REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00224R000300270009-4
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 7
• Document Creation Date: December 22, 2016
• Document Release Date: June 27, 2011
• Sequence Number: 9
• Publication Date: August 19, 1964
• Content Type: FORM

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SECRET
(When Filled In)
VOUCHER NO. 7-12
T
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7.12
TO Finance Division, Accounts Branch DIVISION VOU HER NO.
THROUGH: Monetary Branch C
Request payment be made and/or transaction be recorded as indicated below. Pertinent docum ntation in support of
this transaction is on file in this office.
SUBJECT
INVOICE NO(S). 9"?
T TO
CONTRACT NO.
1
::z
T
,4 3
9 L. Cj
CHECK TO BE DATED
CASH PAYMENT
U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK 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 I$ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE I SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
43
45-46
47-52
58.67
68-70
ae_33
STATION
40-42
F
PAY
OBLIG.
53
54.57
ALLOT. OR COST
DUE
71.80
T/A NO.
CODE
EXPENC
U
PER.
REF. NO.
GENERAL
ACCT. NO.
DATE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13.27
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CODE
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FORM
4-61 182,
SECRET ( I )
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 SHIPPED TO D[fT, DESTt?.
ARtA?S NATION
dUSTOML R- DwI'4RNq. DATR-????
' ~' ?,. ?~ t `
QUOTE NO.
NO.
INV.
DATE RECEIVED
DATE ENTERED
07-001-08-38350
s
Unknown 6/23/64
150
TE
30
RMS:
DAYS NET
- NO CASH DI
PPD COL. SNOW CHOS. F.O:i. *AETORT;' NbR*AtI;' ebN t.
PAR)
SHIP
VIA
UNLL14.s OJHtRMlIiR SPfCI#KD.~
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,.
Invoice O
nl
OI
ITCM
QUAN-
PART NO.
CODE
-'- DESCRIPTION
UNIT PRICE
AMOUNT
NO.
TITY
Services rendered ff~6m?`23 Suu8' 1964 to
26 June x.964
IBM
Direct
,,Cos, t
..
~1,82~.00
22530
.
..
Adminis,trative..s". Axpeaae
33]:.:40
Fixed Fee:
l
Total Current Claim
.4 R
,(Date)
e
(Da
)
STAT B
I
L
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b( T SE jl [ SAM COM M
OR ~ 1~1.T.sl L.,V 1 c rv R 7 .0 4 t 1
I
...i . ~ N ? I Y-3 8 N. T. No. 26452
AUG
c/o
Special Projects
INVOICE No.
12979
INVOICE DATE
2 4y
DATE $N1PPED. ,,
ROUTING
.
STAT
T
WE CERTIFY THAT THE PRODUCTS COVERED BY THIS INVOICE SELLER CERTIFIES THAT THE PRICES
HAVE BEEN PRODUCED IN COMPLIANCE WITH THE APPLICABLE SHOWN HEREIN ARE NO HIGHER THAN
REQUIREMENTS OF?THE FAIR LABOR STANDARDS ACT OF 1838. THOSE CHARGED TO OTHERS FOR THE
AS AMENDED. AND REGULATIONS ISSUED THEREUNDER. SAME ARTICLE IN SIMILAR QUANTITIES.
CLAIMS FOR SHORTAGE MUST BE MADE WITHIN FIVE DAYS FROM RECEIPT OF GOODS. GOODS, WILL NOT BE ACCEPTED FOR CREDIT AFTER 30 DAYS FROM DATE OF IN-
VOICE. WE CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLCABLE REQUIREMENTS OF SECTIONS 6. 7 AND I2 OF THE FAIR LABOR
STANDARDS ACT. AS AMENDED. AND OF THE U.S. DEPT. OF LABOR ISSUED UNDER SECTION 14 THEREOF.
FORM #03202
WS .war. -- - .
SCOUNT TMS T/RwS Yt140'COMDITI0NS`AP}[YUttEd IIIf~TN~"TALt AND ON' TII~ EAGK71ERE~.
INVOICE
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 ILLEGIB
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 Sanitized Copy Approved for Release 2011/06/27: CIA-RDP90B00224R000300270009-4
Standard Form No. 1034
7 GAO 5030
1034-107
COST REIMBURSABLE
PUB. _ VOUCHER FOR PU! ZHASES AND D. O. VOU. NO.
SERVICES OTHER THAN PERSONAL
Voucher prepared at
(Deportment, bureau, or establishment)
Norwalk, Connecticut
(Give place and date)
Payee's Account No. Discount Terms
(Pay..)
