REQUEST FOR PAYMENT AND POSTING VOUCHER DAVID CLARK CO. INC

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP67B00074R000500040006-3
Release Decision: 
RIPPUB
Original Classification: 
S
Document Page Count: 
2
Document Creation Date: 
December 21, 2016
Document Release Date: 
December 11, 2008
Sequence Number: 
6
Case Number: 
Publication Date: 
June 2, 1964
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP67B00074R000500040006-3.pdf89.21 KB
Body: 
Approved For Release 2008/12/11: CIA-RDP67B00074R000500040006-3 142 REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7.12 Finance Division, Accounts Branch DIVISION VOUCHER NO. Monetary Branch 1 ,2 Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of this transaction is on file in this office. SUBJECT INVOICE NO(S). ~= fa PAYMENT TO CONTRACT NO. ~ All 'NT CHECK TO BE DATED J CASH PAYMENT U.S. TREASURY CHECK AGENT CASHIER CHECK BANK CASHIER'S CHECK THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW. I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF. DATE ISIGNATURE OF PAYEE DATE SIGNATURE OF AGENT DATE SIGNATURE OF RECIPIENT DESCRIPTION-ALL OTHER ACCOUNTS 13-33 34-36 43 45-46 47-52 56.67 6411-70 26.33 STATION 40-4: F PAY OBLIG. 53 54.57 ALLOT. OR COST DUE 71.60 T/A NO. CODE EXPENC U PER. REF. NO. GENERAL ACCT. NO. DATE AMOUNT DESCRIPTION- ADVANCE ACCOUNTS 13-27 P.O. NO. PROP. NO. CODE N LIq? ADVANCE ACCT NO CA YR LEDGER 62-67 CR. NO OBJECT D COD! . . ACCT. NO. . DEBIT CREDIT 132-23 DIV. PROJECT NO. IT S EMP. NO. X NSF. NO, CLASS J(,{{,~1 ~ t1 1 1 ~1 Tll (~~ 1~ rl I I 1 I t J ;. _L _ ...f ~ ?y SJ v / .L U 02. LL fJ A I -1 1- T ITI I - __I _I_y_I-I-I-1 I_J-I L ~_I _ t j 1 1 1 1 1 1 -I-1 I_J-1 I I 1 1 I I I. Az ` 74 1 V 1 ~ ~ V t V 1 1 1 1 1 1 1 1 1 1 1 25X1- DATE AUTHORIZED CERTIFY NG FFICER DATE TOTALS .r ., 3 ,.=~., .. Approved For Release 2008/12/11: CIA-RDP67B00074R000500040006-3 Approved For Release 2008/12/11: CIA-RDP67B00074R000500040006-3 TO:' United States Government Item Quantity Description 2 1 each S901F Flying Outfit Size: Medium Short (P/S D I066-794-M, 4/2/64) 2 1 each S901F Flying Outfit Size: Small Long (P/S D I072-794-M, 4/8/64) 3 1 each S901F Flying Outfit for -50 (P/S D 1143-794-M, 5/22/64) Code No.: JAR-794-336 Invoice No.: D1151-794-3 voice Date: 28 May 6 ef. Contract No.: G1y7641 Project No.: 794 Terms: Net 30 days 14,000.00 14,000.00 $ 43,000.00 STAT I certify that the above bill is correct and just and that payment therefor has not been received. STAT tiI1NL 5l Unit Price Total Price $ 14,500.00 $ 14,500.00 14,500.00 14,500.00 Approved For Release 2008/12/11: CIA-RDP67B00074R000500040006-3