THIS MEMORANDUM SHALL CONSTITUTE APPROVAL BY THE CONTRACTING OFFICER FOR PAYMENT SUBJECT TO AUDIT APPROVAL. CONTRACTOR: REMINGTON RAND UNIVAC INVOICE #: 3027 VO. 21
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP78-03424A002400010009-7
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
28
Document Creation Date:
December 22, 2016
Document Release Date:
September 19, 2011
Sequence Number:
9
Case Number:
Publication Date:
August 28, 1956
Content Type:
MEMO
File:
Attachment | Size |
---|---|
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Body:
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A
25X11I
i
,918 AUG 1956
'h II le Cc'O 1r-a.ty
LEI.
1 IL
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Standard Firm No. 1035-1
Form prescNbed by
Comptroller General, U. S.
$epteraber 7 1950
(Gen. Reg. No: 51, 5'upp. No. 11)
lubl" Voucher for Purchcu ar
Services Other Than Personal
CONTINUATION SHEET
U. S .......................................................................................
(Department, bureau, or establishment)
#to Nat Ate.
. ... of Bureau Voucher No........
and Date
No
Date of
ARTICLES OR SERVICES
UAN
UNIT PRICE
AMOUNT
.
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
ITy
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
si
.
' kY .ice .~Y to .*.',
(
4 & A VVUA W15
01
063)
1 .w w eti w w w .e
w
w
?
in,
6w,
96
m
08
.91
r'iAQ
s &s.r
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
INVOICE TRANSMITTAL
I
TO ICAB/FD
F.. -A AB/PD/OL
CONTRACT NO..
CONTRACTOR
OWNW1
INVOICE NO.
PERIOD
DATE OF INVOICE
AMOUNT OF INVOICE
$
oft's
THRU
&WOO
1
AMOUNT WITHHELD
AMOUNT SUSPENDED AND/OR DISAPPROVED (DD 396 or Remittance Advice to be Issued) AMOUNT APPROVED SUBJECT TO AUDIT
$
$
DATE SIGNED
SIGN
FOR CONTRACTING OFFICER
X156
This transmittal constitutes C
tracting Of
~rr- nt approva,,/subject to audit
approval. Upon audit approval
and issuance o
eck return Copy #3 to AB/PD/OL with
the following information:
AMOUNT PAID
DATE PAI
D
MINIM W 7T
OFORM
I 56 'Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
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btLKtI
(When Filled In)
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Iq
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Standard Form No
Form ap Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
p nee 25V^
Comptroller General,> J/~ I
May 2!C IAAA O. Von. No.
OFFICE PREAUDIT Voucher prepared at s Mkireeftft; 14-56
Certified for Payment in the THE UNITED STATES Dra,~i ' Make c k
sum of $ Sk. WS-6 'f:JS
NMM&MDUM
Comptroller General of the I g
United States
No. and Date of
Order
Date of Delivery
or Service
To
Addres
Payee's Account No. _ e as
-
- ------ -- --- -----
(Enter description, item names~,e~ oi: eo ~r
and other infr.41Pn d(e "
Terms % Discount Cash days
Brought forward from continuation sheet(s)
Costs inc #'ar
vork
the list A loo Awk of Saint P*zl
Saint Pew LP'
=' rc It
71IF A ?8 $i~
Shipped from
to Weight Gevernmrnt B/L No.
(s.. reverse Side for oertifj ste)
I I PAID BY
52.
ay>?e ai use this space)
Differences
Account verified; correct for_
APProptior limitation, or
roiec symbol
('Signature or initials)
STAT
(For use of Paying Office) I
ACCOUNTING CLASSIFICATION (for completion by Administrative Office)
Obligation,
liquidated
Check No. dated ,19-, for $
'aid by y Cash, $
, on _, 19- Payee_
Lng the ~vouche fe signed or recelpted in the name of a company or corporatioaotna , the name of the ~b,
CAm y pang or corporate =;Y!? ell as apacity in which he sign,, m Jr Job. ? If the ability to c mlth, S, or 'Treasurer", as the Gee may be, ppear. For eaamplei Joha
certify and authority to approve are combined in one person, one signature only 1s necessary;
Wise the approving ofacer Will sign In the blank space below "Approved for and over his official title.
