INVOICE

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-03424A002100010026-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 22, 2016
• Document Release Date: July 10, 2012
• Sequence Number: 26
• Publication Date: September 26, 1958
• Content Type: MISC

Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010026-1
INVOICE TRANS ITTAL ICAB/FD FROM O /AB
CONTRACTOR CONTRACT NO.
2APR
SATE ev
NN NMR UPI TYPE 25X1
1 OICE NO. IOD Vnlcv AMOUNT OF INVOICE
SET . _ EIEXT itE~ AUTN. M/ 104
AMOUNT WITINEj.D
-01 ei
AM T $USPENDED AND/OR DISAPPROVED (DD 396 OR I e11't ACE ADVICE To BE ISSUED)
AMOUNTAPPROVED UBJECT TO AUDIT
$ (*tar arprMl rca' tgkwv I not Obtained fran OD)
$
e
l
DATE SIGNED
l
QMNATIMP "
25X1
;
FOR CONTRACTING OFFICER
.
SOTACOW 26g 3958
This transmittal constitutes Contracting Officer payment approval, subject to audit apprdval. Upon audit
approval and issuance of check return Copy #3 &4 toOL/PD/AB with the following information:
AMOUNT PAIP
DATE PAID
Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424A002100010026-1
rORM 974 USE PREVIOUS.. 4. RETURN TO PDJAB FOR . .., ct-S-+r
 p Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010026-1 9 )(.
CUST. ORDER NO.
CONTRACT NO. Lm 1 000= 3
SOLD TO
L
DATE OF ORDER
SHIP WITH ORDER NO.
7
DATE ITEMS
REQUESTED
DATE ITEMS 1
SCHEDULED)
RS3001
DE000
SF37
PL2
AC 1
IC91?0001
TERMSNET 30
TOTAL:
BOXES
WEIGHT
J F.O.B.
01
QUANTITY
UNIT
QUANTITY
ITEM
NO
ORIGINALLY
PART NUMBER
U/
/M
DESCRIPTION BOX
PRICE
THIS
BACK
AMOUNT
.
ORDERED
NO.
SHIPMENT
ORDERED
AMOUNTS CLAIMED,
OR
REIMBURSEMENT UNDER CONTRACT
L?100-3 OR THE
MONTH ENDING 6/310
/58
AND 7/31/58 AS PER CERTIFIE
STATEME T ATTAC ED:
1. ALLOWABLE COSTS
471.65,
2.. OVERHEAD EXPENSE
436.23
3, FIXED FEE
Z9,63
,$980.51
I CERTIFY THAT HE A80V BILL IS
CORREC AND JUS .AND TH T PAYMENT
THEREFOR HAS NO BEEN R CEIVED.
25X1
ASSISTAff TREASURER
SHEE1I OF
CUSTOMER COPY ` f E L
111 V V1L.C 25X1
INVOICE NO-3370 25X1
INVOICE DATIAUGUST 29 , 1 958
DATE SHIPPED
PARTIAL NO.
ROUTE
B/L or RECEIPT NO.
CAR NO.
Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010026-1
 Ask&
Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010026-1
CONFIDENTIAL
L-1000-3
CONTRAC!'OR'S STATEMENT OF COSTS
INCURRED THRU
jwZ 31, 3958
Total Chat ,s $ 980051 8 980.51
Remittances Received
NET AMOUNT DUB $ 980051 $ 980051
CERTIFICATION
We certify that the above bill is correct and just and that paymant de-
fore has not been received.
By.
Amomt of 7w pft-. tot Cost
Purchased Materlal $ -- $
stores mduw am
s 323036 323036
Other Direct Costs 1148 29 1148 29
Flight Time as=
Total Cost $ 907088 $ 907088
72?63 72?63
By= -
Declassified in Part - Sanitized Copy Approved for Release 2012/07/10: CIA-RDP78-03424AO02100010026-1