IMPREST FUND REPORT (FORM 1159 AND FORM 282)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00399R000100120098-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 19, 2016
• Document Release Date: July 18, 2006
• Sequence Number: 98
• Publication Date: October 6, 1970
• Content Type: FORM

._._ Approved For Release 006/09425.5iCIALRDP75-003 9R0001.00120098-7
PREPARE IN DUPLICATE
I. TIrE_E OF irFPO T (if a fill -in report incluJc Form Nu.y
Imprest Fund Report (Form 1159'and Form 282)
~_.-~ PERSO,IPJCL - ~_.__1'RAIr11''IG_
4. NO. OF CUPIRE PicCPAitEO
2 - Form 1159
5. FRElUENCY (weekly, ?ionihly, qu_.rterly, etc.)
4 - Form 282 Monthly
11, VI FI'I.l t' Iit1AIi
E1111 1UI: Irti' I
OTHER (explain)
/. FOH:.:A1 (memorandum, forn i,. ADP PRt CE ING _ 9. DIRECTI'yE AUTHORITY THE1 UlRI:1G REPORT
computer print-Yaut, etc) YES IF YES GIVE ADP PROLE. SING NO. HHB
Form 1no- ---- I
number of copies}
4
IU. PRLPAaING CO::PCHHE1JT (include loviest level III. FEEDER REPORTS (State total number and identify by Title,
contributing Informwtion to report) Furn No., or nomenclature. Attach ep.rL{e sheet if neceociry.)
office of Director Special Projects I none
4.93
236.64
12, C COoS `1' N' ~' TORS -------
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r._ A XANIJAIt P:IEPAiIATTQN~_~Ii_]ZR VIE]rLpo i~-------
O
ER
19.72
P . C , or COMP1rF~R PRODUCED_ Rr-_,T'OR~S,_------- - - -- -- -._ _.
$236.64
13. CO-'IPLETE DETAILED JUSTIFICATION FOR THIS REPORT (in addition to directive or authority cited in ItemnIF hNOAN,
INCLUDE DATE REPORT NAS FIRST ST,,RIED AND CO'1PONEIJT '.1110 ESTABLISHED ?EQUIRE;NENT.
Required to account for imprest fund.
X kit IAIN 15 IS
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D I :.C,1rJ1 I NUL
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URS P
$ COST PER TI.NNES
HOURLY ` H
RATE REPORT !