PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100090003-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 3
• Publication Date: May 15, 1963
• Content Type: FORM

Standard Form No. 1031
7 GA(, "000
1834-108-04
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
PUB VOUCHER FOR PURCHASES AND 4p
S ICES OTHER THAN PERSONAL 54
Voucher prepared at
Rochester, New York May 15, 1963
Payee's Account No. Z9-2053
TO Eastman Kodak Company
343 State Street Rochester 4, New York
Contract No. "" w "'`" Date c./ a-71 Jv Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal su l
pp Y
Quantit
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
y
Cost
Per
3/25/63
through
Reimbursable Costs Incurred
$3,495
4/21/63
TOTAL
~
PAYMENT:
(PAYEE MUST NOT USE THIS SP
ACE)
DIFFERENCES
^
COMPLETE
PARTIAL ^
-
FINAL ^
PROGRESS
Amount verified; correct for
ADVANCE
(Signature or initials)
t Approved for
By - -
Title
Exchange rate_
Pursuant to authority vested in me, I certify that
this voucher is correct and proper for payment.
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)
=$1.00
Check No.
}l C
ash $
, on , 1 9 Payee
' When used in foreign countries, insert name of currency of country in which used.
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 E ?? and
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
 Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
Standard For1n No. 1035
AM
7, GAO 5000 EWlic Voucher for Purchases
1035-106
Services Other Than Personal
CONTINUATION SHEET
54
vvv vi au.~.....,
U.S.
(Department, bureau, or establishment)
------ Sheet No. ----------- of Voucher No. _-_--__---
No. and Date
of Order
Date of
Delivery (
or Service
ARTICLES OR SERVI
Enter description, item number of contr
schedule, and other information de
CES
act or Feder
emed necess
al supply
ary)
QUAN-
`I'1TY
ory
Cate
b
L
through
4/21/63
g
or
a
Engineer #2
$14`"52
12.0
174
Engineer #3
11.20
151.2
1,693
ineer Shop
En
11.24
19.4
218
g
Laboratory Hand WG-15
10.72
24.0
257
it WG-13
9.57
37.9
363
WG-11
8.63
34.9
301
WG-9
7.85
45.2
355
7.47
10.8
81
.i'
/
$3.,442
Mat'l. Subj. to Mat'l. Hdlg. Exp.
Purchases - Fined Price
Material Handling Expense
15.0% of $20
Mat'1. Not Subj. to mat'l. Hdl .
Interdivision
G & A- Expense
6.7% of $50
20 1ll~-
27
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
 Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
25t11'a11
billing oroc
d
its
e
ure to i rovide for i T! s r f .~~"Ji'.' #..:
`'.i`= invoice represent-
'. ?
b 1in" orocedurea Any
rOose of rounding cu i ati.veStot a so
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
 Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0
( OSA
16 May 1963
Under Contract I-CCJ.219, we are forwarding
Bureau Voucher No. 54 in the amount of $3.4 S.E which
represents reimbursable costs during the period 25 March
1963 through 21 April 1963,
STAT
cc - JLB
ELG
FGF
EJB
Approved For Release 2008/12/11: CIA-RDP65-00523R000100090003-0