REQUEST FOR PAYMENT AND POSTING VOUCHER

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP67B00539R000700020033-7
Release Decision: 
RIPPUB
Original Classification: 
S
Document Page Count: 
6
Document Creation Date: 
December 21, 2016
Document Release Date: 
December 31, 2008
Sequence Number: 
33
Case Number: 
Publication Date: 
October 3, 1963
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP67B00539R000700020033-7.pdf175.09 KB
Body: 
VOUCHER NO. 7-12 REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7.12 TO Finance Division, Accounts Branch DIVISION VOUCHER NO. THROUGH: Monetary Branch 3 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). Izz PAYMENT TO CONTRACT NO. ..- / 344 AMOUNT . ;y CHECK TO BE DATED :ASH PAYMENT U.S. TREASURY CHECK AGENT CASHIER CHECK BANK CASHIER'S CHECK THE ATTACHED CHUCKS 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 SIGNATURE OF PAYEE DATE SIGNATURE OF AGENT DATE SIGNATURE OF RECIPIENT DESCRIPTION-ALL OTHER ACCOUNTS 13-33 34.39 43 45-46 47-52 58.67 SS-70 as-as STATION 40-42 P PAY OBLIG. sa 54-57 ALLOT. OR COST DUE 71-SO T/A NO. CODE EXPEND U PER REF. NO. GENERAL ACCT. NO. DATE AMOUNT DESCRIPTION- ADVANCIVACCOUNTS 13-27 P.O. NO. PROP. NO. CODE N LID. ADVANCE ACCT NO CA YR LEDGER sa-s7 CK NO D D CODE . . ACCT. NO. . . EJECT DEBIT CREDIT DIY' EJECT No. n S YMP. No. x REF. No. 1. f .? -rye , -/yS goo, I I~~ ~III.;,LIIy I'~H J ~~;~; I , I'; /31" oo 7av l, t I, ? I, 11 J ~ I I I I I I T ( 1 1 1( j y , I - 1 1'~ ~ t ~; _r~ '~" d -S r2 1 ~" - 1- l t I I, t t f I , , I I I , i ;' 1 1 1 1 1 1;;; - ~~I III 25X1 IIII III; PREPARE BY DATE y AUTHORIZED CERTIFYING OF IC DATE TOTA 0 0 0 9 p 00 .3. . 0 / @ ,L Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 SECRET (When Filled In) Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Standard Form No. 1034 7 GAO 5030 1034-107 Voucher prepared at Date of Delivery or Service Bu- voll a gr -I Payee's Account No. Discount Terms Contract No. TD-1914 Shipped from No. and Date of Order 17-1 117 (Orig. Inv. Att.) COMPLETE PARTIAL FINAL PROGRESS ADVANCE Title PUB' V, VOUCHER FOR PURCHASES AND D. 0. VOU. NO. S J VICES OTHER THAN PERSONAL Req. No. Weight ARTICLES OR SERVICES NEnter description, Item number of contract or Federal supply schedule, and other Information deemed necessary) =$1.oo THE REVERSE OF THIS FORM MUST SE EXECUTED WHEN PURCHASES ARE MADE 0 Date Invoice Rec'd. Govt. B/L No. Cost $ 300.00 $ 300.00 $ 300.00 Amount verified; correct for STAT 3OCT .ng Officer) Check No. on Treasurer of the United States Paid by No. on Y (Name of Sank) Cash, $ , on , 19 Payee ' When used in foreign countries, insert name of currency of country in which used. Per t If the ability to certify and authority to approve are combined in one person, one signature only is -c? osory; otherwise M. approving officer will sign on the line below -Approved for $ and over his official title. Title Hughes Aircraft Company (Pay-) Culver City, California Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 METHOD OF OR ABSENCE OF ADVERTISING METHOD OF ADVERTISING 1. Advertising in newspapers Yes ^ No ^. 2. (a) Advertising by circular letters sent to -------------------- dealers. (b) And by notices posted in public places Yes ^ No ^. (If notices were not posted in addition to advertising by circular letters sent to dealers, explanation of such omission must be made below.) 3. Without advertising, under an exigency of the service which existed prior to the order and would not admit of the delay incident to advertising. 4. Without advertising in accordance with -------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ (Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4) NOTE.-The above form "Method of or Absence of Advertisin " g is to be used when purchases are made or services secured under proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or less formal agreement) Standard Form No. 1036 should be used for abstracting the method of or absence of advertising and award of con- tract. (See 7 GAO 4500 and 5000.) Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 -7,,, - 1 7x-63 SOLD TO: US GOVERNMENT CONTRACT NO: TD-1914 INVOICE DATE: 1 AUGUST 1963 INVOICE NO: 117 FIXED AI*IINISTRATTVE SERVICE CHARGE FOR THE MONTH OF: JULY 1963 . . . . . . . . $300.00 I certify the above costs are true and correct to the best of my knowledge. Westchester Station Los Angeles 45, California STAT Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 CONTRACT NO: TD-1914 INVOICE DATE: 1 SEPT. 1963 INVOICE NO: 119 FOR THE MONTH OF: AUGUST 1963 . . . . . . . . . . $300.00 I certify the above costs to be true and correct to the best of my knowledge. STAT Westchester Station Los Angeles, California 90045 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7 OCT 2 // 04 AN )S3 SOLD TO: US GOVERNMENT CONTRACT NO: TD-1914 INVOICE DATE: 1 OCTOBER 1963 INVOICE NO: 121 FOR THE MONTH OF: SEPT. 1963 . . . . . . . . . . $300.00 I certify the above costs to be true and correct to the best of my knowledge. STAT Mail Remittance To: Westchester Station Los Angeles, California 90045 Approved For Release 2008/12/31: CIA-RDP67B00539R000700020033-7