REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100160008-7
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 2
• Document Creation Date: December 21, 2016
• Document Release Date: December 11, 2008
• Sequence Number: 8
• Publication Date: August 21, 1961
• Content Type: FORM

Approved For Release 2008/12/11: CIA-RDP65-00523R000100160008-7
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER J VOUCHER NO.7.12
TO Finance Division, Accounts Branch
DIVISION VOUCHER NO.
THROUGH: Monetary Branch
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) / /Op
~f
PAYMENT TO
?
.,A-
CONTRACT NO.
AMOUNT 3tj (,7
CH
ECK TO BE DATED
H 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.
HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE
DATE
SIGNATURE OF PAYEE OF OFFICIAL FUNDS IN CURRENCY ON MY
(
BEHALF.
DATE SIGNATURE OF AGENT DATE SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13=33 34-39 43 47,52
48'48 88.67
28-33 STATION 40.42 F PAY OBLIG. 53 54-57 68-70
T/A NO. CODE EXPEND U REF. NO. ALLOT. OR COST DUE 780
DESCRIPTION- PER. GENERAL ACCT. NO. DATE AMOUNT
ADVANCE ACCOUNTS 13-27 P.O. NO. PROP. NO. CODE N LIQ ADVANCE CA LEDGER
ez-a7
CCT. NO. YR
132-33 PROJECT NO. FY D CODE ACCT. NO. CK. NO. OBJECT DEBIT
DIV. 8 EMP
NO
CREDIT
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OFFICER
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(When Filled In)
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160008-7
 .rd Form No. 1034
7vGAO 5030
1034-106
Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160008-7
PUB' VOUCHER FOR PURCHASES AND D. 0. vou. NO.
SICES OTHER THAN PERSONA
Use continuation sheet(s) if necessary gU. VOU. NO. 10Uo
~~~
(Department, bureau, o eestablishment)
Voucher prepared at
(Give place and dote)
Payee's Account No. Discount Terms
TO sK!, ty-
v (Payee)
Contract No.
Shipped from
No. and Date of
Order
~0 Y`,L c`
dress)
t
b
Req. No.
Weight
ARTICLES OR SERVICES
ons num
er of contract or Fade
schedule, other information deemed necessary)
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Date Invoice Rec'd.
Govt. B/L No.
t 39~4a &.J p
DIFFERENCE~s.c~
Amount verified; co
(Signature or initial
t Approved for =$
By
Title
Exchange rate =$1.00
Pursuant to authority vested in me, I certif that
STAT-
j,`STAT
~ v~m mv~i oc cuwrzu wntH PURCHASES ARE MADE -"
.~?~.~ / f+/J~OIJNTING CLASSIFICATION (Appropriation Symbo mus e s o other classi atlon optional)
v d~
= 3o OG 7. 7/
No.
ec N a r n Treasurer of the United States
Ch
k N
ec
o. r t.4 Lt n ~f;an
(IVamk)Cash, $ on
s e
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- Per
essary; otherwise the approving officer will sign an the line below "Approved for $
over his official title. and
Title
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Approved For Release 2008/12/11 : CIA-RDP65-00523R000100160008-7