REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700050018-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: December 31, 2008
• Sequence Number: 18
• Publication Date: January 29, 1963
• Content Type: FORM

Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
en
VOUCHER NO.7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
1
DIVISIO VOUCHER NO.
To Finance Division, Accounts Branch
monetary Branch 74-
THROUGH:
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
this transaction ire on file in this office.
INVOICE NOM. 9? G bo 11 0003- 1
SUBJECT tana 4 40 .1
PAYMENT TO I Q ~. ~~ / C CONTRACT NO.
l
- CHECK TO S[ DATED
A ` "NT A- 7x i
3
CASH PAYMENT U.S. TREASURY CHECK AGENT CASHIER CHECK SANK CASHIER'S CHECK
THE ATTACKED CHECKS AHD/OR CASH IN THE AMOUNT-~ S SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE III OF OFFICIAL FUNDS IN CUR ENCY ON MY BEHALF.
DATE SIGNATURE. OF RECIPIENT
DATE SIGNATURE OF PAYEE DATE SIGNATURE OF AGENT
58
67
SB-70
DESCRIPTION-ALL OTHER ACCOU
NTS 13-33
34-35
40-4a
43
P
48-46
47.52
OBLIG.
2a
54.57
.
ALLOT. OR COST
DUE
71-80
AMOUNT
a
STATION STATION
E7tP2ND
PAY
REF. NO.
GENERAL
NO
ACCT.
DATE
COOK
u
.
PKNsR
CA
62
67
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
NO.
PROP. NO.
Coollt
N
D
LIQ.
ADVANCS
ACCT. NO.
Wit
LEDGER
ACCT. NO.
-
CK. NO.
OBJECT
CLAM
DEBIT
CREDIT
PROJKCT NO.
I ry
s
CODs
[MP. NO.
% Ra-. NO.
Alfir
I
l l t l 1
1 I {p
(
I r
IS ,
0v
U
I
c
f
`,
~ V~/ - O
O O
0
11 ;
`~r
1 1
LT
.;
_ ~__
1~ "1
I'~
1~k t ~.1 I 1
1. (
.
I.., ,
0U J
1
-I~ 1j -1-'1 1 '
f
l
'
1
260 "
23 0~-f
V
.39-1
il
is,
I-1
t
I
L
1
,
1,
!
..w//J
I 1{ ~I
RR -1
1 {II I.II
NI
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1
{
-
f~
~~/
{
1
1
1 I
I
- t t( 1
, ,
1 ,
1
25X1
PR
DATE
AUTHORIZED C YING OFFICER
OATS
TOTALS
g 6 L a, o 4P
O 00
k
SECRwr
FOR 1822
4-61
(I)
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
Filled In)
Wh
 Standard Form No. 1034
7 GAO 5030
1034-107
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
PUBLIC' 'VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
Use continuation sheet(s) if necessary
U. S.
(Department, bureau, or establishment)
Voucher prepared of
Data of Delivery
or service
Payee's Account No. Discount Terms
TO Bird Atomic Inc.
(Pay..)
Cambridge 38, Massachusetts
Contract No. HF-CT-691 Date
No. and Dote of
Order
(Give place and dot.)
Req. No.
Weight
PAID BY
Date Invoice Rec'd.
Govt. B/L No.
ARTICLES OR SERVICES
Enter daserlption, Item number of contract or Federal supply Quantity
schedule, and other Information doomed necessary)
Invoice No.
92-60002 (Orig
. Inv. Att
$3
663.68
92-60003-1 (Orig. Inv. A
t)
340.95
92-60004 (Orig
. Inv. Att
21.00
92-60001 (Orig
. Inv. Att
,191.25
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Title
=$1.00
THE REVERSE OF THIS FORM MUST SE EXECUTED WHEN PURCHASES AR
29J f
'S3
STAT
STAT
(D~)
Ig Officer)
Check No. on Treasurer of the United States
Paid by Check No. on
(Name of Sank)
C
t . .... 10 a
-
as
ay
' When used in foreign countries, insert nom. of currency of country in which used.
t If the ability to certify and authority to approve are combined in one person, one signature only is nec. Per
.ssary; otherwise the approving officer will sign on the line below "Approved for S '. and
over his official title. Title
0. O. VOU. NO.
W. VOU. NO.
TOTAL 57, .73
Amount verified; correct for
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
 AM Board
ft"MIC
Approved For Release 2008/12/31 : CIA-RDP67B00539R000700050018-1
-z- - - - - - f ..NALYTICAL & CONTROL
33 L i.rsity Road, Cambridy? 38, M...ssachusotts INSTRUMENTS
('_3
WASHINGTON, D. C.
