REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00224R000300250016-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 22, 2016
• Document Release Date: August 22, 2011
• Sequence Number: 16
• Publication Date: November 30, 1965
• Content Type: FORM

--DATE Z-12
VOUCH NO. -
REQUEST FOR PAYMENT AID POSTNN V R
To Accounts Division (Room Bldg. )
DIVISION VOUCHER NO.
~
3
A
)
Monetary Division (Room Bldg.
t
TMRO~N=
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of this
trans-
action is on file in this office.
INVOICE NO(S).
SUBJECT
CONTRACT NO.
PAYMENT
.
CHECK TO BE DATED
OUNT
CASH PAYEE
U.S. TREASURY CHECK I
I
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE f
EREBY AUTHORIZE MY AGENT
OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
.
I H
DATE SIGNATURE OF PAYEE DATE I SIGNATURE OF AGENT
I DATE I SIGNATURE OF RECIPIENT
DESCRIPTION - AIL OTHER ACCOUNTS 13 - 33 34 - 39 40 - 42 - 47 48 - 49 50 51 - 54 55 - 66 67 - 70 71 - 80
CA ALLOT. - COST - FAN OBJECT
41 OBLIG
.
STATION
CODE _ REF. NO. eR
PAY GENERAL
O
~
ACCOUNT SYMBOL CLASS AMOUNT
A N
.
T
DESCRIPTION - '---- -- ----- --- P 0 -ADVANCE PER. O LEDGER
fHIP. DOC. NO. REC. RPT. NO. E O ACCT. NO. L10. f 19,
NO
ACCT
"
1
61-66
68 - 70
-- - DDT DEBIT CR
EDIT
.
. T
ADVANCE ACCOUNTS 1, - 27 -------- - - - ---------- N -
CODE T
ADVANCE
1 f 1
ENP. NO. YR
- PROJECT NO.
X REF. NO. DATE
D
.
I 6 eB t} . O
0 I '>
;
311, 0
~, 1 I 1 1 1 t ;
; 1 1 ~,
,
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DATE REVIEWED BY
CERTI FOR PAYMENT OR CREDIT
DATE PR
R OF CERTIFYING OFFICER
DATE SIG
25X1
:: :
FORM 1822 OgSOL Wl L PR
DRODP 1
EXCLUDES PION
(10649)
DODMDADIN AND 1
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8
)Lew FWTted In)
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8
 Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8
1
Bt ' ' d boas No. 1034
,7 0*0 e000
1MM11BtM
pUBLK jL-aCM -FOR = AND
SERVKES MW VMN PERSONAL
tAS. DR- ,AU, OR ESTARLISWMEWT AND LOCATION
DATE VOUO4ea PREPARED .
29 October-1965
7
I
NUMBER
OF C DER
DATE OF
OR SERVICE
22
5 $Spt -
Oct. 65
(Awsr a.aa,i10tl , e
a-
mp* sawmis, ad etatiw il~swaWw resasd asseesoy)
Reimbursable Coats
Fixed Fee
QUAN-
TITY
7850.00
747.95
PA PAYMENT,
Comm
PARTIAL
0 FINAL
0 PROGRESS
O ADVANCE
ra aatlR~ NOR im t Rpoo. blow)
000HANGE RATE
8597.95
Pursued to authority vetted in me, I eerll*y that this voucher is correct and proper for payment.
(OR*) (Authorised Qh lati Offilw) I
ACCOUNTING CLASSIFICATION (Appropriation Symbol mutt be shown o#wr daoifiication optional)
Bunw f%-* at
bb
_ ~?`
l
Appropriation Symbo and Subhead
Object
02101
Ohargen
Activity
cub.. 'n
I.R. Not.
1CHECK NUMBER ON TREASURER OF THE UNITED STATES
CASH
$
agm
1 When stated is foreign currency, insert some of currency.
I If the abilitytheto certify and authority to approve are combined in one person, one signature only I. necessary;
otherwise approving officer will sign in the space provided. over his official title.
the
r When a voucher I. receipted in the name of a company or corporation, the name of the example: writing Doe
company or corporate name, as well as the capacity in which he signs, must appear. For
Company, per John Smith. Secretary" or '"Measurer", as the pass may be.
25X1
ti} U. S. GOVERNMENT PRINTING OFFICE: 1963 - See- Sol
3
PAID BY
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8 ~-?- --
 Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8
CONTRACT NO.
ESTIMATED COSTS S 22041.00
FIXED FEE 2100900
TOTAL 24141.00
85PCT OF FIXED FEE 1785.00
ANALYSIS OF CLAIMED CURRENT AND
CUMULATIVE COSTS AND FEE EARNED
OCT 22 1965
Pub"Voucher. for Purchases and
Services Otlr "an Personal
CONTINUATION SHEET
Sheet No. of Bureau Voucher No.
NERAL/ADMIN. COSTS ( 9186000)
TOTAL COSTS
I'XED FEE EARNED (PCT COMP.)
Computer usage charges
Telephone charges
43995 43.695 43995
66.1'8.89 13481,34 13481.34.`
1231911 250795.3. , 25079'33
7856,00 15988.87 15988.87?,
8597.95 f ' 17512.29 17512.29
L
CLASSIFICATION OF COSTS
"SALARIES AND WAGES
::,,TECHNICAL' OVERHEAD .?846000 )
;,SUBCONTRACTS
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250016-8
CURRENT MO FISCAL YR/DT PERIOD/DATE
3344615 . 7060.22 ' 7060.22
2829915 5972.95 5972.-95'
401.64 404922 404.22