Limit'n or ProJ't
Amount
Appropriation
Amount
OBJECTIVE CLASSIFICATION
Symbol I Amount
jon Treasurer of the United States in favor
of payee named above.
Per
Title
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(When Filled In) -
INVOICE TRANSMIT 1 AL
TO ICAB/FD FROM OL/PD/AB
CONTRACTOR
CONTRACT NO.
INVOICE NO.
PERIOD
DATE OF INVOICE
AMOUNT OF INVOICE
3027-7; To. 23
THRU
7-6.56
$1,317.17
AMOUNT WITHHELD
$
AMOUNT SUSPENDED AND/OR DISAPPROVED (DD 396 OR REMITTANCE ADVICE To BE ISSUED)
AMOUNT APPROVED SUBJECT TO AUDIT
$
DATE SIGNED
SIGNATURE
FOR CONTRACTING OFFICER
This transmittal constitutes Contracting Officer payment approval, subject to audit approval. Upon audit
approval and issuance of check return Copy #3 to OL/PD/AB with the following information:
AMOUNT PAID
DATE PAID
$
FORM RM NO. 974 SECRET 6. 1.4
t1-a-47) MAY HS
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Q
standard Form No. Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Form apgDroveu ~y - - - --- - - - - - _- - - - u. V. YOU. lro.
Comptroller `ienert 1, U. S.
May 26. 1988 . You. No.
(Amended A*Jgust 15. 1941) U. S. 25X1
V ~ '3' b ? (epartment, bureau, or establishment) PAID BY
GENERA. ACCOUNTING
OFFICE PREAUDIT Voucher prepared at St. PmlsY LIM
Certified for payment in the (Give place and date)
THE UNITED STATES. Dr.; Ctrl ASB : 141rot
sum of $ tw~ Nsuaftl a=& at Comptroller General of the To St.
United States ! (Payee)
Address
B Payee's Account No. [-1; 'woo J93; VW*4973 (For use of Paying Office)
Articles or Services
item number of contract or general supply schedule,
(Enter description
UNIT PRICE
AMOUNT
No. and Date of
Order
Date of Delivery
or Service
,
and other information deemed necessary)
Terms -% Discount Cash------d&.-
Quantity
Cost
Per
Dollars
Cts.
Shi
d f
m t
forward from continuation sheet(s)
Brought
Coats ~Mfor resolamb 1
*VBW Etta g'
St.Peisl'J ~
ht Government B/L No.
Wei
...
Total-
1.,3t7
17
ppe
ro
g
o
(Payee must NOT i e this space)
Differences
(See revor" side for aft"ti isa s)
erified
correct for
ount
A
;
_
cc
v
27 An O~iPiNDtTM
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n or ProJ't
Amount
Appropriation
Amount
ations
Obli
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment symbol
Amount
g
liquidatad
Symbol
Amount
Symbol
Amount
Paid by ' Cash, $
e When a voucher I. signed or receipted in the name of a company or corporation, the name of the person
writing the company or corporate name, u well as the capacity in which be signs, must appear. For eaamplei "John
Doe Company, per John Smith, Secretary", or "'treasurer", as the case may be.
i. If the ability to certify and authority to approve are combined in one person, one signature only is necessary;
otherwise the approving ogee will sign In the blank space below "Approved for a- ', and over his official title.
UAI CO BUSINESS FORMS 0
on Treasurer of the United States in favor
of payee named above.
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7 25X125X1
Standard Form No.~
Form preacri ~. oucner ~Q
Com roll^a Gsneral u
Septep.bar 7 1950
(Gen. Req. No. 51, Swop. No. 11) Services Other Than Personal
CONTINUATION SHEET
Uft
U. S.. She ............ of Bureau Voucher No.. .......
(Department, bureau, or establishment) VII
t
N
d D
Date of I
ARTICLES OR SERVICES
QUAN
UNIT PRICE
AMOUNT
e
o. an
a
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
TITY
Cost
Per
Dollars
Cts.
