PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500030011-2
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 11
• Publication Date: March 13, 1957
• Content Type: FORM

Comptroller `
( 6eptem
bcIA'Po'eOVed For SERA
Cen. Reg. No. 51, Eupp. No. 11)
(Amended February 20, 1952)
ART t
6 360R000500030911-2
1 Bu. Vou. No. --------------------------------
U. S. --_---__---COST-REINL. JRS
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
TO -----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
Costs FOIAb3a
FOIAb3b
SAPC
COPY l OF Z
Shipped from to Weight Government B/L No. I Total
(Payee must NOT use this space)
I zertify that the above bill is correct and just and that payment has not been received.
(Sign original only)
Date ____ t_
Per -----------
Title
Contract No. A101 Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
Amount verified; correct for
(Signature or initials) ______
- -----------------------
(Authorized Certifying Officer)
SIGN
By ------------------------------------------------------------ ORIGINAL Title ----------------------------------
ONLY
Title ----------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
I Check No. ___ dated ------------------------------ 19 .for $........................ _-------------- (on Treasurer of the United States in favor ra
Paid by payee named above.
Cash. $ --- - . on - ----- ? 19 Payee -----------------------------------------------------
(siro orieiuel only)
? `Phan the a com voucher is er ohu Smiytfyhtp~SlelcQretary", ooer' MW IWA ~pe ~t ? 00360R0005000-30044-2 ?_____
writing the panyA!'~i~e}Ls~ve tHdW6Rp~iatvit#Tigl ppamr d
"John Doe Company, P Treasurer", as the case may be.
tIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _______________________________________________________
essary; otherwise the approving officer will sign on the line below "Approved for $______-____________", and la__22soo.
over his ofi&cial title. r
 Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030011-2
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.)
3. 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 ----------- --- -------------------- ----------------------- - --------- -----
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
(Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
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--Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2000/04/11: CIA-RDP64-0036OR000500030011-2
 'Standard Form 1VO. lfl/so ct--o eviacu
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Ca tTOiiET j~y
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eptember 7, 1 0 i., . e%.1 _ __ MUM
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CONTINUATION SHEET
C
_-_-
COST REI SURSABLE _______________ Sheet No. ----- --_--- of Bureau Voucher No. 60
ARTICLES OR SERVICES
supply schedule,
(Enter descript and iother information deemed necessary)
an
Contract A101 - Costs applicable to
all systems
Direct Costs Properly Chargeable to
Contract A101 for the period 2/25/57
thru 3/3/57
Overhead c mputed f r Communications
Division a interim rate of_
FOIAb3a
FOIAb3a