MKULTRA SUBPROJECT 148 (13 DOCUMENTS WITH PUBDATES FROM 631024 TO 6411 09)
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
00017408
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
48
Document Creation Date:
August 23, 2024
Document Release Date:
September 8, 1976
Sequence Number:
Case Number:
Publication Date:
October 24, 1963
File:
Attachment | Size |
---|---|
MKULTRA SUBPROJECT 148 [8144520].pdf | 3.04 MB |
Body:
..�: 1.11 3
-24 Oct. '63 1 year
::(3�171.-; 1
":1 1:.01; r Pete
Authorization #1 24_0ct
Invoice .# 1 _ 27, . Nov. -
-7�1":
-4 4(.714)..t...,
'-
1412 5- 13 9 0 -390 5,000.00
(rt
1
Ot.11�il
114
CT.!.
- 5-000.00 5 000 00
500.00 4,500,00._
4'7; 07,4c
� 670-0 00 / (,)
Receipt is hereby acknowledged of Tre
urer's Check
No. L101412, dated October 30th, 1964, drawn on the
payable to D
$500.00.
in the amount of
C
DATE Are,/ if 6" ei,"
15 Ckaober 1964
116
cf)
/Pi 17
$500.00
CONEAPLTANT
rRMACOLOGY AND 1ICC'LO&1V
;.
For consultation and special services rendered, May and
June 1964
I certify that services or Taterials have beerk�_
satisfactorily received ,71
were incurred on o
"I":111014.' (Whenn)
REII�.2URSEt�:ENT VOUCHER FOR PURCHASES AND t
� .
SERVICES OTHER THAN PERSONAL INKULTZA Subproject #143
NAME 01= CLAIMANT
1 VOUCHER NO. (Finance Uric Only)
DESCRIPTION OF S PENDiTURE ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
1
Paymc t to Dr. or Invoice Xo. .9, professional services rendered 1,500.00
MI:UL=A Subprojec ), eara. 1V-D of NKJLTnA Fiscal Annex. 1 certify that, ,
to the best of my knowledge and belief, the amount shown has been disbursed for 1
Agency-authorized activities and services or materials have been received. The
document upon which this statement is based is maintained in the files of TSD for
security reasons/and will be made auailable to the certifying officer at his request.
I , . c.)
, Please forward check ..t .hrou.!6 " -
�.....,�
,....
,. LRTIFY THAT THE DISBURSEMENTS ITEMIZED ABOVE WERE. NECESSARILY MADE BY
OF OFF IC I AL BUS INESS OF A CONE !DE NT I Al. EXTRAORD !NARY, OR EMERGENCY NATURE
ME IN THE. CONDUCT
. THAT I I HAVE NOT4
z.,,,,titorize my oitene, whose signature appeersbelow, to receiv
g:54,=== receipt orsoch
nil '''eY 'thereto,' when paid to an' agent'
.
BEEN, NOR WILL I BE, REINZWRSED THEREFORrFROM ANY OTHER SOURCE, AND THAT
TACHmENTS ARE TRUE AND CORRECT, 1 S OCT Tasl
THIS CLAIM AND. A ..
DATE :SIGNATuRE OF PAYEE
r
13 Oct 64 .
SIGNATURE OF �!
DATE ISIGNATORE OF AGENT
I CERTIFY FUNDS ARE AVAILABLE
I APPROVED
i
OBLIGATION REFERENCE NO.
CHARGE COST ACCT. NO.
,
DATE iSIGNATURE OF APPROVING OFFICER
� RECEIPT FOR FUNDS RECEIVED
219
4125-1390-3901
ISIDNMY GOTTLIEB,DC/TSD
PAYMENT RECEIVED
DATE AUTHORIZED SIGNATURE
CERTIFIED FOR PAYMENT OR CREDIT
IN THE AMOUNT OF 3
DATE 11SIGNATURE OF CERTIFYING OFFICER ,
1
h
DATE
SIGNATURE
OF 0 PAYEE 0 AGENT
SPACE BELOW FOR EXCLUSIVE USE OF CONFIDENTIAL'FUNDS DIVISION
PREPARED BY
REVIEWED BY
VOUCHER NO. 7.12
-.5CR1 TioN.ALL OTHER ACCOUNTS 13-33 34-39
40.42
43
451.46
p'1,,,y
PER..
L',w,, �
47.52
OBLiG.
REF. No.