Total Costs sr tted. tb n ?s. ?3
-.
Nttal.
Tool Costs oil"" ? p.r Settlement
Ct t 11ut
!10. !
Lott Foe ttad .56
Tatel Fee' All""
-0
Plus: Sesstnntsslaa 5.130:
0 6 A ?!: upnWW ?4. 17 56.42
1S 40.75
1, 3.48
~
IRS
114.11
Patent $itkboldlag s0 $
Ia
i4A
~
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M
. _Z
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20 March 1956
Subject: Contract XG-578, Task Order No. 7
In accordance with Article 4 of the above contract, we
are submitting in triplicate Voucher No. 20 totaling
$1,389.99.
Yours very truly,
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Standard norm lro. Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Form approveu uy --- D. O. Von. No.-
Comptroller General, U. S.
,. May-26, 1988 u. Von. No.
GENERAL ACCOUNTING
OFFICE PREAUDIT
Certified for payment in the
Comptroller General of the
United States
Mr.
D. Mepartment,
Voucher prepared at Ste l&a,., e; 2t3 llw* 19%
THE UNITED STATES, Dr., COMOWM :
W 111W ir'st nNuo"l D esk of Bt. P1
Ando" s (Payee)
Addr
Payee's Account No. _ To. a1 53
N
dD
t
f
t
f D
li
D
Articles or Services
(Enter description, item number of contract or general supply schedule,
UNIT PRICE
AMOUNT
o. an
a
eo
Order
a
e o
e
very
or Service
and other information deemed necessary)
Terms% Discount Cash days
Quantity
Cost
Per
Dollars
Cts.
_
Shipped fro
2-x.56
io
m t
Brought forward from continuation sheet(s)
tos ti tw xis i ..a
1 k aps4flad v^ dw brit cwt T of tint
eas~aaet.
*WSW First S rMl ZMk of eta F L
$t,la, 1, NHS
Government B/L No.
o Weight
_ ;..~
Total_
1. Q
99
-
(Payee must NOT use this space)
Differences
'
(In ! rMft stu fir I:se6f.!
~
correct for
Account verified
;
_
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n or Proj't
Amount
Appropriation
Amount
Obligations
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment symbol
Amount
Symbol
Amount
Symbol
Amount
on Treasurer of the United States in favor
Check No. dated ,19--, for $ of payee named above.
Paid by Cash, $ , on ,19- *Payee
(Sign original only)
a When a voucher is Signed or receipted In the name of a company or corporation, the name of the person
writing the company or corporate name, as wall, u the capacity in which he signs, must appear. For examples "John
Doe Company, per John Smith, Secretary", or Treasurer", as the case may be.
+ If the ability to certify and authority to approve are combined in one person, one signature only is necessary;
otherwise tho approving officer will sign in the blank space below "Approved for 6- , and over his official title.
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
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Form prescribed by
Coshptroller General, U. S.
September 7, 1950
ublFF Voucher for Yurchas' any'
Services Other Than Personal
CONTINUATION SHEET
2t. P"I, S.
U.S., .. .... ............................................................... Sheet No...........1. of Bureau Voucher No......... 00
(Department, bureau, or establishment) ' ye
Date of
D
i
ARTICLES OR SERVICES
E
d
i
i
Q IYY
UNIT PRICE
AMOUNT
el
very
(
nter
escr
pt
on, item number of contract or Federal supply schedule,
or Service
and other information deemed necessary)
Cost
Per
Dollars Cts.
=
111110 mum
St. It" - A1+ c. 1-30 13 . 1.
1.
43
t /s 2/]$/ 7.6
&
7.
68
MIL ai
,. ,.
.. .
,. .
