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: 
AttachmentSize
PDF icon CIA-RDP90B00224R000300300001-8.pdf123.89 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. O S T GENERAL LEDGER 1U F,U ,Nl 61-66 CK. NO. ------ 68-70 DUE DEBIT CREDIT 32-68 DIV. PROJECT NO. D EMP. NO. CODE YR. ACCT.NO, y, If X REF. NO. ; DATE ! o73 d 5~~5~/ t ~- ioio z CcJ 13 4 25X c> , , I qq~ I;; , ! ~ ! i ! ! ! ! ! ! ! ! ~~ , ~c a ! I , YY , , ,, , ,, , 1 I I I I I I 1 I I I 1 1 I , , , l , , I , I I 1 I I 1 I I I I I , I 11 I , I I.;I I; ; I I 1 1 I I I I I I I 1 TOTALS 'J 7 f/~ iLu ~J "~ C' 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) c?oo~ I r?ow . oow?c?wo.?c .?o occuss,n uno? 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