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:
Attachment | Size |
---|---|
![]() | 175.09 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
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47-52
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REF. NO.
GENERAL
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
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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