REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00074R000500220016-2
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 5
• Document Creation Date: December 21, 2016
• Document Release Date: December 15, 2008
• Sequence Number: 16
• Publication Date: April 17, 1963
• Content Type: FORM

Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2
VO- ER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
NO. 7.12
VOUCHER
Finance Division, Accounts Branch
I DIVISION VOUCHER NO.
TO :
Monetary Branch
THROUGH:
nt be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
m
t
e
pay
Reques
this transaction is on file in this office.
~~/
INVOICE NO(S). 7,3'I
SUBJECT
PAYMENT TO 4
CONTRACT NO. / `- 13 / 6vv r,
11/ C
AMOUNT
CHECK TO BE DATED
y
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 S
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
SIGNATURE OF RECIPIENT
T
DATE SIGNATURE OF PAYEE DATE I SIGNATURE OF AGENT
DA
E
DESCRIPTION-ALL OTHER ACCOUNTS 13.33
34-311
40-42
43
r
45-46
47.52
OBLIG.
83
54-57
58-67
ALLOT. OR COST
68-70
DUE
AM71-60
OUNT
33 an
STATION
EXPEND
PAY
REF. NO.
GENERAL
ACCT. NO.
DATE
T/A NOW
CODE
PER
_
CA
67
62
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
CODE
N
D
LIQ.
A
ACCT. NO.
YR
LEDGER
ACCT. NO.
-
CK. NO.
O8JKCT
LASS
DEBIT
CREDIT
12-33
DIV.
PROJECT NO.
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CODE
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FORM
4-61 1822
Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2
 Standard Form No. 104
7 GAO 5030
1034-107
Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2
PUBL VOUCHER FOR PURCHASES AND D. O. VOU. NO.
SERVICES OTHER THAN PERSONAL
RU. VOU. NO.
Page 1 of
Voucher prepared at
Payee's Account No. Discount Terms
TO First National Bank of Boston
Contract No. BB-450
Shipped from
Boston, Massachusetts
Date Req. No.
to Weight
Invoice Recd.
Govt. B/L No.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
I Enter description, Item number of contract or Federal supply
Quantity
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other Information deemed necessary)
Cost Per
Invoice Numbers
7037/63 (Orig. Inv. Att)
$166,551.50
34 (Orig. Inv. Att)
178,379.91
TOTAL
$344,931.41
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
:
DIFFERENCES
COMPLETE
PARTIAL
FINAL
PROGRESS U
Amount verified; correct for
ADVANCE El
I
(Signature or initials)
ify that
t Approved for $
ment.
By
5f/i~3
Title
(Date)
Exchange rate =$1.00
tang Officer)
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES
FORM
ACCOUNTING CLASSIFICATION (Appropriatio
onal)
Check No. on Treasurer of the United States
Paid by No. on
y (Name of Rank)
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 on the line below "Approved for f and
over his official title. Title
STAT
Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2
 Itek
ilex uorporaiion
N V?I CE ~5t9167a-
COPY OF
Lexington 73, Massachusetts
SHIPPED TO:
INVOICE DATE 3/15/63
INVOICE NO. 7037/63
terms, not cash
Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016 2 Q v
1 each Contract Item #12
$333,591.60
Less: Progress Payments
167,040.10
Net Amount Due This Invoice
,$166.551.50
"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
Boston 6, Massachusetts."
Itek portion
"It is hereby acknowledged that the assignment of
all monies due and to become due under Contract No.
(classified), is effective and covers this invoice
which is to be paid directly to the Assignee, The
First National Bank of Boston, 67 Milk Street,
STAT
Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2
 Approved For Release 2008/12/15: CIA-RDP67B00074R000500220016-2 rj
I Itek
SOLD TO:
SHIPPED TO:
INVOICE