53
54-57
GENERAL
1 58.67 l6.9.70
ALLOT. OR COST ' DUE
, ACCT. NO. 1DATE
71.80
AmOUNT
,
DESCRIPTION-ADVANCE ACCOUNTS
12.27
28.33
- T/4 No.
RUR.ORDERNO.
STATION
CODE
RPOP. NO.
'' �......
PROJECT NO.
,,,,,NDFuNDS
CODE
ry
DEBIT CREDIT
- -
r. WDEA.NCE
ACCOUNT NO.
EMI,. NO,
LEDGER
ACCOUNT NO,
.
52� 57 il OR.
CR. LI
NO Ec,
x F. 64. iLLAse
1:11,
fen.
' zN THr-- is.!."
NT CF.
.
�
. .
. .
Ill .70 r.. (,
I
I
- 1
1
1 TOTALS
F3?:7 264.
PREV6OCS
BECEIFT
ipt is hereby acknowle ged or Treasurer's Check
18 atedi ust
PaY-
000,00.
MARE:
DATE: I 4. 96)4
For services rendered, June 1964
a camoifiat s'erviosesm' havo boon
battraiOttly ftctivedtrexpnatum
or InQiirleed On 0
CONSULTANT
P3HARMACOLOGY AND TOXICOLOGY
�
11 July 1.964
$500.00
CONt4ULTANT
PAIAFetsie9COLOCAY ANT') TOKICOLOGY
11 July 1964
Gentlemen:
Gurrent_work_in this laboratou by Dr ni associates. The
effects of a synthetic dimethyl heptyl analogue active ingredient of
marihuana are being compared with those of thiopental on EEG arousal in acute'
cat preparatiGns, EEG and behavioral arousal in chronic cat preparations, and
on the transfer of sensory impulses through the brain stem reticular formation.
This work is aimed at elucidating the mechanism of the CNS depression caused
by the marihuana analogue.
Yours v r truly, -
(when jiJled in)
r�IIII1101.111~/1.0/1~mINIIMINE.ft
NAME OF CLAIMANT
REWBURSEMENT VOUCHER FOR PURCHASES AND 144=7.7,,TRA ub l'-,148
'VOUCHER NO. (FinBnce u e only)
SERVICES OTHER 'THAN PERSONAL CHARGE TO ALLOTMENT OR PROJECT
4 / r: / 9 0REIU
wt
BURSEi4ENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
DESCRIPTW EXPENDbTURE - AT AOH RECEIPTS AND OTHER SUPPORTING DOCUMENTS AMOUNT
Payment to Dr. . r Invoice No. 3, professional services rendered MICULT
Subproject No. 143, pe para. oi ...t...VULTRA Fiscal Annex. ',I certify that to the best of my
knowledge and belief, the amount shown has been disbursed for Agency-authorized activities and
services cr materials have been received. The document upon which this statement is based is
maintained in the files of TSD for security reasons and Will be made 'available to the certifying
officer at his request. I '
Please forward cheek to hroug 1
$500.00
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE COR3ECT.,THE EXPENDITURES WERE INCURRED ON OFFICIAL BUSINESS OF A CONFIDENTIAL. EXTRAORDINARY. OR
1 EMERGENCY NATURE: PAYMENT OR CREDIT HAS NOT BEEN RECEIVED. AND t SHALL,NOT BE REIMBURSED FROM ANY OTHER SOURCE. '
I CERTIFY FUNDS ARE AVAILABLE APPROVED
DATE,
SIGNATURE OF PAYEE..
OBLIGATION REFERENCE NO.CHARDE,ALLOTMENT NO. DATE 1 SIGNATURE Of APPROVING OFFICER
,
1 ca i 1
31' Jul 6 z
_ 1 .512..;'�
.TU1 19641
lai7f CIOTTL:IEB,?Ci
PAYMENT RECEIVED .
DATE 1SIIAJRE
OF AUTHORIZ NG OFFICER
CERTIFIED FOR PAYMENT OR CREDIT '1
IN THE AMOUNT OF $
4. AUG 1954
,
DATE
SIGNATURE OF CERTIFYING OFFICER
DATE.
SIGNATURE OF RECIPIENT
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PREPARED BY
w
REVIEWED BY
1VOUCHER NO. 7-1
'
rDESCRIP ION-ALL OTHER ACCOUNTS t -33
34.39 40.42
43
45-461
47.52 , 53
5,4-57
58-67
, 8-70
71-80
6 23
DESCRIPTION-ADVANCE ACCOUNTS --.-----...
