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: 
AttachmentSize
PDF icon CIA-RDP67B00539R000700040028-1.pdf328.28 KB
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 I DI V -1 /~w D/. I 1 ryJ ~i 1 I _ 1 LI_1_IJIJ I ! - O~ - ~ V /1, I _I~ .yl_IJ~ I I- I ~1 1 - ~~ Co7 ~~ 1 ^ r 44 , I . i, 1_i_I -j j 1 .0 { . { I t L l D E DAT AUTNORIZ[D CERTIFYING OFFICER " DATE TOTA f 9 / ;& ..4 461M 1822 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