for Release 2010/06/08 :CIA-RDP65-005238000100180011-1
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Sanitized Copy Approved for Release 2010/06/08 :CIA-RDP65-005238000100180011-1
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pt oiler (3eneralU. S. IC VOUCHER FOR PURCHASES ANI~
~ - Com
September 7, 1950 ERVICES O'fHER THAN PERSONAL Bu. you. No.. ______
((ien. Reg. No. 51, Supp. No. 11)
U. S. ------------------------------------?-----------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at -------------------------------=-------------------------------- -------------------------------
THE UNITED STATES, Dr.,
To -------------------------~G'~,~`0 `2--G-``,_',%~ i'~tTAUC~~P?_ ~,__GR__lst'-;~__1Sl'C.----------------------
(Payee>
------------------------------------------------------------- Za s__ Ve ;a s~-- P?evade
- -------------------------------------------
(Address) (City) (State)
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
and Date of
No
Date of Delivery
(Enter description, item number of contract or Federal supply
ITY
.
Order
or Service
schedule, and other information deemed necessary)
-
~
QUANT
Cost
Per
Dollars
Cts.
,
cT
Discount Terms Tr? V OICi,~ PTO .
Bu . tTOt~ . ~.3
25 , 919 ~
Q9
i
~t~ . ~Iou . l;'
1, 275
97
PAYMENT:
I
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
27~ 195
0!
(Payee must I\OT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
Date -------------------- aYee --------------------------------------------------------------------------
-----------------------------------------------
---------------
-----
(This eerti5eate not required whoa a like certificate is mode by payee on attaohed hie ar bills)
Amount verified; correct for ___________
(Give place and date)
Payee's Account No. ________________
T~-2Z
Pursuant to authority vested in me, I certify that this account is correct and proper for pa~
f APProved for $-----------------------------------
_. _..
ORIGINAL itle --------------------------------------------------------------------------
BY ------------------------------------------------------------ ONLY
(Concrac~ir..~ Os"fiver)
Title --- ------- --= ------- --- - ----------------- Date ----------------------------------------------------------------------
~~~pyovinM Oi~`icer~
THE R~VERSE OF THIS FO M MDST BE E%ECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Check No. ________________________deted _____________________________. 19_____, for $______________________________________ on Treasurer of the United States in
Paid by j {favor of payee named above.
l Cash, $------------------------? on ------------------------------------? 19-----. Payee ---- =---------------------------- ---------
-----------------------------
__ (lira oriainnl only)
Sanitized Copy Approved for Release 2010/06/08 :CIA-RDP65-005238000100180011-1
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