?3t
MA 9/30%
97
SAO We"
1 -136
W*ft
2
?77
,. ?. ,. .. ~. ,. ..
_
..
,.
666
ftetay .97
all 111 1 1 '1 ?T
M-
A DWS
1
4 I
*
02
,
M
s
' 1"8 C
1071
03
TM Aim NO.
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SECRET WHEN U TM
Industrial Cpit r :ct Audit Branch
puce Division
Boom 2121 "1"z Bta .1f
Coat ,ct No:
.evoke
Amount of Invoica:
Al at 1 a ._
*Amount or . ec a 31. eft _. -~~ ~ /,
ow.it ar ov . for qaywnt st yo jest to r i t
e .s Or& & & ball co tttite pprov& by the Conti ti U Officer for -to*
subject to A l.t Q FP ov 1~ upon a p .t and. as a of check; a. co :y of -the W
r :; .c should Set m . to AdAi4iSt do ction/CB/PD/OL with the following ' . ?or-
ti.on
nt d
25X1
Wor CoAtr t :> Cffteer
*DD Form Re o itt Ad-%V1Ce abould be iaa~
tribtition
Crtg & I
YO
IIC%B(fo?r tr r+ ?~
Co tr t o
by 'CAB t
FIND
25 MAYl.
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Standard Form No Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Form apR
.. _ ro..,_.. .. n L. V. YOII. NO._
(amenaea ltugust io. 1O4i
GENERAL ACCOUNTING
OFFICE PREAUDIT
Certified for payment In the
Comptroller General of the
United States
LL
No. and Data of
Order
Date of Delivery
or Service
Voucher prepared at Bt.F*., Vime; 24156
te) Mains
THE UNITED STATES, Dr., MM&
'$'e 71"t ~+at"M1 Hrxtk at ft- ft al ~
T
o
Address
Payee's Account No. ' ' ' p W%r
Articles or Services
(Enter description, item number of contract or general supply schedule,
and other information deemed necessary)
Terms % Discount Cash days
Brought forward from continuation sheet(s)
its 1 'rid for resMf eh std Ilimv*1A
wrk specified m +eor Trek 0"M 7 of
+HT a Pirst N&MAn l Bank at at. Pal
at. Pawl, 1,, It ="Ota
(see reverse side for certificate)
25X1
(For use of Paying Office)
(Payee must NOT use this space)
Differences
(D-5
ThdhANDUM
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n or Proj't
Amount
Appropriation
Amount
Obligations
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment Symbol
Amount
liquidated
Symbol
Amount
Symbol
Amount
5on Treasurer of the United States in favor
' Check No. dated ,19_, for $ of payee named above.
Paid by Cash, $ , on ,19_ *Payee
(Sign original only)
* When a voucher In signed or recelpted in the name of a company or corporation, the name of the person
writing the company or corporate name, as well ae the capacity in which he signs, must appear. For eaamplex "John
Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
+ If the ability to certify and authority to approve are combined in One person, one signature only to necessary;
ew.rwise the approving officer will sign in the blank apace below "Approved for ! 'r and over his official title.
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
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Form ap
rov
.. .
p
Comptroller General, U. S.
May 26. 1938
(Amended August 15. 1941)
GENERAL ACCOUNTING
OFFICE PREAUDIT
Certified for payment in the
Comptroller General of the
United States
Illy
No. and Date of
Order
Date of Delivery
or Service
u-1-55
to
11.30.5
Voucher prepared at '
THE UNITED STATES, Dr., "" i ate) XWO eWWk
To Te First Istionai B=k at St.9Paul. t!
er` (Payee)
Addres
Payee's' ccoun o.
Articles or Services
(Enter description, item number of contract or general supply schedule,
and other information deemed necessary)
Terms% Discount Cash days
Brought forward from continuation sheet(s)
Costa Iscarr4d for reseugh =a A
vWk a11111ieei"Ad wader 'halt or
so- of
oantrset.
*WOW t Iati, 1 Book of
at. Paul t, N wts
Bu. You. No.
