PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00074R000500370003-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 3
• Publication Date: February 17, 1964
• Content Type: FORM

Standard Form Me. ,.Approved For Release 2008/12/11: CIA-RDP67B00074R000500370003-0
7 GAO "30 PUILV "OUCHER FOR PURCHASES AND 0. VOW No.
1034-10. SERI t.ES OTHER THAN PERSONAL
Use continuation she.$(s) if necessary
r
orce
U. S.
(Department, bureau, or establishment)
Voucher prepaf#c~
;February 17, 1964
Payee's Account No. Discount Terms A
c7(
AF033 600 -40274 ~ T& k 10
Contract a.
Shipped from
Req. No.
Weight
Date Invoice Rec'd.
Govt. B/L No.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
Quantity
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Cost Per
7/1/61-
6/30/62
Research under contract
F33(600)-40274, Task 10
0
See attached schedule
TOTAL
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
COMPLETE F-1
PARTIAL ^
NNAL F-1
PROGRESS D
Amount verified; correct for
ADVANCE 1:1
(Signature or initials)
t Approved for =$
By
Title
Exchange rate =$1.00
Pursuant to authority vested in me, I certify that
this youcher is correct and proper for payment.
ACCOUNTING CLASSIFICATION (Appropriation Symbo mus be Shown; other c asst Ica ion op Iona
Check No. on Treasurer of the United States
Paid by Check No. on
(Name of Bank)
Cash, $ , on , 19 Payee
' When used in foreign countries, insert name of currency of country in which used.
~L STAT
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 $ and
over his official title. Title
Ai
F
Approved For Release 2008/12/11: CIA-RDP67B00074R000500370003-0
 Approved For Release 2008/12/11: CIA-RDP67B00074R000500370003-0
STAT
INVOICE NO. 5021-12
ITEM NO.
FINAL
ACCUMULATED TOTAL
Salaries and Wages
Materials and Supplies
Other
Overhead and General & Administrative
@ 161.23% of Salaries and Wages
Fee @ 6%
Approved For Release 2008/12/11: CIA-RDP67B00074R000500370003-0
AF33(600)-40274,
DATE SHIPPED
INVOICE DATE
February 17, 1964
PREPAID ^
COLLECT ^
$ 6,278.06
829.99
51.58
10,122.11
17,281.74
1,036.90
18,318.64
18,318.64