REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700040038-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 2, 2008
• Sequence Number: 38
• Publication Date: August 28, 1961
• Content Type: FORM

Approved For Release 2008/12/02 CIA-RDP67B00539R0007 00040038-0
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
DIVISION VOUCHER NO.
Accounts Branch
Finance Division
I
,
TO -
THROUGH: Monetary Branch
Request payment be made and/or transaction be recorded as indicated below. Pert'inent' cumeutation in support of
this transaction is on file in this office.
INVOICE NO(S). ~// 7 T~?~
SUBJECT
PAYMENT TO /-0- - NC
CONTRACT NO. 731
A:
CHECK TO BE DATED JZ9
1
CASH PAYMENT
x U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK 0-1
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF s SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS B OW. TO RECEIVE III 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
34-35
40.42
4a
45-44
47.52
ONLIG.
53
54-57
55.57
ALLOT. OR COST
64-70
DUE
71-40
STATION
EXPEND
F
U
PAY
REF. NO.
GENERAL
ACCT. NO.
DATE
OUNT
AM
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
T/A /A NO.
P.O. NO.
CODE
PROP. NO.
CODE
N
D
PER
ua.
ADVANCE
ACCT No
CA
YR
LEDGER
ACCT.NO.
?3 47
K. NO.
OKJ[CT
DEBIT
CREDIT
I=-= =
PROJECT NO.
IVY
E
CODE
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AUTHORIZED CERTIFYING OFFICER
DATE
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Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0
 Standard form No. 1034
7 ,*AO 5030
1034-106
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0
runt Lt YUULnt:K ruR ruRLnM L mnu - w''-r'
S /ICES OTHER THAN PERSONAL
Use continuation shoot(s) if necessary
Voucher prepared at
Date Invoice Recd.
Govt. B/L No.
Payee's Account No. Discount Toms
TO Baird-Atomic, Inc.
Contract No. TM-1606 Date Req. No.
Shipped frame- to Weight
No. and Date of
Order
ARTICLES OR SERVICES
Data of Delivery Enter description, Item number of contract or federal supply
or service schedule, and otter infermation doomed necessary)
5241-5 Reclaim
5241-6
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Amount verified; correct for
(Signature or initials)
$1, 063.99
2,328.46
X4.492.45
STAT
Pursuant to authority vested in me, I Corti this,
t Approved for =$ ^t?
By 28 Ag 6G STAT
Title
Exchange rate =31.00 `1 Ltracting Officer)
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE 0
Check No. on
Cash, $ , on , 19 Payee
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 S and
over his official title. Title
(Give place and dote)
Cambridge 38, Massachusetts
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0
 ? Rl - - all 1
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0_
NALrncAt & CONTROL
33 L versity Road, Cambridge 38, h.,.ssachusetts INSTRUMENTS
/Atoani~ TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
WASHINGTON, D. C.
STAT
DATE ORDER RECEIVED
CUSTOMER'S PURCHASE ORDER NO.
SCHEDULED SHIPPING DATE
SALESMAN
INVOICE NUMBER
TM-1606
5241-5 RECLAIM
SHIP VIA
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
6/30/61 8/15/61
_ __
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
RECLAIM INVOICE
Reclaim o costs withheld in excess of contract
funding ag inst invoice for June 1961 services
per receipt and execution of Amendment No. 22
of subject Contract TM-13.6 this date, allotting
additional funding of $1, 063. 99.
Amount P eviously Invoiced
3, 242.93
Amount P Lid against 5241-5
2,178.94
``
a(7r--) r
~+?a
AMOUNT RECLAIMED
X 9 8 - / o S ~ 7 S
99
1, 063.99
We certify that the above bill is ~d6~
7
correct and jus that payment theref of
has not en eceived.
~
Aamn
~TnMIC- TNC.
STAT
troller
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 IAI OF THE FAIR LABOR STANDARDS ACT OF 1938. AS AMENDED
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0
 Approved For Release 2008/12/02: CIA-RDP67BOO539R000700040038-0
-- - - -- - ff -NALYTICAL & CONTWX
33 I. iersity Road, Cambridge 38, I sachusetts INSTRUMENTS
-A TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
r'
WASHINGTON, D. C.
E GL
YOUR ORDER DPD Sl YD copy / CIF ?
STAT
TM-1606
QUANTITY
DUE
7/31/61
SHIPPED
TODAY
SERVICES
FOR JULY 1961: HOURS
WORKED
WORK ORD
ER #
61-41
13.4
61-42
1.0
61-43
17.0
61-44
2.0
61-45
23.0
61-46
-
62-2
77.4
62-3
53.5
SUB TOTA
MATERIAL
G & A Ove
S @ COST
head @ 11 To 805.18
88.57
AMOUNT SUBMITTED FOR REIMBURSEMENT
X7~d " 47 ai7.S( K) 63
We certify that the a ove i q
correct and just; that payment therefor
has not been received.
.RICRD- ATOMIC, INC.
STAT
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
5241-6
HOURLY
RATE
7.61
102.64
7.66
7.66
7.66
130.22
7.66 /
15.32
7.66 7
176.18 /
Approved For Release 2008/12/02 : CIA-RDP67B00539R000700040038-0