DISBURSEMENT BY TREASURY CHECK
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP81B00879R001100020024-6
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
5
Document Creation Date:
November 16, 2016
Document Release Date:
December 8, 1999
Sequence Number:
24
Case Number:
Publication Date:
August 19, 1957
Content Type:
MF
File:
Attachment | Size |
---|---|
![]() | 313 KB |
Body:
Approved For Release 0/04/18 CIA-RDP81 B00879R 100020024-6
SAPC
CjAgM
opy
IV Auoxxt 2$57
ME1iDDH! Ids Chief, Finance Division
ATTENTION Monetary Ranch
SUBJECT e' Diab .'e n4 by Treasury Check
1~ It is kindly requested that a 1j, 5, Treasury Check be drawn in
f*v= of the company listed hereunder in the amount stat ed, which iJ>. be
applicable to the c atract or agreement shy,: The ce tra, t number and
invoice identification must appear the zheok
4,, The k should b fated. as stated in p a ap}. " and mai.1
in the atta. hed a f .t ? : new e ~ `. y;, .11 arc: uuvei pe is attacheds the
undersigned should be contac d = extensi 2158 men p fit is ready for
disposition,
chargeable t Ca~aax?a. ~a , oc
Check drawn in fi. i
Amount i
Contract Nei
Invoice no.:;
Check to beh
& Brow, Ina.
A733-( )359O6)
. 207
24 Pertinent doc ntatLon in correction 4i t Us Acs 1fied
transaction which has not been included in comptrollers inatrwtion No:, 32
(Notice 20k56), after approval by the LCJ 1 December i jo is file in
the Office of the Pro f eot C jnnptrol ler,
3- The pa rent requested is based on progress made by the oontraotor
to date and ahould be processed against General Ledger Account No, '138,;
titled "Disbursements of Appropriated Funds Chargeable, t Cc, ficlenti.a.
Allot*enta - Awaiting X1, Cert1fication, The Allotment Symbol app: ,cahi.s
this request is
N~ 1?iS~ii`v1~ ion TS $D
S
`
29 August P$7
e+.pZ
' 3632.
NgxT' k~ .. R 0~ 25X 1 A
805431 AUt 22 5
ECRU
Authorized Certifying Of: c or
Approved For Release 2000/04/18 : CIA-RDP81 BOOT QZD04-6
/Z`1
7
Approved For Release OO/04/1
SA,PC -
CopY&
MFMpEdANDUM F Chief, P ance Division
ATTP 'IOD4 ltnstary 13ranch
Sufi Disburse meat by Treaaw7 Check
3.,, It is kindly requested that a Uc S, Treiasta j Cheek be drawn
favor of the cr'nipanY i ted hereunder th t ho amount stated, which wiIJ be
applicable t the contract or agreemmnt shown,. The contract number and
invoice ide ntit`icati ravat appear r tom, ,.heck
2(, Pertinent dcaiirsntatim in connects n with this ,?, wr~~si*'ted
transaction which hays not seen c ii ed in c
oWa.,Ier?s instruction No, (otica 20._,56), after approval by the DCI i in
5 Liece mbe r 1956, is can f...ih
the Office of the Prujeut G pt _O"sr.
3. The paynnt requested is based o progress male by the contractor
to date and should be processed against General Ledger Account No. a, S
titled "DisbUXse is of ApprOpr?iatesd Fumes Chargeable to ,o fidentla:1 Fiords
Allot>sents ~~ Awaiting XI Cearrtxfl.uatiun . n The Allot nt 5 ~ apple ab e- to
this arecuett I L
4:, d The check;.~sha ld t * L ~atryed as stated in paragraph :' and 'nailed
in -the a ~Ita od ao",.7. '" 4#.y1.). iy t 19. i~k.?.i~sa. J.._ v .pr.Yxo _
t~tn~7~3:7i,:yp~Fk Is attached, the
undersigned should be contactec an eztensio>n Z: F when ve;F t its ready for
dispositti,,
DOCUMENT O.
NO-Get .4L~
tJSSS.
CLASS
CH
-'L
S
C
0 !2
PkX f
~..'...,1 . w'S'.
AUTH:
H' 11-2
DATA:
_y LU:
X3632,
Dist: 0 & 1 - Add
25 3 - Contract
Approvec4F
chrono
Contract biro. ) )
d., iuvaicuk aPn _
_ . ..--~s?w .~. awxa .,4{;, i $lVI a~ Yom. ..
b~, Amcroaont RFMORe IrASO
Ik1RDP81 B00879F0 1100020024-6
25X1A
C A-RDP -
?3ECRET U
Standard Form No. 1034-Revised
Form prescribed b
N
(Gen g.