PAID BY
25X1
PRICE
Per
2r0W
9jsz Dina
" '1'.; :I9i.l~ll X626$ $I ~22OC~
ht Governmeift To
Shi
ed fr
m to Wei
g
pp
o
t r i' ' ! (gsyVe rgttt) KOVilse this space)
b?A i6t1{ r..~_ ~I W, O C(_ to L4)G
(See Reverse Side for Certifies e)
(a)IM."
b9Aij Icl 11
g42correct for_
16
U-
(Signature or initials)
Appropriation, limitation, or
project symbol
Appropriation title
Limit'u or Proj't
Amount
Appropriation
Amount
Obligations
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment symbol
Amount
liquidated
Symbol
Amount
Symbol
Amount
Check No. dated ,19_, for $
Paid by I Cash, $ on ,19- *Payee_
When a voucher Is signed or receipted in the name of a company or corporation, the name of the peram
writing the company or corporate name, as well as the capacity in which he signs, must appear. For eaamplel "John
Doe Company, per John Smith, Secretary", Or "Treasurer", as the case may be.
+ If the ability to certify and authority to approve are combined in one person, one signature only is necessary;
otherwise the approving officer will alga In the blank space below "Approved for i--", and over his official title.
Per
Title
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7 25X1
Form approvsd by
Comptroller General, U. S.
June 8, 1937
(Gen. Reg. No. 51, Sup. No. 7)
Public Voucl for Purchases, and Services other in Personal sta uM
U. S ...................................................................................................................................Sheet No. ....A............. of Bureau Voucher No. 17...
(Department, Bureau, or Establishment) 3M7 VIT, 115-3M
ARTICLES OR SERVICES UNIT PRICE AMOUNT
No. and Date Date of Delivery ;Enter description, Item Number of Contract or General Supply Schedule, QUAN_
of Order or Service and other information deemed necessary) TITY
Terms .................... %. Discount Cash. ... .. ..............................days
Cost
Per
Dollars
Cos.
MAMM -AL
VENDOR
PO
ANO
WT
CK. NO,
96114
X.W. Radio & Electronic Supply Co.
59772
.43
96114
to to to to to
59772
(5
-36)
J.V. 125-
24
Distribution of Material Requisitions
52414 .39
52593 .07
52632 .53
52o76 .44
31829 .31
31833 471
.45
J.V. 115
32
To distribute assembly Dept. Material
.19
T O T A L M k 7 M U A L - - - - - - - -
- -
- -
- -
10-
71
ORS KU
95086
UMCTUBJX
! C06T5
tha Me talcraf t
Hiawa
60175
.49
95086
It It
951+47
Superior Plating
60167
?50
9
Hiawatha M talcraft
57102
.49
6212
Hiawatha Metalcraft
60175
025
TOTAL On= W i t A 0 A i C T L 1 = C 0 8 R 8 - -
- -
- -
-
10,
20
1CL-.,
0 E DIM
T CHABG$8
PRIM M TIME % 11/6/55 1.16
11/13/55 .89
11/20/55 3.42
.47
TOOLL M i S C E L t 1 1 1 D A 4 t P 3 D I R E C T C 3 0 4 0 6 -
- -
- -
- -
5
47
LABOR
Factory v/e 10/30 55 84.51
11/6/55 85.10
11/13/55 138.12
11/20/55 50.49
2
4
.88
Engineering (1) 10/3055 1
11 f 6 55 98.28
11/13/55 64.40
11/20/55 99.75
11/27/55 1.
47
?32
TOTAL LABOR - - - - - - - - -
- -
-
-
912
20
TOTAL
--------- -
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7 25X1
Compo
ter rm app 1937 u. S.
