PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL.

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00879R000900040060-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 19, 2016
• Document Release Date: May 4, 2006
• Sequence Number: 60
• Publication Date: May 1, 1959
• Content Type: STATEMENT

Standard Form No. 1034-Revised
Form prescribed by q roved F t avo@ PWR5i FtgMgWZ9R0609nYdd OSn-7----------------------
Comptroller General, f} pp
September R, 1950
? (Gen. R(. No. 51,4,app. No, 11) SERVICES OTHER THAN PERSONAL Bu. Vu. No. ------------ 18
(Amen ed February zu, 19621
U. S, Government
(Department, bureau, or establishment)
Voucher prepared at __--Rochester., New York may- 1, 1959
- -------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _ 2-1893__
Eastman-Kodak-Company
- -------------
(Payee)
311~3 State Street Rochester b, New York
-- -----------
(Address) --------------------------------------------------------------
(Address) (City) (State)
COPY / OF ``
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
h
l
h
i
f
i
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
sc
e, an
ot
er
n
ormat
on deemed necessary)
edu
Discount Terms
Cost Per
Dollars Cts.
1959 Provisional Overhead Adjustment
6
02
1959 Provisional G & A Expense Adjustme
t
77
07
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
70
_
3
(Payee must NOT use this space)
I certify du t the above bill is correct and just and that payment has not been received.
Differences --------------------------------
---------------
-----
(Sign original only)
--------------------------------------------
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-----
Kodak Company
Eastman
*P
if--9
?
-----------------------------------------------
---------------
-
.
------------
Date__
1
a e t1 ~r -
bill -- -- -----
egaVbinPa IYi' Q e~filente ie made br Payee on att.ahed oc Mlle)
----------------------------------------------
5
Amount verified; cor
(?
I
-
Per ---------
Title __COp'~~5~@r-----
(Signature or initials
15
_ 9
Contract No. Z_18 j ~ Date `l' 11 7 Req. No.
By ------------------------------------------------------------
SIGN
ORIGINAL
ONLY
Date Invoice Rec'd.
t ----------------------- (Authorized --C-e-r-t---ifying----Officer- ------------------------
Title ---------------------------------------------------------- Date -----------------------------
THE REVERSE OF THIS FORM MUST RE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
Appropriation Symbol
Object
Expenditure
Chargeable
Bureau Control
Bureau Control
Suhauthorization
t
A
and Subhead
Class
Account
Activity
Activity No.
No.
Activity
Number
moun
------------------------- --------------
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I.R. No's. Protect Order Date
Check No- ------------------------ dated ------------------------------ 19------ for $-------------------------------------- Jon Treasurer of the United States in favor of
Paid by jl '(payee named above.
Cash. $----------------------- on ------------------------------------- 19-----. Payee --------------------
----------------------------------------------------
(Si?n ori?inal only)
-When a voucher is signed or receipted in the name of a company or corporation, tho name of the person
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example; Per -?-----"'-----?---'-"-?--'-----_?'-?""--'?---------------
"Jobn Doe Company, por Joba s t 81 BO 98000900040060-7
tIf the ability to certify and aut~t rl~ t~DJr b?~~ h{~i9Mr tae`6 T 9,%7
essary; otherwise the approving officer will sign on the line below "Approved for S--- , and t `--??----`-----------------------------------------
.e.,.. ---- 1e-2z900--6
 Approved For Release 2006/05/25 : CIA-RDP81 B00879R000900040060-7
METHOD OF OR ABSENCE OF ADVERTISING
METHOD OF ADVERTISINIft 7 4 3I PR )59
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 sent to dealers, explanation of such omission must be
made below.)
ABSENCE OF ADVERTISING
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 ---------------------------------------------
--------- -------------------------------
5. Without advertising, it being impracticable to secure competition because of __________________________________
---------------------------------- ---------------------------------------------
----------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------
----------------------------- ---------- ------- ------------------------------------------------------------ -------------------------------
----------------------------------
------------------------------------ ------ --------------------
detail--------- -
detail the n-aturre of--th-e exigency or circumstances under which the securing of competition was impracticable under 3 and
(Here state in -
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 2006/05/25 : CIA-RDP81 B00879R000900040060-7
of '"V1,
 Approved For Release 2006/05/25 : CIA-RDP81 B00879R000900040060-7
Approved For Release 2006/05/25 : CIA-RDP81 B00879R000900040060-7