PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000500050012-9
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
5
Document Creation Date: 
November 17, 2016
Document Release Date: 
July 22, 1999
Sequence Number: 
12
Case Number: 
Publication Date: 
July 26, 1957
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000500050012-9.pdf232.28 KB
Body: 
Standard form No. 1034-Revised D. O. Vou. No_ ____________------------------ Form prescrlb _b_y~_ Comptroller-p;*A #b roved Fo N Iffli-m0360R0005000500$2-9 (pen. Iteg No bl, BuP11PIO'No. 11) SERVICES OTHER I A Bu. Vo... No_ _______________________________ leaz) 4 (Amended February Z0, U. S. COST REIMBURSABLE --------------------------------------- - - - ------------- ---- ------------------------------------- (llepartment, bureau, or establishment) ---------------- ----Voucher prepared at (Give place and - date) THE UNITED STATES, Dr., Payee's Account No. ---------------- TO ------------------------------------------------------------- _ (Payee) ------------------- ---------------------------------------------- No. and Date of Order PAYMENT: Complete ^ Partial ^ Final ^ Date of Delivery or Service ARTICLES OR SERVICES deemed necessary) (Enter schedule, and other information pply Discount Terms /-:-;o C14- * 55 FSAPC,4, cP7~ F Use continuation sheet(s) if necessary I I to Weight Government B/L No. Total NOT this s ace) I Certify that the above bill is correct and just and that payment has not been received. FOIAb3b Date __~- -57---- iPay: ------------------------------ Tbi,.ertifioate not xeavired whon n like oortiE.ate i? made by psye. on attaobed bill or bill.) Title ------------------------------------ Per ___ Contract No. Pursuant to authority vested in me, I certify that this account is correct and proper for payment. t Approved for $ ----------------------------------- SIGN ORIGINAL ONLY ----------------------------------------- ------------------------ (Authorized Certifying Offioer) Title ----------------------------------------------------------------------- ----------------------------------------- ate ---------------------------- ------------------- Title -------------------------------------- ENT IN ANT FORM THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEM ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional) -- - an Treasurer of the United States in favor c, Check No. ------------------------ dated ------------------------------ 19----?for $------------------------ (payee named above. Paid by --------------------------- ----------- Cash, $------------------------- on ---------------------- --------------? 19 ------ Payee -------------?------ cei.a ortamd only) (Payee must use p Differences --------------------------------- ----------------------------------------------- Amount verified; correct for ________-__ 43,089 30 X3,089 -- ------------- -------------- --------------- 30 Date Req. No. Date InvoiceRec'd. ?1'na1i 6-003sflR0f}?OOflS$?'12-~J - ------------- When a vouche apear, ? r s ' JokingDtoe he company Company, or o poste nam, Ss w h a c "John per John Smith, Secretary", or' Treasurer", as the case may bc. y i Title ---a comb are 11, need is-22oo0 d in one t If thotherlwise the certif and officer will sib on the line b o w 'Approved for $ e signs---- onl is essary; Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050012-9 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-RDP64-0036OR000500050012-9 AWK Standard. Form No. 1035 a-Revised Form prescribed by ??m tptem o red For ge 2 13 (Gon. Rog. No. 51, u p. No. 11) erviees e1r~'T 'Fiari W0436OROOO5auooJvowUM CONTINUATION SHEET COST REIMBURSABLE Sheet No . ------------ of of Bureau Voucher No. ------------ U. S. --------------------------- --- ` ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT No. and Date of Order Date of Delivery or Service (Enter description, item number of contract or Federal supply schedule, information deemed necessary) an "PITY Cost er Per Dollars Cts. Contract Al-01 - Costs applicable to all systems Direct Costs Properly Chargeable to Contract A101 for theperiod 7/15/57 thru 7/21/57 Research & Development Pr ducti n To al Labor Wee Ending my 21, 1957 3,298.36 5,172 11 Adjust ent - she et no. 3 545.86) 0 2 172. 5 11 7 9214.. i .5 2,75 , , Oaerhead omputed or Communications Division t inter l rates as follows: ` Resear h & Deve ment - 145% 3,991-12 op O o85 61 14 076 73 d ion - 19 % . . , uc Pro Other Cos i s - per chedule attached 7,839.69 t /~' shee no 2 3,708.42 14 827 d 279.01 r ent-sheet 3 3 t . , ju a m , Total Lab Overh ad and OtherCosts 36,828. 6 , G & A exp ense comp 4ed at interim 260 6 1+ 6 f $ 46 828 , . rate of 1: , 3 11, o . 432082- 30 Total Cos 1 s Approved For Release 2000104Ml,,N hNCtA-RUP634-0036OR000500050012-9 litinndnrd Fo-71 No. 10350 av i1 Pl r for R eI 2Q%Q L 1 ?CI~- 4003 aR000500050012-9 September 7, 1950 ' (Gen. Reg. No. 51, Supp. No. 11) Services Other Than Personal MEMORANDUM CONTINUATION SHEET ------ -- -COST-M1MBUR,SABLE U. S _ - _ _ Sheet No. ----- 2..... of Bureau Voucher No. -_-_9-!-5 -- - ------ -- ----- -- ---- - ------------------------ ------ (Department, bureau, or establishment) No, and Date Date of r D liv ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT of Order y e e or Service (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) TITY Cost Per Dollars Cts. TICKET INVOICE CR MEMO CHECK NO PAYEE OR VENDOR NO 59 8214 352 71.54 D008825 8087 356 840.00 3737 7237 1177 960.00 3737 7237 1177 (9.66) 1 3738 7237 1177 250.00 3738 7237 1177 (2.50) 3766 7237 1177 1,000.00 3766 7237 1177 (10.00) 59 8214 352 8.00 11400691 7247 1177 (40.00) DMoo691 7247 1177 .40 2464 8097 1268 70.00 2464 8097 1268 (3.50) 5 5 97 112-76 1 80 106 (2.26) 1798 8027 174 79.20 Boo6808 7237 233 60.50 Boo6808 7237 233 (?30) 898A 8057 2161 171.68 1478 8167 778 150.00 59 8214 352 2.50 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050012-9 Standard Form No. 1035a--11evised Form prescribed by Oomptroller 0 neral, U. 8. N4"60 Sept emiso pd Forease ~~/60R00059tDt7 (Gen,EtegNo. 5> Ylr eces en ersona CONTINUATION SHEET U. S. ---------COST REIM USABLE-------------------------------------------------------- Sheet No. ----------- of Bureau Voucher No. -945----- (Department, bureau, or establishment) No. and Date Date of ARTICLES OR SERVICES QVAN- UNIT PRICE AMOUNT oE Order Delivery or Service (Enter description, item number of contract or Federal supply schedule' TITY -- and other information deemed necessary) Cost Per Dollars Cts. Labor iv 067921 (54.5.86) 4 86 Other Costs TICKET INVOICE CR MEMO CHECK NO VENDOR 10452 107 90 36.00 iv o67o6o 3,251.21 iv 067919 48.20) i 3 2 01 Approved For Release 0010411h4G rr?IAe=ROP64-0036OR000500050012-9