S-
H
I
P
T
0
DATE ORDER RECEIVED
-
]
CUSTOMER'S PURCHASE ORDER NO.
M
LMQ
SCHEDULED SHIPPING DATE
R
SALESMAN
INVOICE NUMBER
-
r
CT?6 1
1
?
SHIP VIA
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
EMERY AIR FREIGHT
DEST .
1217/6?. 12127/62
BOS 6782
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
PRICE EXHIBIT NO. 2 (63-2)
20
20
ITEM #12 AR44-196
2.90
58.00
10
10
/
ITEM #2, AR44-22
57.52
575.20
12
12
ITEM #3, AR44-246
15009
181.08
36
6
ITEM #4, AR44-258
6.81
245.16A
60
3
0
ITEM #5, AR44-306
6.99
419.40
10
10
ITEM #6, AR44-354F
.30 w
6
6
/
ITEM #7, AR44-426
3.39 /
34
20,340
Yy
ITEM #8, AR44-439
8.66, ''
103.92
10
5
/~
ITEM #9, A5130E-14A
ITEM #10, A5130E-14C
5.78 /
5.78/
57.80
28.90
5
5~
ITEM #11, A5130E-14D
5.78 '
28.90
6
65,
/
ITEM #12, A5130E-40
7.14 "
42.84
8
8
ITEM #13, BR44-388
9.38
75.04
5
5
I~
ITEM #14, BR44-40
356.90 B/
1, 784.50
5
5
~
a
ITEM #15, B5130E-50 ~.39,~-~ /
7.91
39.45
SUBMITTED FOR REIMBURSEMENT
3o663.53
SIGNED EQUIPMENT RECEIPT ATTACHE
We certify that the above bill is
p
correct anti just; that payment therefor
~
~'13 not _ "1 r('ce1 ~~v('Il. .
tAi V} n~ i ON11 INC.
,
STAT
B H
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
w
-
r
''
"
'
`
'
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
r
 WASHINGTON, D. C.
o STAT
EOpY OF
DATE ORDER RECEIVED
-
CUSTOMER'S PURCHASE ORDER NO.
COMMON CUSTO
SCHEDULED SHIPPING DATE
R
SALESMAN
INVOICE NUMBER
-
MU ?
? ? 1
SHIP VIA
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
EMERY AIR FREIGHT
DEST i
1110163 1/21/63
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
PRICE EXHIBIT NO. 3 (63-3)
15
15
ITEM #1, AR44-39
22e 73
340.95
PER SIGNED EQUIPMENT RECEIPT ATTA
LIED
We certify that the above bill i
s
correct and just; that payment therefor
has _nOt Ir"v'I rccc eea
^~
.
;6A FN AIVrNx
i-
STAT
CA
w
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 OF THE FAIR LABOR STANDARDS ACT OF 1938. AS AMENDED
Approved For Release 2008/12/31 : CIA-RDP67B00539R000700050018-1
-- - - -- - -- - - - f 'NALYTICAL & CONTROL
33 Uni, sity Road, Cambridge 38, Mai :husetts INSTRUMENTS
TELEPHONE: UNIvERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
 Approved For Release 2008/12/31 : CIA-RDP67B00539R000700050018-1
-- - - -- - - - - - - - - - - - .LNALYTICAL & CONTROL
-se, 33 Uni rsity Road, Cambridge 38, Massachusetts INSTRUMENTS
TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
4 -0011-6 STAT
1COPY iw
FT .aRDEbI~CEIVED
17 % ft ~IQr ME
iv1Y1
CHEDULED SHIPPING DATE
SALESMAN
INVOICE NUMBER
6/30/62
F-CT-691
12110162
80
92-60004
SHIP VIA
F.O.B. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S RECEIPT NUMBER
EMERY AIR FREIGHT
DEST.
12/10/62 12/27/62
BOS 67830
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNIT PRICE
TOTAL
PRICE EXHIBIT NO. 4 63-1 Amended
4
4
ITEM #1s BA-NL Rubber Stamp
5.25
21.00
2
0
ITEM #2, BA-NL Rubber Stank
5.25
-
NET AMOUNT SUBMITTED FOR REIMBUR
EMENT
21.00
PER SIGNED EQUIPMENT RECEIPT ATTAC
HED
r
N
We certify that the n1 ve bill i's
correct an st; th' 1 herefor
has no ^,>'i
A
ST
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
AT
ARIMIIJAI INVAI['F
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050018-1
 VTOIrcl
WASHINGTON, D. C.
0
M9.2713-4
COPY OF
STAT
DATE ORDER RECEIVED
Qtlfi79MER'i l1YtGYAbEiI~Ef