REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700010004-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 5
• Document Creation Date: December 21, 2016
• Document Release Date: January 7, 2009
• Sequence Number: 4
• Publication Date: July 9, 1964
• Content Type: FORM

REQUEST FOR PAYMENT AND POSTING VOUCHER
TO : Finance Division, Accounts Branch
THROUGH: Monetary Branch
DIVISION VO RNUCH- ERNO.
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
SUBJECT
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S
I HEREBY AUTHORIZE MY AGENT, "'"'^^TO ACCOUNT AS INDICATED ^ELOW.
DATE WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE S
(SIGNATURE OF PAYEE
DATE I SIGNATURE OF AGENT
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
I DATE (SIGNATURE OF RECIPIENT
71-SO
AMOUNT
34-39
STATION
CODE
40.42
EXPEND
CODE
45.40
PAY
PER.
LIQ,
CODE
ADVANCE
ACCT. NO.
54.57
GENERAL
LEDGER
ACCT. NO.
SS-S7
CK. NO.
ss-7D
DUE
DATE
I n'c
5
OSJECT
CLASS
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
*5-as
T/A NO.
I
. 1?~ 1 1 1 1 1
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1 1 1 1 1 1 1 1 1 1 1
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1 1
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1 1 1 1 1 1 I
I I i i i i!!! I I
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
When Filled In)
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
 Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
i Q?_ iiiii il~ill -- - V Ar"94990pt-
NORWALK. CONNECTICUT, U.S.A. VICTOR 7.0411
To. P n m,
CUSTOMLR ORDLR NQ S PATE QUOTE NO.
SHIPPED TO L .ST. DESTI-
AREA-S NATION
S T
H
1
P
HFCT 695
J&
1 lb
Is F Customer B. Projector
Contract HFCT 695 (1963 Contract Funds)
ITEM
NO.
QUAN-
TITY
PPD - COL. I SHOW CHOS.
42510
HAVE BEEN PRODUCED IN COMPLIANCE WITH THE APPLICABLE MOWN HEREIN ARE NO It THAN
REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938. THOSE CHARGED TO OTN RS FOR THE
AS AMENDED, AND REGULATIONS ISSUED THEREUNDER. SAME ARTICLE IN SIMILAR QUANTITIES.
F.O.B. FACTORY. NORWALK. CONN.
UNLESS OTHERWISE SPECIFIED
NO.
INV.
No. 21183
5/20/64
PAST.
VIAL
UNIT PRICE
$95,000.00
$95,000:00
84,637.56
$10,362.44
7.90
85,585.10 /
$9, "14.90
n AIA 90I
DESCRIPI+ION
Funds.allocated from 1 July 1962 to
30 June 1963
Previous Invoices
Funds remaining
Current amount being invoiced
Fiscal year 1963 uninvoiced funds
remaining
Freight charges fo:'',f.acal 1963 as per
attached exhibit '63=33 and due this
invoice.
N. Final invoice ?against 1963 funds
CONTRACTORS CERTIFICATE:
I CERTIFY THAT THE ABOVE BILL IS
CORRECT AND JUST AND THAT PAYMENT THERE-
FORE HAS NOT BEEN RECEIVED.
CTROLLER
ELECTRO - OPTICAL DIVISION
(Date)
JUL
9
CLAIMS FOR SHORTAGE MUST BE MADE WITHIN FIVE DAYS FROM RECEIPT OF GOODS. GOODS WILL NOT BE ACCEPTED FOR CREDIT AFTER 30 DAYS FROM DATE OF IN-
VOICE. WE CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS S. 7 AND 12 OF THE FAIR LABOR
STANDARDS ACT. AS AMENDED. AND OF THE U.S. DEPT. OF LABOR ISSUED UNDER SECTION 14 THEREOF.
FORM #03202
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
WE CERTIFY THAT THE PRODUCTS COVERED BY THIS INVOICE SELLER CERTIFIES T PRICES
SSTAT
 Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
63-33
Page 1 of 2
Freight
11
charges on Invoice No. (packing ticket #2315)
11 11 11 It LV/A
It 11 It it N/A
It 11 It 11 22303
IS It 11 if (packing ticket ;72325)
it 11 11 It 22591
it If It 11 2 2 30 1
11 It it 11 220017
It it It 11
#2332) 22819 22825
LLOOV
N/A
23390, 23391, N/A
23390, 23391
11.68
26.79
11.00
63.80
10.00
11.20
22.85
63.25
21.53
16.08
:. ~ v J
120.17
23.36
27.36
17.00
35.03
78.20
STAT
STAT
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
 Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
63 -33
~~ II Il II
II II 11 ~~
1t 11 1i tl
tl 11 11 11
11 11 /I It
23759 & 23761
23362
21:002, 24003 & 21;004
24097 & 24093
(packing ticket 42356)
24483
24545, 2[5'.6, 24579 & 24576
24691
24953
25109 & 25110
25430, 25431, 21432 & 25433
25583, 25534, 2.5535, 2_.536 & 25587
63-26-1
63.2.3-1
Page 2 of 2
27.00
13.17
20.38
19.01
9.17
19.13
30.00
34.36
20.04
21.00
23.00
21.30
7.03
40.00
9 7.54
STAT
STAT
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
 Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0
July 1, 1964
MW-P-336
STAT
Enclosed for payment under the subject contract is our Invoice No. 12325
covering freight charges for fiscal 1963 as per attached exhibit 63-33.
Regards,
STAT
mw
Attachments
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010004-0