REQUEST FOR PAYMENT AND POSTING VOUCHER
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP90B00224R000300300001-8
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
3
Document Creation Date:
December 22, 2016
Document Release Date:
July 6, 2011
Sequence Number:
1
Case Number:
Publication Date:
December 1, 1967
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 123.89 KB |
Body:
Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8
-VOUCHER NO.-DATE 2-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
TO : Accounts Division (Room Bldg. )
Bld
)
olvislo5OUCHER NO.
~
~ 3S
g.
THROUGH: Monetary Division (Room
j
.Ji c.
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of this transaction
is on file in this office.
SUBJECT
INVOICE NO(S). O O
2
..
CONTRACT NO. 73oo
PAYMENT TO
~r
IOUNT / vU
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 $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE
SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT
DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
40-
41
42-47
4'8-49
CA
51-54
55-56
T
FAN
ALL
67-70
OBJECT
71-80
7%w NO.
STATION
CODE
% C
OBLIG.
REF. NO.
PAY
OR,
C
.-COST-
O
ACCOUNT SYMBOL
CLASS
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
SHIP. DOC. N6.
REC.RPT. NO.
P D
E D
AO VANC E'
ACCT. NO.
PER.
LIQ.
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T
GENERAL
LEDGER
1U
F,U
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61-66
CK. NO.
------
68-70
DUE
DEBIT
CREDIT
32-68
DIV.
PROJECT NO.
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CODE
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DATE PREPARED BY DATE
REVIEWEP BY
CERTIFIED FOR PAYMENT OR CREDIT
DATE
SIGN_AT)JRE OF CERTIFYING OFFIt R-."`. on
FORM 1822 OOSOLETE PREVIOUS EDITIONS
2-66
SECRET
(When Filled In)
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Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8
Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8 10 6 4 8
INVOICE NO.
STAT
Post Office Box 8296
Southwest Station
Washington, D. C. It 20024
L RE-7300 I
YOUR ORDER NO. F33657-67-C-1599 Amend. #1
OUR JOB No. 3057 (Ref. SO#1708 & FPRD #6177)
DATE SHIPPED 11-13-670. BOXES: 3
QUANTITY
ORDERED
QUANTITY
SHIPPED
RIXON
PART NO.
UNIT
PRICE
41499.
SHIP
TO
Property and Supply Officer
General Services Administration
Receiving Dock #2
Springfield-Franconia, Virginia
(RE-7300-F33657-67-C-1599 Amend.#1)
CCU-431C, Dual Function
with Instruction Manuals,
Serial #*s 157, 158 and 159.
This shipment completes this
Purchase Order and Amendment
#1.
STAT
dfc I 11-1567
13,497.00
Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8
BACK
ORDER
November 15, 1967
Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8140.10 6 4 8
SHIP
TO
A- Pie., Olt-
I )r'~'rbx
STAT-' Ili
L RL-7300
I
OUR JOB NO. ^a4 4:4 , l77)
DATE SHIPPED ] j-] BOXES:
,2 iiy c.y
Property and Supply Officer
Goneral fiervioes Administration
Receiving Dock 02
Springfield-pranoonia, Virginia
(RS-7300-733057-47-C-1659 Amend.Nl)
QUANTITY
ORDERED
QUANTITY
SHIPPED
BACK
ORDER
RIXON
PART NO.
DESCRIPTION
UNIT
PRICE
AMOUNT,
3
3 0 905-4241-03 CCU-431C, Dual Function
with instruction Manuals,
Serial #to 157, 158 and 159.
--PIECES
ECEIVED ----- _ -
ENDING URTHE VERI1ICAT10N
ND
TAT
SIGN TURE
I = 7,,.__ This shipment completes this
DATE Purchase birder and Amendment
TAT
dfc
S
S
Sanitized Copy Approved for Release 2011/07/06: CIA-RDP90B00224R000300300001-8