PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00878R001300150007-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 20, 2016
• Document Release Date: May 24, 2006
• Sequence Number: 7
• Publication Date: April 6, 2000
• Content Type: FORM

Staikdtggd Form No. 1084---Revised
Form pre: Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150007-9 --------------------------------
Comptroller
September 7, 1960 .;EI CES OTHER THAN PERSONAL `u
(Am ndod (Gen. Reg. No. 51, Februar Supp. 20 20 No, 1952) 11) Bu. Vou. No. _________________________________
e
y ,
U. U.S. -------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
((Iive place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To --------------------------------------------------------- Baird-Atomic,- Inc.------------------------------------
(Payee)
______________ Cambridge 38, Massachusetts
(Address) (City) (State)
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)
Discount Terms Invoice No.
6517-9
6517-10
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to Weight Government B/L No. Total
I certify that the above bill is correct and just and that: payment has not been received. (Payee must NOT use this space)
Date -------=----------- * Payee ------------------------------------ --------------------------------------
(Thi, oertid.ato not required when a like eertlficote i. made by payee on abte.hed bill or bill.)
Per --------- ------------- Title -----
Contract No. NY-B-333 Date Req. No.
t Approved for $ -----------------------------------
25X1
SIGN
ORIGINAL
ONLY
600
600
1,200
---------------
---------------
---------------
00
00
----------------------------------------------- ------------- ----
Amount verified; correct for ___________ 4200 o d
(Signature or initials) L __ ----------------------------------
Check I No- ________________________ dated ------------------------------- 19_____, for $-------------------------------------- on Treasurer of the United States in
Paid by 1 favor of payee named above.
Cash, $----------------------- on ------------------------------------ 1 19-----. Payee ------------------------------- - ---------------------------------------
(sl,o oricinol only)
-When a voucher is signed or receipted in the name of a company or corporation, the name of the person
writin the company or corporate name, aswell as the capacity in which he signs, must appear. I'or example:
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
t If the ability to certify and authority to approve are combined In one person, one signature only is nee- Title ________________
essary; otherwise the approving officer will sign on the line below "Approved for 9------ ---- _ - " e.nd ---------------------------------------
over his official title. Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150007-9 18-2200e-5
Use continuation sheet(s) if necessary
 Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150007-9
METHOD OF OR ABSENCE OF ADVERTISING
METHOD OF ADVERTISING
1. Advertising in newspapers Yes ^ No ^.
2. (a) Advertising by circular letters sent to -------------------- dealers.
(b) And by notices posted in public places Yes ^ No ^.
(If notices were not posted in addition to advertising by circular letters
made below.)
sent to dealers, explanation of such omission must be
3. Without advertising, under an exigency of the service which existed prior to the order and would not admit of the delay incident to
advertising.
4. Without advertising in accordance with ------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------
(Ilere state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
NOTE.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured under
proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or
less formal agreement) Standard Form No. 1036-Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150007-9
 Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150007-9
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