Public Vouc! 'or Purchases, and Services other n Personal at.Me~q uM
June 8, 1937
(Gen. Reg. No. 51, Sup. No. 7) CONTINUATION SHEET
1j. S ...................................................................................................................................Sheet No. .......2..........o of Bureau Voucher No. .. 17
No. and Date
Date of Delivery
ARTICLES OR SERVICES
Enter description, Item Number of Contract or General Supply Schedule,
(ZUAN-
UNIT PRICE
AMOUNT
of Order
or Service
and other information deemed necessary)
TITY
Terms ....................% Discount Caah.................................... days
Coat
Per
Dollars
Cts.
iZ1VM
ftctwy 95% j/ l.88
+fi
l 0% 4T5.30
3K
-W
9]2.20
A~d.~ia i>tt r
2cx
.68
)btsz3a1 8% 5.27
.162
To Correct ockobw fW ?
I d l e d -0- co o t b a I
of
.37
$/a 8% of $35.37 .2.83
.83
0 i A fey Office 3% 1,180.77
.42
DID ? - - - - - - r
TOM CC0613113
-
-
1,937
9
F17nd Y!e
154-
97
T0' L Ai1AW Y( XU W. 17
2
16
TOTAL
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7 t
t
SECRET
1i. constitute, app
subject to audit, ..pprov . v U a pp r , ,
mi t should r t to i 8
Officer, for ,.t
COPY
6 o i , jai
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"on tip
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Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
~ 11
it 1s5
x..237. ~ 1
Standard Form No. Sanitized Copy Approved for Release 2011/09/1.9 _ CIA-RDP78-03424AO02400010009-7
Form approved by ? "~~'~ - 11. U. you. iro.-
Comptroller General, U. S.
GENERAL ACCOUNTING
OFFICE PREAUDIT
Certified for payment in the
i ? itepartment, bureau, or establishment)
Voucher prepared at T a * Mon. ; 30 so 1 W& W 1
THE UNITED STATES, Dr.,
YJ"t at it. am&
To .fir
311'i N I 'a Addre1 XVISI'm
Payee's Account No. 3W J *
25X1
Articles or Services
item number of contract or general supply schedule,
tion
i
d
UNIT PRICE
AMOUNT
No. and Date of
Order
Date of Delivery
or Service
,
escr
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(Enter
and other information deemed necessary)
Quantity
W 9 r->
Shipped from to Weight Gbvernmeri `2/L
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(Payee must OT use this space)
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Amount
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Obli
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COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment symbol
Amount
ga
o
liquidated
Symbol
Amount
Symbol
Amount
on Treasurer of the United States in favor
Check No. dated ,19-, for $ I of payee named above.
Paid by Cash, $ , on , 19- *Payee (sign original only)
* When a voucher to signed or receipted in the name of a company or corporation, the name of the person
writing the company or corporate name, as well as the capacity in which he signs, must appear. For eeamplel "John
Doe Company, per Johon Smith, Secretary", or ?'Treasnrer", ss the case may be.
+ If the ability to certify and authority to approve are combined in one person, one signature only is necessaryi
otherwise the approving officer will sign in the blank space below "Approved for and over his official title.
UARCO BUSINESS FIXOMS?
Title
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
NOV
1i t triat Co tv t Audit Bra =h
Fidaw-la, Division
oa 2121 `VaBUILU09
Coatrt o
Contract No e
I mice No a
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tow-
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Amount. appr0 for : y i t subject. to s41i
91
3 .
This ndum,. eb. .,i c titut a p oval by th. Contracting Officer for y nt
abject to audit arl~r v . Urn ap t ao is uaa a of o ek; a copy of this aro -
.t .oc cwt bq *_b q,, 1. to aistrattoa tto/.PD/OL with the fo1b mdf.aag 1.hfot-
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1 ICA , (For mta. u cow to A8/CB/ D/CAL)
V- rollb~r up
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Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78'03424AO02400010009-LVZUM 25X1
Comptroller General, U. S. NOR vovo, or rurcnases, ana services o p' i Personal st :M
June 8, 1937
(Gen. Req. No. 51, Sup. No. 7) CONTINUATION SHEET
U. S ..................................................................................................................................Sheet No. ..1..............o of Bureau Voucher No. 1..
