PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00879R000100180015-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 20, 2016
• Document Release Date: October 17, 2007
• Sequence Number: 15
• Publication Date: April 30, 1998
• Content Type: STATEMENT

&tuutlnrtl :For' rrr, yn?tr-.12?wtnA
CoXorioll Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9 4-- ____________________________....,
September N, 1050,
((len. Reg. No. 51, Supp. No. 11)
(Amended February 20, 1052)
vas '^E s[SIJ JU n1
SERVICES OTHER THAN PRSONAI;`N"
U. St- ------ cQb~.4__J3N.L1:WNa~SJri ------------------------------------ ------ ------------------------------_-----------
(Department, bureau, or establishment)
Voucher prepared at -----------------------------------------
- -- -
THE UNITED STATES, Dr.,
((live place and date)
Payee's Account No. _---_-_-_-__----
Ta ---------------------------------------- - -- - - --- - ---- ' - -- -
(Payee)
-------------------------------------------??---------------------------- ------------??----------------- -------------
(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 informati
d
d
QUANTITY
UNIT
PRICE
AMOUN
T
,
on
eeme
necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Costs
$2,096
60
PAYMENT:
Complete ^
Partial ^
Final ^
_ Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No. Total
t 0 66.
60
I certify that the above- 6& is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences ---------------------------------
---------
(Sign original only)
------
-----
25X1
-----------------------------------------------
-------------
-
Date
-
-----
_
Quired wbn. .like eertleeete le made by acres on stgobed bILL or bill.) -
Amount
verified; correct for ______.__-_
U 6e
(Signature or initials) _______
_
Contract No. Gi a 6s / Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
t Approved for $ --------------------- ------------_
SIGN
ORIGINAL
ONLY
Bu. Vou. No- -------------3?--- ----
t ------------------------------------------------------
(Authorited Certifying Officer)
Title -------------------- ---
Title ---------------------------------------------------------- Date -----------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Paid by I
Check No- ________________________ dated ------------------------------
Cash. - ----- on -- - -
19------ for
-
$-------------------------------------- fon Treasurer of the United States in favor of
payee nstncd above.
19
Payee -------------------- ------------------------
lse -----------------------?
le
oddnl only)
*When a voucher is signed or receipted in the name of a company or corporation, the name of the person Per ---------------------------------------------------
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: ?? '? ----
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the ease may be.
If the ability to certify and authority to approve are combined in one person, one signature only Is nee- Title ______
essarryy otherwise the anorovino? officer will simt on the lino halo "s??rn~n.t ------------------------------
over hie official title Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9 16 -2290e-6
 Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9
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Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9
 Standard For] Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9
Form --.. -_ __.. -
Comptroller (3eyeral, . S. it iic v oucner ror r :urcnases
Septombor 7, 195Q
(Gen. Rog. No. b1, Supp. No. II) . ervices Other Than Persona
CONTINUATION SHEET
U. S. -------------------------------------------------------------------------------------------------- Sheet No. -----1---- of Bureau Voucher No. 3$ -
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
UAN_
UNIT PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
or Service
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract (CDP-4)
Direct Costs Properly Chargeable to
Contract for the period
3 -2 -59 thru 3-6-59
eserar
h &
MJO 4o44
-07
D
evelop
ment
Total
Labor fo
r the Wee
Ending March 8, 1959
717
79
717
79
Overhead
for Comm
unications Division
computed
at inter
im rate as follows:
Rese
rch & D
evelopment - 115%
825,
46
825
46
Total La
or and O
verhead
,
---'1,543
.25
G & A @
l0l
85
Total Bi
ling
1,645
10
Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9
 sta.naerd t,'tu Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9
com ptroller (7enerat, (). U. - wAbbc Voucher For Purchases, id
$'plomber 7, *Q L
(Clan. Rog. No. Al, Stipp. No. 11) Services.Other Than han ~]
I- ersonal
CONTINUATION SHEET
U. S. ------- ------------- - -- ---------- Shed No. --- 2----- of Bureau VouddSer No. --3$------
(Ueparlrnnnl, bureau, or eifabli3hmant)
No. and Oct.
Dato of
Deliver
ARTICLES OR SERVICES
i
QuAN-
UNIT PRICE
AMOUNT
of Order
y
(Enter descr
ption, Item number of contract or Federal supply aedeedule,
TITV
or Service
and other informnlinn damned uecoeanry)
Cost
Per
Dollars
Cts.
Contract (CDP-4)
Direct Costs Properly Chargeable to
Contract for the period
3-2-59 thru59
MJO 404
esear
h &
evelo
ment
Tot
1
Labor fo
r the We
4k Ending March 8, 1959
197
00
197
00
Overhea
for Ca
unications Division -
compute
at inte
im rate as follows:
Re
earth &
evelopment - 115%
226
55
226
55
Total L
bor and
verhead
423
55
G & A e
pense com
puted at interim
rate of
6.6% of
423.55
/ 27
95
Total B
lung
451
50
U I. noYINNMiN; ININ/INY 01nnCt Id-t a8E-1
Approved For Release 2007/10/19: CIA-RDP81 B00879R000100180015-9