REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP67B00074R000500210010-9
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
4
Document Creation Date:
December 21, 2016
Document Release Date:
January 5, 2009
Sequence Number:
10
Case Number:
Publication Date:
September 25, 1962
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 111.91 KB |
Body:
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
(When Filled In)
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
IO VOUCHER NO.
DIVIS
Accounts Branch
Finance Division
SI
I
,
TO
Monetary Branch i
3
T;
R000H:
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).
PAYMENT TO
CONTRACT NO. qq s' LL
r ~L~~T~a7..f Ir ~ 7
AMOUNT
CHECK TO BE DATED
.ASH PAYMENT
U.S. TREASURY CHECK
AGENT CASHIER CHECK
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 $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE ISIGNATURE OF PAYEE I
DATE I
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
42
40
43
45-46
47.52
OBLIG
53
58.67
OR COST
LLOT
68-70
DUE
71-BO
28-33
STATION
.
F
PAY
.
54-57
.
A
AMOUNT
T/A NO
CODE
EXPENC
u
E
REF. NO.
GENERAL
ACCT. NO.
DATE
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
.
P.O. NO.
PROP. NO.
CODE
_
N
-
R.
LIG
ADVANCE
ACCT. NO.
CA
YR
LEDGER
NO
ACCT
62.67
CK. NO.
OBJECT
DEBIT
CREDIT
132
-33
PROJECT NO.
T
FY
D
S
CODE
EMP. NO.
.
.
X REF. NO.
CLASS
DIV. .
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AUTHORIZED CERTIFYING OFFICER DATE
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TOTALS
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7
(1
FORM
SECRET
4-61
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
It~ki
SOLD TO:
SHIPPED TO:
o5 i4-/q,14-4'7--"
INVOICE DATE
9/10/62
INVOICE NO.
4
t.rms, not cash
INVOICE
Itek Corporation
Waltham 54, Massachusetts
GOV'T CONTRACT NO.
e012 42S tG.alP,
Direct Labor
Overhead
Materials
Other Direct Charges
Total Manufacturing Cost
General Administration
Total
Previously Billed by Itek
Net Amount Due on this Invoice
PERIOD COVERED: INCEPTION THRU 8/31/62
$ 4,870.62
7,305.93
60.43
298.39
12,535.37
1,629.60
14,164.97
10,465.12
3.699.85
"I certify that the above bill is correct and just
and that payment has not been received. Payment
is requested on a provisional basis pending the
establishment of accepted overhead rates."
STAT
STAT
STAT
(Date)
rSEP
7_ J 1962
(Date)
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
PERIOD COVERED: 8/16 thru 8/31/62
Direct Labor
Engineering $1,204.07
Overhead
Engineering @150% 1,806.10 U
Travel 22.20
Other Direct Labor 241.83
Total Manufacturing Cost 3,274.20
General Administration @13% 425.65 /
Total 3.6 1~
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9
September 11, 1962
Dear Jim:
Transmitted herewith are three (3) copies of Invoice No. 4
on Contract BB-425, Task Order #5. We would appreciate your
processing this for payment.
Very truly yours,
Con r a c s Manager
HAM:pgv
COPY ~ OF 2
STAT
Approved For Release 2009/01/05: CIA-RDP67B00074R000500210010-9