REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP67B00539R000700060004-5
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
4
Document Creation Date:
December 21, 2016
Document Release Date:
December 30, 2008
Sequence Number:
4
Case Number:
Publication Date:
November 6, 1964
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 151.09 KB |
Body:
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
VOUCHER NO. 7.12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
TO ; Finance Division, Accounts Branch
DIVISION VOUCHER NO.
I
THROUGH: Monetary Branch
4.-
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.
SUBJECT
INVOICE NO(S).
r 6s-~ :.z-va ~r~s6
PAYMENT TO r-P? jJ
CONTRACT NO.
A' VT
'
CHECK TO ^E DATED
i1 o
CASH PAYMENT
U.S. TREASURY CHECK
T I
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $ 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
34.39
43
45-46
47.52
58-67
66-70
2.-33
STATION
40-42
F
PAY
OBLIG.
53
54-57
ALLOT. OR COST
DUE
71.50
T/A NO.
CODE
EXPEND
U
PER
REF. NO.
GENERAL
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
P.O. NO.
PROP. NO.
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FORM SECRET (1)
4.61
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
Standard Form No. 1034
7 GAO 5000
1034-108
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
PUBLIC "IUCHER FOR PURCHASES AND
SERVi__S OTHER THAN PERSONAL
Voucher prepared at
Payee's Account No. Discount Terms
Eastman Kodak Co.
Rochester 3, New York
Contract No. I-HF-47 Date Req. No.
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other Information deemed necessary)
15654 (Orig. Inv. Att.)
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Invoice Rec'd.
Govt. B/L No.
(PAYEE MUST NOT USE THIS SPACE)
I DIFFERENCES
t Approved for =$
By
Title
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES ARE MAD
Amount verified; correct for
x$334.00
819.00
STAT
(Dote)
Officer)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be sh+wn; ot*r classification optional
Check No. on Treasurer of the United States
Check No. on
Paid by (Name of Bank)
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
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
EAS f MAN KODAK COMPANY
ROCHESTER 4, N. Y. us 6009 L 15654
DCI CACC 1~ '1AQ INVOICE
-PROJECT F-2
Lus 6009 L 15654 C-513143 I
91 9
OUST. ORDER DATE
8 124 64
CONTRACT OR ORDER NUMBER
RELEASE 6348 FOB ORIGIN
QUANTITY
D E S C R I P T I 0 N
UNIT PRICE
AMOUNT
I
RL 70MM X 4000-FT TYPE 4401 FILM
ON CUSTOMER FURNISHED SC-27 SPOOL
AND BC-31 BOX sP-98o
I TEM 2092
334.
STAT
25 LINCOLN AVENUE
ROCHESTER NEW YORK
GATE 2 DOOR A
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5
EAS OMAN KODAK COMPANY
ROCHESTER
1ROJECT F-2 1(6 x
4, N. Y. US 6009 L 15656
T
0 INVOICE D
RELEASE #63
64
1
5
r VENUE
E ROCHESTER NEW YORK
GATE 2 DOOR A
L
I
J
~,R DATE
1
I^
CONTRACT OR ORDER NUMBER
_
2
RELEASE 16350 FOB ORIGIN
QUANTITY
D E S C R I P T ION
UNIT PRICE
AMOUNT
2
RL 70MM X 2000-FT
242.
50
485.
TYPE 4404 FILM
CODE 7J-54-2000
ITEM 1107
485?
STAT
C-513143
STAT
Approved For Release 2008/12/30: CIA-RDP67B00539R000700060004-5