REQUEST FOR PAYMENT AND POSTING VOUCHER - APPLIED TECHNOLOGY INCORPORATED

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00074R000500010008-4
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: November 20, 2008
• Sequence Number: 8
• Publication Date: July 22, 1965
• Content Type: FORM

REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. - DATF- -
Accounts Division (Room Bldg. )
DIVISION V OCHER NO.
h
TO
(Room Bldg
Divisio
t
r
M
(C' `:
.
one
a
y
n
THROUGH:
Request payment be made and/or transaction be recorded as indicated below. Pertinent documen 'on in' support of this trans-
action is on file in this office.
SUBJECT ?
INVOICE NO(S).
PAYMENT TO
CONTRACT NO.
AMOUNT ()
t7 1 c1- , +~?
CHECK TO BE DATED
CASH PAYMENT
.ry-U.S. TREASURY CHECK
I
AGENT CASHIER CHECK
I
I BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE S OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE
SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION - ALL OTHER ACCOU
NTS 13 - 33
94.89
STATION
40 -
41
42 - 47
OBLIG.
48.49
50
CA
51 - 54
55 - 66
ALLOT. - COST - FAN
67 - 70
OBJECT
71.80
-33
28
CODE
E C
REF.
NO_
PAY
OR
GENERAL
ACCOUNT S
YMBOL
CLASS
AMO
UNT
-
DESCRIPTION
ADVANCE ACCOUNTS 18 - 27
___
_
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REC_RPT. NO.
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ADVANCE _
ACCT. NO_
PER.
LI O.
CODE
O
S
LEDGER
ACCT. NO.
F N;
61-66
CK.NO.
66 - 70
DUE
D E 8 1 T
C R E D I T
19IV.g
PROJECT NO.
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DATE
DATE
REVIEWED BY
CERTIFIED FOR PAYMENT OR CREDIT
25X
DATE
SIGNATUR O CERTIFYING OFFICER
FORM
-65 1822 OBSOLETE PREVIOUS EDIT
IONS SECRET ,
GROUP I
EXCLUDED FR AUTOMATIC
OM
(10-49)
D[CLAERI FICATION
DOWNNRADINN MD
Approved For Release 2008/11_/20 : C_IA-RDP67B00074R000500010008-4
(When Filled In)
Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
1
 Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
APPLIED
TECHNOLOGY
JUL 8 I
2400
6/30/65
INC. 3410 HI LLVI EW AVENUE ? PALO ALTO, CALIFORNIA ? 321-5135
TO:
P
L
7
I
DATE SHIPPED
6/30/65
SHIPPED VIA
Airborne -PSA
A.T.I. SHIPPING NO. (5)
12348, 51, 68 99
CUSTOMER'S NUMBER
AF 33657)14624
PROJECT NO.
10008
ORDERED
PREVIOUSLY
SHIPPED
THIS
SHIPMENT
DESCRIPTION
UNIT PRICE
AMOUNT
11
0
4
System 12B, consisting of:
6500.
$26,000.00
4 Indicators -- AT-31-003897-03, S/ 121 122 123
e:2;5;~~
4 Amplifiers - AT-31-003504, S/N 21 122, 1231 124
16 Antennas .. AT-31-000209, X Bond 90?,
S/N 207, 208, 209, 210, 223, 227, 253, 254, 225,
251, 252, 250, 226, 249, 228, 224 with HP X 281A
Adapters
16 Crystal Detector CNB 101AL
16 Crystals, IN23CR
12 Cables, AT 35-002839-01
4 Cables, AT-2112-905
'7' pa
e)
2 1965
(Date1,
SELLER REPRESENTS THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6. 7 AND 12 OF THE FAIR LABOR
STANDARDS ACT. AS AMENDED. AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
Contract WE-523
invoice No. I
Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
 L
Southwe,Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
P.O. Box 512
San Fernando, Calif.
7
DATE SHIPPED
SHIPPED VIA
.,~';~~ CUSTOMER'S NUMBER
PROJECT NO.
6/25/65
AIR MAIL
WE-523
10008
ORDERED
PSLY
NIPPED
SHPPE
THI
SHIPMENT
DESCRIPTION 37111~U
For use with System 12B:
3
AT-35-002839 Cables
I
AT-2112-905 Cable
I
DWG. AT-24-007100 External Wiring Diagram 9A/12B
X1
PLEASE SIGN AND RETUR COPIES - RECD BY'
DATE:
25
ALL CLAIMS FOR LOSS OR DAMAGE fN TRANSIT MUST BE MADE AGAINST THE CARRIER. PRICES F.O.B. PALO ALTO UNLESS OTHERWISE SPECIFIED.
SELLER REPRESENTS THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS S. 7 AND IT OF THE FAIR
LABOR STANDARDS ACT. AS AMENDED. AND OF REGULATIONS AND ORDERS Of THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
 Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4
~GL' +iwc Sc s Co.
512
F c r.anc.o, California
6/33/x5
PREVIOUSLY
SHIPPED
r.~rEori v via PSA
THIS
SHIPMENT
12399
WE-523
12399
10008
olsowir,D Ito ,-,r
rl, to complete
r
Each Syst4ri 12B
AT-31-003397-03 Indicators, S/
3
AT-31-03504-01 Araplificrs, S
12
AT-31-00"3209, -Brand Anfionr cs v~ffr;7 1 A dapters, S/N 223, 227, 253, 254, 225,
251, 252, 250, 226, 249, 223, 224
CNE101AL, Crystal Detectors w/1N23CR Crystals
AT-35-002339-01 Cables
AT-2112-905 Cables
THIS COMPLETES 4 EACH i SYS!
25X1
PLEASE SIGN AND RETURN 2 COPIES - RECD BY: DATE:
ALL CLAIMS FOR LOSS OR DAMAGE IN TRANSIT MUST BE MADE AGAINST THE CARRIER. PRICES F.O.B. PALO ALTO UNLESS OTHERWISE SPECIFIED.
SELLER REPRESENTS THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6. 7 AND 12 OF THE FAIR
LABOR STANDARDS ACT. AS AMENDED. AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF.
Approved For Release 2008/11/20: CIA-RDP67B00074R000500010008-4