REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP67B00539R000700040028-1
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
6
Document Creation Date:
December 21, 2016
Document Release Date:
December 2, 2008
Sequence Number:
28
Case Number:
Publication Date:
April 16, 1962
Content Type:
FORM
File:
Attachment | Size |
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Body:
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
(When rsueu in]
VOUCHER NO. 7.12
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7-12
Finance Division, Accounts Branch I DIVISION VOUCHER NO.
TO
1
Monetary Branch
THROUGH:
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.
{'~ G 2 - 3d?
7 y/
INVOICE NO(S).
SUBJECT
w7 +r
CONTRACT NO.
PAYMENT TO
-
CHECK TO BE DATED
A* jIT
15
1F
CASH PAYMENT
U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ 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
40.42
43
48.46
47.52
OBLIG.
53
54.57
58-67
ALLOT. OR COST
65-70
DUE
71'80
T
16-33
STATION
EXPEND
P
U
PAY
REF. NO.
GENERAL
ACCT. NO.
DATE
AMOUN
T/A NO.
CODE
R
CA
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
CODE
N
D
L14'
ADVANCE
ACCT. NO.
YR
LEDGER
ACCT.NO.
62-67
CX. NO.
OBJECT
DEBIT
CREDIT
PROJECT NO.
i Fr
6
CODE
IMF. NO.
X REP. NO.
CLASS
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Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
X1
Standard Fenn No. 1034
7 GAO 5030
1034-106
Voucher prepared of
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
ruBLI(. $UUUILK ruK rUKUnAJtJ AMU 0-vou.t4u.
SERI ES OTHER THAN PERSONAL
(Give ploce and dote)
Payee's Account No. Discount Toms
TO Baird-Atomic, Inc.
(Pay-)
Contract No.
Shipped from
Cambridge 38, Massachusetts
No. and Deft of
Order
TM-1606 Req. No. Date
Weight
ARTICLRS OR SERVICES
Date of Dtltvtry 11 Enter description, It.... number of con ruet or Federal suWy puantlty
or service scbdulo, and efM- lnftrnsoNon doomed ntcossary)
5241-15 (Orig. Inv. Att)
5187-38 (O=i g. Inv: Att)
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for =$
By
Title
Exchange rote =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
$2,245.19
584.38
X2,829.57
STAT
(Date)
Officer)
Check No. on Treasurer of the United States
Paid by No. on
y (Name of Bank)
$ , on , 19 Payee
Cash
,
' When used in foreign countries, insert name of currency of country in which used.
Invoice Recd.
Govt. B/L No.
Amount verified; correct for
(Signature or initials)
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
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
s-
o
L
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
i - ANALYTICAL & CGIVITROL
33 Univ...sity Road, Cambridge 38, Massuchusetts INSTRUMENTS
TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
WASHINGTON, D. C.
DPD , 3 //-G 2
rID?Y OF STAT
DATE ORDER RECEIVED
d~PyRGHAS6jiRpi~liW~ME
li lJ s7 1 lJ
CHEDULED SHIPPING DATE
SALESMAN
INVOICE NUMBER
TM-1606
5241-15
SHIP VIA
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
3/31/62
QUANTITY
DUE
SHINED
TODAY
MODEL/PART NUMBER
D E S C R I P T 10 N
UNIT PRICE
TOTAL
SERVICES
INCURRED IN MARCH 1962:
HOURS
HOURLY
WORK OR
DER # WORKED
RATE
62-33
40.6
$ 7.91
321.15
62-35
79.7
7.91
630.43
62-39
44.0
7.91
348.04
62-40
48.0
7.91
379.68
62-41
30.5
7.91
241.26
62-43
28.5
7.91
225.44
SUB TOT
271.3
7.91
2,146.00
10
FACILITY
MAINTENANCE FEE
50.00
TRANSPO
TATION OUT (Receipts Attached)
49.T9
AMOUNT S
UBMITTED FOR REIMBURSEMENT
, 245.19
2,
en th^.t the 2bove bill is
i \ m_~,nt therefor
STAT
t9~WdSL6
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 Al IOF THE FAIR LABOR STANDARDS ACT OF 1938. AS AMENDED
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1 1 v o c E N U M B E R
u. w w w &? TO I UN PROPI: CFAW PUl*w RR 1 4 DUPLICATE INVOICE
RY AIR FREIGHT AT,
EMERY OTHER CARRIER'S
TERMINAL TERMINAL
WIDTH HEIGHT
x x
OF
I YOUR INVOICE COVERING TRANSPORTATION
-P.O. BOX 7. . PA.
E.~
-STAT.
AL CHARGES
3
TION R UI PAYMENT THIN 7 DAYS'.
FORM OA-1 PRINTED
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
Approved For Release 2n08/12/02 ? CIA-RnPR7Rnn539Rnmmnnnann2R-1 -1 V O I .
'rIVI f'~'~ A/R FRR1GHT co . c' -A-rw
? -- ..... .. _ ~'~ TO IMSURm "me QID(T PlEASt IISIURN DUPIICATi ....voles ..........
TO P.O. BOX 7, SCRANTON, PA.
BOX 232 ~
BRIDGE, MASS.
Electronic Equipment
0 X04
BY EMERY AIR FREIGHT A
EMERY
1 1 TERMINAL
OTHER CARRIER'S
TERMINAL
LENGTH WIDTH X
T DESCRIBED A ROVE. GOVERNMENT
RIGINAL INVOICE
CHARGES ADVANCED
AT ORIGIN
AT DESTINATION
.O.D. FEE
OTAL CHARGES
STAT-
Approved For Release 2008/12/02: CIA-RDP67B00539R000700040028-1
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040028-1
i - ANALYTICAL & CONTROL
Baird 33 Univ, ity Road, Cambridge 38, Mass_.husetts INSTRUMENTS
Ato~++ie TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: ET 3 DAYS
OOF
S-
0
L
D
T
0 WASHINGTON, D. C.
(QPy
25X1
DATE ORDER RECEIVED
CUSTOMER'S ORDER NO.
CUSTOMER C
SCHEDULED SHIPPING DATE
SALESMAN
INVOICE NUMBER
TM- 606
5187-38
SHIP VIA
P.O.R. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
3131/62
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
SERVICES FOR MARCH 1962:
CONSTRUCTION OF (3) PURGE UN S:
LABOR: 43.3 hours @ $71B91 !/
342.50
MATERIALS
192.95
G & A Overhead @ 12.4%
23.93
FACILITY MAINTENANCE FEE
25.00
AMOUNT SUBMITTED FOR REIMBURSEM
NT
584.38
. ,i 1