STATION
CODE EXPEND--
****COOE I
r,, c
is.... L
'�'
PER.
08LIG
REF. Md. I
- - CA
GENERAL
l' ALLOT. OR COST
ACCT. 80.
DUE
DATE.
AMOUNT
,....�
13-2/ . O.UR.ORDERNO.
RAOP, NO. '
I
LIO.
c7ge'
io7,,re'
ACCOUNT MO YR
LEDGER
H2-67
..0. OR
ilVACCOUNT
IRROJECTRIO..
'Y
""
ICIAP. NO.
NO.
CREDIT,
.
8 0 � 0 0
�
.
** ..
..
TOTALS
L..............................
jORM USA R�VTIC,t
6-SO tOtTif�nt
RECEIPTS
Receipt is hereby acknowledged of Treasur
Cheeks
Nos. L101291 ancY1,101292,_dated 10 June 1964, drawn on._
NAME
DATE
4111�1111111
(When Filled In)
,.................... I
NAME OF CLAIMANT
REIMBURSEMENT VOUCHER FOR PURCHASES AND '.':.7.727_,=, 211zt--,,t
VOUCHER NO. (Finance use only)
SERVICES OTHER *THAN PERSONAL ICHARGE TO ALLOTMENT OR PROJECT
----..;
PE:mBGRsempNT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED. .
DESCRIPTION OF EXPENDITURE - ATTACH RECEIPTS AND OTHER SUPPORTING 00CUMENTS
AMOUNT
,
17'n:7: o- t to - or Invcice No.. 7, for professiona/ services rendered
�""/"*. �-,", A 4.3., ,'�-, '`' ....� ,
L., ;. 24 1.1 . 4 V - ar i of i'.''.1 U:1E:: A :Fiscal Amnex. Z certify that � to the test
1.: ::",:.,.. 014_t!t E:..10.7,7 ,7rAZ2 tCCn, ,f;Tisbursed g,!::,r A:.&eney-Allt:!lerized neti -
.'tler.,�,. rz-Jd� services cr v:aterials have Leon received. Ilie eccuser.t.v.111011 VA:11C-ii thiS
t,0C:,:t. 71s ,:td ...ks Taintain. in to files off. TrZi or security reasomr., an.d vill. be r,:t
(""4.�':aila1.71.0 to te (.crtifyir.47, officer at his
,72"..eoso 1�0171%1 ehec:. to !,"21'. later!! th ''.0 100.A.
'tt..)
I
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE c4pi
EMERGENCY NATURE, PAYMENT OR CREDIT HAS NOT BEEN Rgciv
CT. THE EXPENDITURES WERE INCURRED ON OFFICIAL BUSINESS OF A CONFIDENTIAL. EXTRAORDINARY. OR
0, AND I SHALL NOT BE REIMBURSED FROM ANY OTHER SOURCE.
I CERTIFY FUNDS ARE AVAILABLE
: I
APPROVED
DATE , SIGNATURE Or PAYEE
OBLIGATION ,REFERENCE NO.
CHARGE ALLOTMENT NO.
41:':5-32:7X-sDon
DATE
SIGNATURE OF APPROVING OFFICER
1 C4
CERTIFIED
.7.::::rnly f.:?';t1'2I.,17..7.1,�ThCiTED
FOR PAYMENT OR CREDIT
PAYMENT RECE I VED
IN THE AMOUNT OF $
DATE SIGNATURE OF AUTHORIZING OFFICER
I-
9 , SS4
'04TE
I
14 SIGNATURE Or CERTIFYING OFFICER DATE
,
TSIGNATURE OF RECIPIENT
SPACE BELOW FOR
EXCLUSIVE USE OF FINANCE DIVISION
PREPARED BY REVIEWED BY i
I1
VOUCI4ER NO. 7.12
't ,CRIPTION -ALL OTHER ACCOUNTS 13.33 34-35
L 10-42 43
45H46-'
47'55
5
:
54-57
58-87 68-70
DUE
71-80
,....H, 2_ .33
OESCPIPTION.ADVANCE !I- 7'4*
STA,TaN AFIel.NG
� C''""''
FUNDS
'
PAY
PER.
