REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700050029-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 21, 2016
• Document Release Date: December 31, 2008
• Sequence Number: 29
• Publication Date: May 11, 1962
• Content Type: FORM

V7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7-12
Finance Division, Accounts
DIVISION ON VOUCHER No.
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.
NO(f). ~!, L 113 / / ~.. /O
INVOICE
SUBJECT
V
C T 4
CONTRACT NO.
PAYMENT TO
CHECK TO BE DATED
Al AT
CASH PAYMENT U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED C148011110 AND/OR CASH IN THE AMOUNT OF S
SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZK MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE S
OF OFFICIAL FUNDS IN CU CY ON MY BEHALF.
RE OF RECIPIENT
DATE SIaNA
DATE SIGNATURE OF PAYEE DATE
SIGNATURE OF AGENT
.
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-35
40-42
43
45-46
47-52
GBLIG.
53
54-57
55.07
ALLOT. OR COST
SS-70
DUE
71-80
AMOUNT
STATION
[XPENO
P
PAY
REF. NO.
GENERAL
ACCT. NO.
DATE
T/A N
/A NO.
CODE
O
P[R.
_
CA
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
CODE
N
LIQ.
ADVANCE
ACCT. NO.
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Approved For Release 2008/12/31: CIA-RDP67B00539R000700050029-9
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Approved For Release 2008/12/31: CIA-RDP67B00539R000700050029-9
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Approved For Release 2008/12/31: CIA-RDP67B00539R000700050029-9
,33 Unix ity Road, Cambridge 38, Mas husetts - INSTRUMENTS
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s- STATi
H RECEIVING OFFICER
P NAVY SUPPLY CENTER
T AMD DISTRIBUTION
OAKLAND, CALIFORNLA'
MARK SR-3832-183236
DATE ORDER RECEIVED
3/30/62
CU
HF-CT-691
SCHEDULED SHIPPING DATE
3/30/62
SALESMAN
80
INVOICE NUMBER
92-'652L6688-10
SHIP VIA QUICK TRANSPORTATION "-0-'- PO" DATE SHIPPEDINVOICE DATE
CARRIER'S R#CN-T NUMBER
PREPAID DEST. 3/30/62 5/8/62
AIRBILL #025-978
QUANTITY TODAYD
DUE MODEL/PART NUMBER D E S C R I P T d 0 N
UNIT PRICE TOTAL
PRICED EXHIBIT NO. 12--PARTIAL
BILLING PER ATTACHED EQUIPMENT
RECEIPT 92-6688-10:
1
/
1
ITEM #1, 5111C, REWORKED SEXTANT /
SERIAL NO. 462 856600
890.00
We certify that the above bill is
correct and just; that payment therefor
STAT
STAT
116Y
9 2
SELLER REPRESENTS THAT WITH RESPECT TO THE PRODUCTION OF THE ARTICLES AND/OR THE PERFORMANCE OF T 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 2008/12/31: CIA-RDP67B00539R000700050029-9