REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700050008-2
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 21, 2016
• Document Release Date: December 31, 2008
• Sequence Number: 8
• Publication Date: November 18, 1963
• Content Type: FORM

Approved For Release 2008/12/31: CIA-RDP67B00539R000700050008-2
TO
THROUGH-
When Filled In)
77--REQUEST FOR PAYMENT AND POSTING VOUCHER
Finance Division, Accounts Branch L>A)
Monetary Branch
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.
Aj1f_tJNT
TREASURY CHECK
CASH PAYMENT U.S.
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S
1 HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW.
DATE SIGNATURE OF PAYEE I DATE
DESCRIPTION-ALL OTHER ACCOUNTS 13-33 ST34-39
ATION
>u-aa
7/A NO. CODE
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
,II!-*. PROJECT NO.
I DIV.
"~' i. I
I
1 1 1 1 1. 1 111 1 11 r I 1~1 i (y r}
.4
?I'f'
-1-I-(-I 7-rJIJ
I I I I I 1 1 1 1 1 I 1
1 111 I-;J i~i i L 1
'I'; I 4 1 aII ,
~__ 1-IJ !
A; I
, 1
,,, 1;; 1 1; 1 ,
1 ,
1
I x 1 1 1 I-i-'
I; I I; 1 1 1 1 1+ ~
_ j I 1 1 1 1 r' + I
1 1 1
FORM 1
4-61
/3 - .rrY>lt.L
a ? c.-r.L> ~
tts S ? 40
AGENT CASHIER CHECK BANK CASHIER'S CHECK
EXPEND
CODE
46-46
PAY
LIQ.
CODE
ULD BET-----'
H
tNTO
A
CCOUNT Af INDICATED BELQW.
O
S
OF OFFICIAL FUNDS I
N CURRENCY ON MY BEHALF.
TO RECEIVES
NT
DATE
SIGNATURE OF RECIPIENT
SIGNATURE OF AGE
I
(
SS-S7
SS-70
47.52
OBLIG.
54-57
A
LL
OT. OR COST
DUE
71-S0
AMOUNT
NO
F
L
ACCT. NO.
DATE
.
.
RE
GENERA
Sa-S7
ADVANCE
LEDGER
CK. NO.
OSJECT
ACCT. NO.
ACCT. NO.
CLASS
X REF. NO.
9,`70L1o -oab
..o ff
/-- OOG
VOUCHER NO. 7.12
ya- wool/ - s
H F- e7- Aye
7'Yv
. ).
410
,S ,yQ
TOTALSI -),P/. L A
- 11
71 ~, 25X1
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050008-2
 Approved For Release 2008/12/31: CIA-RDP67B00539R000700050008-2
PkNALYTICAL & CONTROL
33 Univ :y Road, Cambridg6 38,^ Masi usetts INSTRUMENTS
isnie TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
s-
o
L
D
T
0
WASHINGTON, D. C.
STAT
DATE ORDER RECEIVED
USTOMER'S PURCHASE ORDER .
Common Custome
SCHEDULED SHIPPING DATE
SALESMAN
INVOICE NUMBER
HF-CT-691
914/63
80
2-60011-5
SHIP VIA,
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
Emery Air r Prepaid
Destination
27 63 9130/63
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
PRICE-EXHIBIT NO. 11 (63-10)
10
10
ITEM #14, BR44-37 65.
1
651.40
EQUIPMENT RECEIPT ATTACHED.
We certify that the above bill is
correct and just; that payment therefor
has not C-1 re.c^ive-1-
-
STAT
I3
ST
(Date)
ISNOV
(Date)
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
job 6503 94103
AT
ORIGINAL INVOICE
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050008-2