! ap!.-1&
,CA
aFNFRAL
ALLOT OR COST
ACdT . NO. 1
'DATE
AMOUNT
I
ACCOUNTS
13-27 IPUR.ORDERNO.
PROP. NO.
CODE
LfO.
- ADvArce
ACCOuNTNC
YR
LE0G,R
$
P2....
;2::,.
.3i.
,
PROJECT NO.
.
FT
CODE
emp, .0,
ACCOUNT NO.
Ref. NO.
CLASS
SE BIT CREDIT
.... '.
.. . ..
'
.
.... .
.....
.....
.. . ..
L
. ....
�
......
1
1 TOTALS
FM 264 vt, ATI stt.s.
v t T.,4111
For services rendroed, May 1964
I certify that sarvieeS oi LaW
satisfactorily received inl tho expendttured-- --
were incurred on.'
fiat:0A
fitILTANY
'Y ANT) TOXic01-
.y1964
When
NAME OF CLAIMANT
REIMBURSEMENT VOUCHER FOR PURCHASES AND 2:17,45L1$1A. &thproject #148
VOUCHER NO. (Finance owe only)
�
SERMES OTHER THAN PERSONAL CHARGE TO ALLOTMENT OR PROJECT
..
41 `>5.-.1 2 .50-24)02
____
REIME..:RGEMENT OR PAYMENT IS CLAIMED FOR MATERIALS. SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED. .
DESCRIPTIO OK EXPENDITURE � ATTA:CH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
--.. _.
AMOUNT
.;
- � -,
P;177"T'NT TO Dr. or Invoice or professional services
sut:project 143, J r'l 1V-D of the =ULTRA Viscal Annex. I certify
of my hnoyledge and belief the amount shown has been disbursed for Agency
activities, and services or materials have been received. The documents
this statement is-based are-maintained.in the files of TED for security
will be made available to the certifying officer at his request.
�,..,...., .
,_)lease fo,0,rd check no later than 15 Eay 1964. .
rendered mrcy.TnA
that to the best
-authorized
upon which
reasons -and
1
$500.00 '
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE CORRECT. THE EXPENDITURES WERE INCURRED ON OFFICIAL BUSINESS' Of A CONFIDE 'NAL, EXTRAORDINARY. DR
EMERGENCY NATURE: PAYMENT OR CREDIT HAS NOT BEEN RECEIVED, AND I SHALL NOT BE REIMBURSED FROM ANY OTHER SOURCE
I CERTIFY FUNDS ARE AVAILABLE
APPROVEDIL
DATE
24 Apr 64
SIGNATURE OF PAYE
.
OBLIGATION REFERENCE NO.
2neri
'CHARGE ALLOTMENT NO.
4125-12V0-2902
DATE
SIGNATURE OF APPROVING OFFICER .
1.
1
SIDNEY GOTTLIEB DC/TSD
$ ,
PAYMENT RECEIVED
IN THE AMOUNT OF S
DATE
,
SIGNATURE OF AUTHORIZING OFFICER
CER,IFIED FOR PAYMENT OR CREDIT
DATE
SIGNATURE OF CERTIFYING OFFICER
i;
11 I
DATE .!
SIGNATURE OF RECIPIENT
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE' DIVISION '
PREPARED BY
'ftEviewED. BY
111 %FIDUCHER NO. 7.12
1;
OFSCRIPTION.ALL OTHER ACCOUNTS 13.33
.,.39,,
140.42
43
r45.45
AY
PER.
47.52 :
R2,1'11,136
53i1
GENERAL
11
, 58.57 .
ALLOT. OR COST
ACCT. NO.
58.7
OUE
'DATE
n�.
. ...'..
CLASS
71.80
AMOUNT
.CRIPTION.A0VANCE ACCOUNTS
.....' 13.27
TA Ho.
PUM.ORDEA NO.
c
-..5E7N
PROP. NO.
EXPENDPUNC6'
CODE
LIO.
CODE
./.8%7AACE CA
ACCOUNT NO YR
L.P. No.
LEOGER
ACCOUNT NO.
6
, CK82.,
P42
A REF.. NO
..0
PROJECT NO.
FY
4 a ...
1
II
,
..
,
::: .
1
'
........
TOTALS
I. I
111111111101111_
lallirENESIMBIOMMEMEIr _...�15�11�������.
For services rendered; April 196!,
I have examined and a 5' ' ho sulmItted--- -
expenditures.
