PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050131-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 131
• Publication Date: June 25, 1957
• Content Type: FORM

Standard Form No. 1QI t-Revised
ibe,~ by roved For
Form pmscrlien~Y9~6~11C~1
CO. 1oo mller
September 7, 1 nnn~rr~
(Gen. Rog" No. 51, Supp. No. 11)
(Amended February 20, 1962)
TILMYT010- AIRT-17
HA &J-M?A*0360R00050005W1-7
Bu. _----_ _
-------------------------------
V . S. _ --o--Ti -------
--------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at ----------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- __-______-____-_
----------------
-----------------------------------------
0
(Payee)
-------------------
-------------------------------------------------------
(Address} (City) (State)
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter schedule, and item number of contract or Federal supply
other information deemed necessary)
Discount Terms
PAYMENT:
Complete ^
Partial ^
Final ^
to Weight Government B/L No. Total
Shipped from
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
FOIAb3b
Date ___ 6--'5m,
Per ---
Differences ---------------------------------
Req. No. Date
Pursuant to authority vested in me, I certify that this account is correct and proper for payment.
f Approved for $-----------------------------------
SIGN
ORIGINAL
ONLY
1,97].
X85
---------------
?-=----------------------------
Invoice Rec'd.
--------------------
(Authorized Certifying Officer)
Date --------------------- ------------- ------- ---------------- -------------
Title ----------------------------------------------------------- Date
--------------------------------------------------- -----
ICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERV
ACCOUNTING CLASSIFICATION (Appropriation symbol must be shown; other classification optional)
(on Treasurer of the United States in favor c>
Check No. ------------------------ ' 19 -----' for $ )payee named above.
Paid by j
Cash, ---- ----------------------------
. $------------------------, on ------------------------------------' (ais,, Dols),,,) only)
* When a voucher ~1K~1 dw ~"nQ Wl pCB~e
writing the company or of era e w e
John Smith, Secretary' , or "Treasurer", as the case may be.
"John Doe Company, per
t If the ability to certify and authority to approve are combined in one person, one signature only isrneecd-
essary; otherwise the approving officer will sign on the line below "Approved for $--_____-_-_-_---_
64a003-6ORD005000501-31-7---------------
Title -------------------------------------------------------
 Approved For Release 2000/04/11 : CIA-RDP64-00360R000500050131-7
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.
5. Without advertising, it being impracticable to secure competition because of ------------------------------------------------------ ------------ ---
---------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------- - -------- ------------------------------ -
------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------?-_....
- ` (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-RDP64-0036OR000500050131-7
 Standard Form No. 108 5a-Revised
Form prescribed by
Comptroller (
S ~ynerUoed For
g. Iio. effi8, .to (C~en. Reg. ]do. 6 , p o. 1)
+
COST RED $URSABLE 1 88
U. S --------------------------------------------------------------------------------- Sheet No. ----------- of Bureau Voucher No. ------
(Department, bureau, or establishment)
o. and ; N
ate to
f O
d
Date of
Delivery
ARTICLES OR SERVICES
(Enter descri
tion
it
b
f
T
TY_
UNIT PRICE
AMOUNT
o
r
er
or Service
p
,
em num
er o
contract or Federal supply schedule,
I
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract A101 - System I
Direct Costs Properly Chargeable to
Contract A101 for the period 6/10/57
thru 6/16/57
Research
Develo
oduct
oa
To
tea
%bor Week
Ending J
we 16, 1957 50-45
113.
48
163,
93
rerhead
ted f
Coemunications
vision a
interim
rates as follows :
Researc
& Deve1
pment - 135% 68.11
Product
on - 1951
6
221
28
289
39'
.her Cost
- per a
dole attached 1,152.148
sheet
no. 2 12
1,276
*-al Lab
, Overhe
ad and Other Costs
1,729-
69'
& A expen
se compu
end at itteriffi
te of 1401
6 of $1,7
9.69
24+2
16
tai Cost
$ 1 1
S r
G
ra
lic V
ease .
e/p r&n rs9%aI OR0005MMAJ&DUM
CONTINUATION SHEET
a
Approved For Release s2OOO/094/14rc=CIA-RD P64-0036OR00050005013i7
t
Dci
 Standard Form
To ?' or 1 OR000500050131-7
comp or ; ?s% 1~ ~Q 44 ~or4 4r
September r,1950 MEMORANDUM
(Gen. Reg. No. 61, Bipp. No. 11) Services Other Than Personal
CONTINUATION SHEET
U. S 2 1 Sired No. ------- of Bureau Voucher No.
(Department, bureau, or establishment)
No. and Date
Date of
ARTICLES OR SERVICES
B~UAN-
UNIT PRICE
AMOUNT
of Order
Delivery
or Service
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
$`
Cost
Per
Dollars
Cts.
JV 037972 89.89
$ 123-
39
Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050131-7