Church Street Station, New York 8, N.Y.
The Perkin-Elmer Corporation, P.O. Box 2539,
Contract No.
Shipped from
Date
to 6/23/64
Req. No.
Weight
28 July 1964
Date Invoice Rec'd.
Govt. B/L No.
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of D
ate of Delivery
(Enter description, item number of contract or Federal supply
Quantity
Order
or Service
schedule, and other Information deemed necessary)
Cost
par
23 Jun
e 1964
Cost and fixed fee claimed in
t
accordance with Clause 4 of the
26 Jun
e 1964
contract.
$2,396.00
PECO S.O. #26452
PECO Invoice #12979
See attached schedule
TOTAL
$2.396.00
(PAYEE MUST NOT USE THIS SP
ACE)
PAYMENT:
DIFFERENCES
-
COMPLETE
PARTIAL ^
-
FINAL
PROGRESS ^
Amount verified; correct for
ADVANCE
(Signature or initials)
t Approved for
By
Title
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No. on
$ on 19
h
C
Payee
,
as
When used in foreign countries, insert name of currency of country in which used.
Per - - -
t If the ability to certify and authority to approve are combined in one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for $ ", and
one, his official title. Title
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 Sanitized Copy Approved for Release 2011/06/27: CIA-RDP90B00224R000300270009-4
METHOD OF OR ABSENCE 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 sent to dealers, explanation of such omission must be
made below.)
ABSENCE OF ADVERTISING
8. 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 ------------------------------------------
----------------
b. Without advertising, it being impracticable to secure competition because of --------------------------------------------
------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------
------------------- ---d 4)
- ------------------------------ ----
(Here state In detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 an
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 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
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 Sanitized Copy Approved for Release 2011/06/27: CIA-RDP90B00224R000300270009-4
Purchase Order N/A
PECO SPO No. 26452
BU. VOU. NO. 1
THE PERKIN-ELMER CORPORATION
ELECTRO-OPTICAL DIVISION
Main Avenue
Norwalk, Connecticut
Analysis of Costs Claimed Under Prime Contract Unknown From Inception To 26 June 1964
Funding Limitation ($50,390.00 ) CURRENT CUMULATIVE
Estimated Cost ($46,226.00 ) CHARGES CHARGES TO DATE
OTHER DIRECT CHARGES:
CURRENT
HOURS
CUMULATIVE
HOURS
Consulting Services
l S
i
h
d T
ces
erv
nica
ec
Purchase
ce
t
d S
b
i
l
T
s
an
s
an
u
rave
E
h
xpenses
er
Ot
IRECT CHARGES
TOTAL OTHER D
DIRECT LABOR:
1,085.00
1,085.00
artment
De
E
i
i
p
neer
ng
ng
artment
De
rin
f
t
M
p
ac
u
g
anu
artment
l De
tr
lit
C
Q
p
y
on
o
ua
Total Overtime Premium
TOTAL DIRECT LABOR
1,085.00
1,085.00
DIRECT OVERHEAD: H
Engineering Department 1
OU
51
CURRENT
RS RATE
.5 4.90
CUMULATIVE
HOURS
151.5
742.00
742.00
Manufacturing Department
-
4.00
Quality Control Department
-
2.75
-
AL BILLED OVERHEAD
151
5
742.00
742 00
TOT
.
TOTAL DIRECT CHARGES
1,827.00
1,827.00
ADMINISTRATIVE AND IR & D EXPENSE (CURRENT RATE 20.371 371.00 371.00
TOTAL COST 2,198.00 2,198.00
CONTRACT COST RESERVES AND ADJUSTMENTS:
FixecFEE ($ 4,164.00
Fixed Fee Earned, _ % Complete 198.00
Less: Fee Previously Claimed -
Maximum of 85% Payable 3,539.00
2,198.00
2,198.00
2,396.00
STAT
"I HEREBY CERTIFY THAT THE ABOVE BILL IS CORRECT, THAT PAY-
MENT THEREFORE HAS NOT BEEN RECEIVED, AND THAT THE BILL IS
PRESENTED WITH THE KNOWLEDGE THAT THE AMOUNT PAID HERE-
UNDER WILL BECOME THE BASIS FOR CLAIM AGAINST THE UNITED
2,396.00
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KUG
August 12, 1964
MW-P-348
SUBJECT: Task #3 - Contract CH-900
Enclosed for payment under the subject contract is our Invoice No. 12979
covering services rendered from 23 June 1964 to 26 June 1964.
Regards,
mw
Attachments
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