REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00879R000100140012-7
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: December 20, 2000
• Sequence Number: 12
• Publication Date: January 16, 1962
• Content Type: FORM

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VOUCHER NO. 7-12 Approved F
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Ad AO ILA f%n"
U R NO. 7.12
TO : Finance Division, Accounts Branch
DIVISIOf'1 VOUCHER NO.
THROUGH: Monetary Branch I ,~ 17
Request payment be made and/or transaction be recorded as indicated b
l
e
ow. Pertinent documentation in support
this transaction is on file in this office. of
SUBJECT 25X1 A5a 1
INVOICE wQ(S).
I
PAYMENT TO
CONTRACT NO.
AMOUNT
AM .? ,.,.. a :- CHECK TO BE DATED 25X1 A5a 1
SLASH PAYMENT U.S. TREASURY CHECK AGENT CASHI
-
ER CHECK SANK 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 $
DATE SIGNATURE OF PAYEE
DATE
OF OFFICIAL FUNDS
SIGNATURE OF AGENT
IN CURRENCY ON MY BEHALF.
DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
DESCRI
28-33
T/A NO.
STATION
CODE
.
F
45-46
PAY
47.52
REF. IG.
REF. NO
53
54-57
GENERAL
GENERAL
5$-67
ALLOT. OR COST
6 DUE O
71-80
PTION-
ADVANCE
13
27
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AMOUNT
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62-67
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OBJECT
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X REF. NO.
CLASS
DEBIT
CREDIT
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Approved For Release 2001/03/04: CIA-RDP81 B00879R000100140012-7
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