(Department, Bureau, or Establishment)
No. and Date
Date of Delivery
ARTICLES OR SERVICES
Enter description, Item Number of Contract or General Supply Schedule,
QUAN_
UNIT PRICE
AMOUNT
of Order
or Service
and other information deemed necessary)
TITY
Terms ....................% Discount Cash .._................................ days
Cost
Per
Dollars
Cts.
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NOTE-This form to be used as a "Continuation Sheet" where more than one sheet is required, carrying forward the total or totals to?!or summarizing them upon, Form No. 1034
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Sanitized Copy Approved for Release 2011/0
Forin approved by
Corrptroller General, U. S.
June 8, 1937
(Gen. Beg. No. 51, Sup. No. 7)
25X1
/19 : CIA-RDP78-03424A002400010009-7
Public Vo"? - for Purchases, and Services oth?, in Personal Ou 10400mum
U. ................ ....................................
1/.S ............. of ...................... ,.. ..~... _ Sbeet No. ....................o Bureau Voud
(Department, Bureau, or Establishment) ; 1*
No. and Date
Date of Delivery
ARTICLES OR SERVICES
Enter description, Item Number of Contract or General Supply Schedule,
QUAN-
UNIT PRICE
AMOUNT
of Order
or Service
and other information deemed nec..e ry~r
TITY
Terms ....................% Discount Cash.. ................................days
Cost
Per
Dollars
Cts.
IA"
/55 UK*"
W" 26
UIR-hft
706
44
55.1
?e IAW ? ? ? ? ? ? ?
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Baum
now- 0% low
3
53
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'= Is
2,srst
ISM37 T,
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Joly 3000-171
AqpWt 4"6,59
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AuWat 6046
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200L JKWZW as ? ? ? ? i ? ?
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TAIL C10131115
3#100-
97
TOM AMM V00CM 90. 15
TOTAL
NOTE-This form to be used as a "Continuation Sheet" where more than one sheet is required, carrying forward the total or totals to, or summarizing them upon, Form No. 1034
1
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
1 Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7.35
AULU C I VO. 4ri?
25X1
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Standard Form No, Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7
Comptroller General, U. S.
May 26, 1988
(Amended August 15. 1941)
OFFICE PREAUDIT I Voucher prepared of WIDAW i"''' wism ar* ansis, '""W'_ e""`"
Certified for payment in the ~a Al
THE UNITED STATES, Dr.,
Comptroller General of the
United States
, M
r lls'1t Ntau Z 30* Or *t]
Address ]XI $34"
Payee's Account No. 1f
Articles or Services
(Enter description, item number of contract or general supply schedule,
UNIT PRICE
AMOUNT
No. and Date of
Date of Delivery
and other information deemed necessary)
Quantity
Order
or Service
Terms% Discount Cash days
cost
Per
D lars
Cts.
Brought forward from continuation sheet(s)
V E. a'3DE b`~i).
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Account verified
correct for
_
;
d1ANDUM
Appropriation, limitation, or
project symbol
Appropriation title
Limit'n or ProJ't
Amount
Appropriation
Amount
Obligations
COST ACCOUNT
OBJECTIVE CLASSIFICATION
Allotment symbol
Amount
liquidated
Symbol
Amount
Symbol
Amount
( Check No.
dated
,19-, for $
5 on Treasurer of the United States in favor
of payee named above.
Paid by { Cash
$
on
,19-
*Payee
,
,
(Sign original only)
When a voucher is signed or receipted in the name of a company or corporation, the name of the person
writing the company or corporate name, as well as the capacity in which he signs, most appear. For examples "John
Doe Company, per John Smith, Secretary", or "Treasurer'", as the case may be.
} It the ability to certify and authority to approve are combined in one person, one signature only is necessary;
otherwise the approving officer will sign In the blank apace below "Approved for $-'-, and over his official title.
Sanitized Copy Approved for Release 2011/09/19: CIA-RDP78-03424AO02400010009-7