(Ame
STATI
U. S. __
THE UNITED STATES, Dr.,
Or Release
o. 51, upp_ NO. 11)
kO. Voa. No- -------------------------------
1100020024-6
Bu. Vou. No. ------ ------------------------
-----------
(Department, bureau, or establishment)
Voucher prepared at __Stata_Collee, Pa' August -f-_ 19.5.7
(Give place and date)
Payee's Account No. -___137_-----
To -----
,9 a].r4e~_Q_a_Brownq
12L N. Atherton Street (Payee)
State- C47, ge P. ----------------------------- ------------------------------------ ----------------------
Shipped from
to Weight Government
B/L No. Total
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
and Date ate of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule
and other i
f
r
ti
d
d
QUANTITY
UNIT PRICE
AMOUNT
,
ma
n
o
on
oome
necessary)
Discount Terms
Cost
Per
Dollars
Cts.
7,186.
9
PAYMENT:
Complete ^
Partial El
Final El
Use continuation sheet(s) if necessary
186 ?
7
52
j
Differences ---------------------------------
-
(Sign original only)
--------------
-----
_
Date _
-------------?-----------------??--?-------
---------------
-----
bill,)
L
-
-------------------------------------------- -
Amount verified; correct for ___________
---------------
-----
Pursuant to authority vested in me, I certify that this account is correct and proper for ayment.
STATINT .
11 .
STATINTLBy
SIGN STATINTL
ORIGINAL Title
ONLY
ONTOACTIN6-Of
ff ER
+q
f/ Date
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Iiie
( Cash, No- ------------------------ dated ------------------------------ 19-----, for $ on on Treasurer of the United States in
Paid by j favor of payee named above.
` ash. $ on 19 Payee -----------------
sun orla n.l only)
When a voucher is signed or receipted in the name of a company or corporation, the name of the person
wri ting the aa r e y~e cry us r. ?John Doe y l~ IILi t3l~iclLEF CTra6 ~1;51lfkfcAs~rnayY ~~-RD ~i3~p R~ 110-0020024-6
'
tIf the abilit t certify and authority to approve are combined in one person, one signature only is nee-
?essary; otherwise the approving officer will sign on the line below "Approved for $------------------- ", and Title _______________________________________________________
over his official title. Audit Voucher No* 1. 1e--22goo-5
(Signature or initials) _________________________________________
Approved For Release 2000/04/18 : CIA-RDP81 B00879RO01100020024-6
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.)
ABSENCE OF ADVERTISING
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 --------------------------------------------------------------------------------------------------------------------------
5. Without advertising, it being impracticable to secure competition because of ---------_.-----_. --_---_------------------------------------
----------------------------------------------------------------------=----------------------------------- ----------------------------------- -------------------
(Here state in detail the natur&of the.exigency or circumstances unak 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.)
4pproved For Release 2000/04/18 CIA-RDP81 B00879RRO011000200246
Form No. 0 R
er G e lea:ag/I-,[~E7s9dR001100020024-6
"gym M or
enera b , p
8eptemiier 7, 19io L Than Reg. No. 61, aupp. No. 11) Services Other Than Persona
STATI NTL CONTINUATION SHEET
Name
STATINTL
STATI
NTL
Sheet No. of Bureau Voucher No. ___--______
No. and Date
Date of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
of Order
Delivery
(Enter description, item number of contract or Federal supply 1 schedule
PP y
TITY
or Service
and other Information deemed necessary)
Cost
Per
Dollars
Cts.
LABOR
ayroll Period 7/1-31/57
2
,
STA
INTL
.
292
1
39
2,903.
10
rRAVEL
Period of Travel C
eck N
, '
ount
~24-25
13881
63.20
7/9
13691
5.50
118
70
2,291
00
140
6)
6,716
J4.
V
L70
15
7,186
59
The undei
signed c
reifies that the above is correct and just
the
paym
ent th
e rfor ha
not been
eceived;
that all hours appearing on this invoice
are d
rect '
Labor
ours sii
ported b
time rec
ords on n this office tuall devo
ted ed to
the p
ces of
th
contract.
W
STATIN
L
ar eerie, on o e
I certif
that the
amounts vouchered herewith as progress pa
ent
on ace
unt o
r overhe
d
expense a
re less t
han the estimated amounts properly chargeab
le to
the c
ntrac
. This
payment d
oes not c
onstitute a final or partial settlement of
overh
ead.
Contracting Officer
STATI
TL
Approved For Release 2000/04/18 : CIA-RDP81 B00879RO01100020024-6