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:
Attachment | Size |
---|---|
![]() | 232.28 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