REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700050031-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: December 31, 2008
• Sequence Number: 31
• Publication Date: April 16, 1962
• Content Type: FORM

Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
(When Filled In)
T REQUEST FOR PAYMENT AND POSTING VOUCHER
Finance Division, Accounts Branch
monetary Branch
ffi
e
c
.
this transaction is on file in this o
FORM
4-61 1822
THE ATTACHED CHECIf.AND/OR CASH IN THE AMOUNT OF IF
t HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATUREI DATE APPEARS BELOW SIGN AGENT
DATE SIGNATOPM OF PAY[[
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
EXPEND
CODE
45-46
PAY
531 54-57
GENERAL
[HALF
OF OFFICIAL FUNDS Islam A URRENCY
OF RECIPIENT
DATE
fn-f7
CK. NO.
68-70
DUE
DATE
a140In ob
71.80
AMOUNT
~25X1-
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6
 Standard Form No. 1034
7 GAO.5030
1034-106
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6
PUBLIC IUCHER FOR PURCHASES ANU O. VOU. NO.
SEMILES OTHER THAN PERSONAL
Use continuation sheets) if necessary lU YOU. NO.
Contract No. HF-cr-691
Shipped from
Date Invoice Recd.
Govt. B/L No.
Req. No.
Weight
ARTICIAS OR MVICKS
No. and Date of Data of Delivery Enter descrlplen, Item number of contract or Federal .upIy
Order or Service 11 schedule, and etMr inFerwsaHen deemed necessary)
Inv. Nos.
6400-23
6400:1ah'
6688.4
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
171
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
t Approved for =$
By
Title
Exchange rate =$1.00
Amount verified; correct for
(Signature or initials)
Check No. on Treasurer of the United States
Check No. on
Paid by (Nome of Sank)
Cash, $ , on , 19 Payee
' When used in foreign countries, insert name of currency of country in which used.
Per
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
$ 885.62
237.70
2,670.00
$1,793.32
+
1619 62
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6
STAT
STAT
 Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6
- -- - - - - - - -ALYTICAL & CONTROL
Bard 33 UnivE, ty Road, Cambridge 38, Mass. Iusetts INSTRUMENTS
~ Ato~s+ic
D PD 22
- WASHINGTON, D. C.
STAT
DATE ORDER RECEIVED
C Tna MM
1'
$~HEDULED SHIPPING DATE
K
SALESMAN
INVOICE NUMBER
HF-CT-691.
80
92-65, 16400-23
SHIP VIA
F.O.R. POINT
DATE SHIPPED/INVOICE DATE
CARRIER'S REIG PT NUMBER
EMERY AIR FREIGHT
DEST.
3/9/62 4/10/62
BOS57574
QUANTITY
DUE
SHIPPED
TODAY
MODEL/PART NUMBER
DESCRIPTION
UNR MACE
TOTAL
PRICED EXHIBIT NO. 9 -- PARTIAL
BILLING AGAINST PACKING LIST #402:
/
15
15
ITEM #1, AR44-11
35.30
6
6
TEM #5, AR44-22
52.76
316.68
4
4
TEM #11, AR44-396
9.86
39.44
OUNT SUBMITTED FOR REIMBURSEME
T
885.62
We certify that the above hill is
correct ar.d just; that paynic:,t therefor
has no ?cc: r~ Cci\ C 1.
A.it _-ATOfiC. II~T;
ST
By
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 IAl OF THE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED
TELEPHONE: UNIVERSITY 4-7420 - CABLE: BAIRDCO Cambridge, Massachusetts, U.S.A. TERMS: NET 30 DAYS
I/
AT
Approved For Release 2008/12/31: CIA-RDP67B00539R000700050031-6