PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000600010115-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 7
• Document Creation Date: November 17, 2016
• Document Release Date: July 29, 1999
• Sequence Number: 115
• Publication Date: March 28, 1958
• Content Type: FORM

6tandardFOrmNy ~~ '~0r R_ A~ 0 360R(~0~
Firm prescttf7r~ ~~r+i}~~~'R ~~~ 1dehR~7+r4tYc~~
Comptroller Qeneral, . 8. ll. I'' YlYI(( 11YCC'PPJJ Sd_-UUlli4lCil~1~7
Septembor 7, 1960 SERVICES OTI IER THAN PERSONA
? ((ien. Reg. No. 61, 8upp. No. 11)
(Amended February ?A, 1962)
a~aa?a-~-s-----------_
gu. vou. N~. ------~06~.------------------
U. S. _-_-COST _REIMBURSA.BLE .
(Dopartment, bureau., or estabiishmeut)
I~oucher ~re~ared at ---------------------~~----------------------------------------------------------------------------------
(Qivo placo and date)
THE UNITED STATES, Dr., Payee's Account No. _________-.____.
To ------------------------- ~--------_--------------? ---------------------------------------------------------------------------------
(rayee>
----------------------------------------------------------------------------------------------------------------------------------------
(Addrass) (City) (state)
ARTICLES OR SERVICES
UNIT PRICE
AMOUNT
No. and Date of
Date of Del(very
(Enter daacrtption item number of contract or Federal supply
UA[VTiTY
Order
or Service
scheduie, anr~ other information deemed necessary)
Q
Coat
Per
Dollars
Cts.
Discount Terms
Cost
18,328
88
rAYmir.N?r:
Complete ^
Partial ^
Final ^
lJae continuatio^ sheet(s) if necessary
__
Shipped from to Weinht Government G/L No. __
-__-
. -
Total
1~32~
-
-
(Payee must NOT use this space)
I?sertify that~the abavc bill is correct and.~ust and that payment ttaa not-been received.-
i
~
Diffcrences -------- -- - ----- ------------
--? ---------
-__ _
STATINTL (Sign original only)
Date __~~.8 .18_ *Pa ee ------------------?-------------?--------?--?-?----------------------
-----------------------------------------------
noE roQUirod .rhea w me oertlfteaa fa maJa by passe on wEt~obed bW or bflb)
Amount veriFied; correct for ___________
------- Title ---------------------------------------------- ~ (Signature or initials) ------------------------------------ --
Date Req. No. Date Itivoice Recd.
Tit1e ----------------------------------------------------------
Check 1'+10. ________________________dated _____________________________, 19_____, foT $______________________________________ ~on Treasurer of the United States in Favnr of
~_.~ ~_- payee named abova
r-ara ry
Cash. $------------------------, on --------------------------?--------~ 19-----. Payee ------------------------------------------------------------------------?
_ __ fSkn oricinal only)
"When avoucher is signed or recelpted in the name of a company or corporation, tho name of the poraon
writing the company o corporate na~ue, as welgle~asy+the~erapacpity~inew~hi~~ph;~hye slpns~~mu~st/ a. oar. (F`o~r e~aam~]en:
"John Doe Company~~Aistlt e~~1t6d~'r~L~M6;}1dd7~6r1U+idn;'~d~g~atur~bf$~`~a'r~
fi If the ability to co t ~LIfU o v n o
essary; otherwise the approving officer will s~gn ou tho lice below "Approved for $___________________", and
over iris ofFicial title.
Per----------------------------------------------------------------?
p64- 3608000600010115-8
 t9tandard Form. No. I0315a-Revised
Form prescribes) b ?
com#trolleF Cle~~ved For#~~s~~ ? ?~i~~4~ 608000
September ~ , ~~~~~
((len. Re6. No. 61, SuPP? No. 11) Servae~a~ ~t~er ~~~ ~Y`$Q$1a
COl>i~'YNUATi IOIeT SF3~~~'
~l. S. _____~Q~~._~3~i~.3SA13J.~F---------------------- -- Sheet No. ----~---__ of bureau I/oucher No. __2c~6~3-_
(ISepartment, bureau, or establishment)
Dato of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
1Vo. and Date
of Order
Delivery
or Service
(Enter description, item azttmbar of contract or F?deraf suPF-y sclxedufo, TiTY
and oti~ar information deemed necessary)
_~
Cost Per
Doffars Cts.
Contract A-/~i/ System IV
Direct Costs Properly Chargeable to
Contract ~-/~/ for the period 317-
3~23/58
STATINTL
Research &
ST
TINTL STATINTL Development Pr
ducti n
To a1
I~bor f
r ':leek Ea
ding rda.rch 23, 1958
Overheat
for Co
ications Division
compute
at inter
im rates as follows:
Rese~
,ch & De
elopment -
Prods
ction -
Other C
sts - Pe
schedule attached
Total
?nor, Ove
head and Other Costs
Cr & A e
~ ense co
puted at interim
rate of
Tot al C
st s
s;18, 328 88
STATINTL
I
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