REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP67B00539R000700040003-8
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
4
Document Creation Date:
December 21, 2016
Document Release Date:
December 2, 2008
Sequence Number:
3
Case Number:
Publication Date:
June 18, 1964
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 176.99 KB |
Body:
1 REQUEST FOR PAYMENT AND POSTING VOUCHER
TO Finance Division, Accounts Branch
THROUGH: Monetary Branch
J 1 . y
I b~~
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support
this transaction is on file in this office. of
N
LA-
DATE
(SIGN
T
R
A U
E OF PAYEE
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
1 1
h 1
'IA 1 I /II 1 I ~~
1 1 1
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $
Tit --Z"' " A
INVOICE NO(*).
S'2-fi87 6 8 3 f'2 ~i- !~ a
SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $
t 1 1 i I 1 1 1 y 1~~ I I
~/
1 ff
I 1 I-1 1
IU-as
T/A NO.
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
34-3S
STATION
CODE
I_I 1
1-j 1
40.4:
EXPEND
y
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d.,
FORM
4.6 1
48-44
47-S2
PAY
OBLIG.
a4-57
PER.
REF. NO.
GENERAL
LID.
ADVANCE
LEDGER
CODE
ACCT. NO.
ACCT. NO.
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
71-SO
AMOUNT
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
standard Form No. 1034
7 GAO 5030
1034-107
Baird-Atomic, Inc.
U. S.
(Department, bureau, or establishment)
Voucher prepared at
Amount verified; correct for qd, '1(.1
Payee's Account No. Discount Terms
Contract No.
Shipped from
No. and Date of
Order
Cambridge 38, Mass.
IAddreu)
TM-1606 Date
to
PUBLIC Y_ _1CHER FOR PURCHASES AND
SERYILL-s OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
Req. No.
Weight
AIRTIME OR UlkVICES
Enter doscrlptlon, Item number of contract or Federal supply
schedule, and other Information deemed necessary)
Invoice Numbers
82-5187-64 (Orig. Inv. Att.)
82-5241-42 it
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Title
Pursuant to a rity vested it te, Q.fe;
FI )YOU. NO.
IIU. YOU. NO.
Page 1 of 1
=sl.oo
t"
nt.
181964
STAT
(Dote)
acting Officer)
Check No. on Treasurer of the United States
Check No. on
Paid by (Name of lank)
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 nw
essery; otherwise the approving officer will sign on the line below "Approved for S and Title
aver his official title.
Approved For Release 2008/12/02 CIA-RDP67B00539R000700040003-8 .._.~
Dote Invoice Recd.
Govt. B/L No.
$ 50.00
2,626.29
2.676.29
Baird
A?vmic
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
ANALYTICAL & CONTROL
33 Universi.,_ Road, Cambridge 38, Massaci, efts INSTRUMENTS
TM-1606 Common
SHIP
TOE
SOLD
TO:
WASHINGTON, D. C.
L
JUN 15 137 PM '64
H
PLEASE REMIT TO:
BAIRD-ATOMIC, INC.
P.O. BOX 1143
BOSTON 6, MASSACHUSETTS
5/29/64
SCHEDULED
SHIPPING DATE
SALESMAN
PPD. OR COL
SHIPPED VIA
[FOBPOINT
80
OUAN.
SHIPPED
MODEL OR
PART NUMBER
UNIT PRICE
DESCRIPTION
AMOUNT
SERVICES
INCURRED
AND CLAIMED FOR MAY 1964:
WORK OR
ER #
HOURS WORKED RATE
64-21
25.0 9.91
247.75
64-23
4.0 "
39.64
64-25
16.0 "
158.56
64-26
12.0 II
118.92
64-27
64.5 II
639.20
64-28
20.0
198.20
64-30
42.5 'I
421.18
64-31
8.0 "
79.28
64-33
16.0
158.56
64-35
16.0
158.56
64-37
24.0 "
237.84
T
TAL LAB
R 248.0 9.91
2,457.69
FACILITY
MAINTENA
NCE FEE
150.00
MATERIA
LS @ Cost
12.88
Plus 25% H
andling
3.22
16.10
G & A Ove
rhead @ 15.
%
We certify that the above bill is
2.50
S
ED
correct and just; that payment therefor
29.'
2
626
TOTAL
BMITT
has not been) received.
,
.
- INC.
STAT
By
ontraller
SELLER REPRESENTS THAT WITH RESPECT TO THE PRODUCTION OF THE ARTICLES AND/OR THE PERFORMANCE OF THE SERVICES COVERED BY THIS INVOICE, IT HAS FULLY
COMPLIED WITH SECTION 12 (A) OF THE FAIR LABOR STANDARDS ACT OF 1938. AS AMENDED.
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8
-- - - - - - - - - - - -~ - - - - ANALYTICAL & CONTROL
TM-1606 Customek
Jay 15 1 38 PM
V
PLEASE REMIT TO:
BAIRD-ATOMIC, INC.
P.O. BOX 1143
BOSTON 6, MASSACHUSETTS
82-5187-64
5/29/64
SCHEDULED
SNIPPING DATE
SALESMAN
80
PPD OR COL
SHIPPED VIA
F.OB POINT
OUAN
SHIPPED
MODEL OR
PART NUMBER
UNIT PRICE
DESCRIPTION
AMOUNT
SERVICE
FOR MAY
1964:
FACILIT
Y MAINTE
NCE FEE
50.00
We certify that the above bill is
correct and just; that payment therefor
has no n received.
25X1
oiler
SELLER REPRESENTS THAT WITH RESPECT TO THE PRODUCTION OF THE ARTICLES AND/OR THE PERFORMANCE OF THE SERVICES COVERED BY THIS INVOICE, IT HAS FULLY
COMPLIED WITH SECTION 12 (A) OF THE FAIR LABOR STANDARDS ACT OF 1938. AS AMENDED.
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040003-8