'SD Brannh
It/N
COM:WI:WANT
PKAIWACti.L,OGY At) TOK1
11 April 1964
$500.00
11-
Ci /1-/--te,'
31 March 196,
PROJECT CRYPTO : MKULTRA 148.
INVESTIGATOR : 0
RENEWAL DATE
: October 1964
1. This project provide: r the utilization of the
professional services of Dr. Since the initiation
of this project he has proved to be a reliable source of
information on the pharmacological and physiological infor-
al chemical compounds of current interest in
program. The information provided has been
ltaining and advancing our knowledgeability
of unpublished data and-information which permits us a
better basic understanding of the sites pf action of mat-
erials significant in influencing animal and human behavior
and guides us in selection of material and experimental
techniques.
2. He has reported on detailed experiments he Was us-
ing to demonstrate that high and low spinal sections block-
ed the action of a dimethyl heptyl substituted tetrahydro-
cannabino1 on the polysynaptic flexion reflex whereas the
mid brain section did not. The site of action is indicated
in the lower brain stem.
3. The consistant depressant action on these reflexes
is probably due to a summation of possible depressant act-
ions locally on the reflex system and at points in the
motor facilitory systems. It is hoped that work in this
area will eventually identify the mechanism responsible
for the ataxia produced by high doses of the active prin-
ciple of marihuana.
4. The long latent period experienced in the use of
C-9 may be attributed to the mineral or vegetable oil veh-
icle which is used frequently in oral dosage forms.
5. Attention has been called to the diethyl:mid� of
2-methoxy-4-ally1 phenoxy acetic acid which possesses a
narcotic and powerful analeptic respiratory action. It
I
(1/
6. A por f the
was given to D _or review and cr
ne';�
port is of co le -interest if. des-
cribes interactions between pesticida ch als and psy-
chotherapeutic compounds. .The.-iiesticidal chemicals are of
the acetylcholinesterase inhibitor class, a class which in-
cludes our CW or phosphate materials. Pentobarbital
and 1-Naphtbyl N-methyl carbamate ("Sevin") (a reversible
anticholinesterase material) gave directly additive respon-
ses. Chlorpromazine greatly augmented the response to
"Sevin". This was not related to changes in the brain
cholinesterase no Pilocarpine which does not blo k
cholinesterase increased and prolonged the anticholines-
teraseaction of Sevin. This pattern offers in
possibiliti teraction among materials of more direct
interest t
causes stronger respiratory stimulation than that obtained
with most analeptics.
7. Dr. is summarizing the latest information
and the state o ie art in-setting the stage for and trig-
gering epileptiform seizures in mammals. He will maintain
his contacts in the various domestic and overseas labor-
atories with a special a within security on those
phenomena of interest to
S. Dr /ill continue to provide professional
services, re d set up protocols for critical pre-
clinical animal testing, will_seek_out sources of inform-
d provide data available on direct request of
whenever data_or_information isl ed to him
e believes will be of interest tc
Receipt is Gceby acknowledged of Treasurer's
ck d t d April 9 1964 - the
DATE I IC-
(Wh:IMP.01,111n)
I REIM' RSEMENT VOUCHER FOR PURCHASES AND
NAME OF CLAIMANT
r '7-.",�-. r,,,::,' ..:,, 1....,-.�
VOUCHER NO. (Finance use onJ))
SERVICES OTHER THAN PERSONAL 'CHARGE
1
TO ALLOTMENT OR PROJECT
,, ... r, 1 , ,,^ ,,, .. eno,
'',.. - , ,.,.., .... ....A,..1/4e . .,...
J
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
1
c... DESCRIPTION OF EXPENDITURE . ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AMOUNT
� 4114.1.11, 4' , 41 ,.., 44,5 r
411.4 NWOO ,.: , ...* ,rof,;:n1,-,1 - . etry 4. C. ez, rorecriNT..4
.....,...�......0, �:....,..,,..,noj.,_ -,,,, ...- '''',, :-,i.....0.,
1:::.*:.'t t ) 1-`1,..*4 7...;4'..."rt .. 1.-z.,2.0::"Le az, ',Ivrl..t cf 1:17.. r.7..1.,;'..T.r,...94 :::1::::rra, ::.r.t.", loon din'h�;.trzcd for
vi iez, srA,.� .-vicnn or tr.ntoricas have
177.tic.141 ;4:1z.-1.';',,I,.::.14I0::::,;= I.; ;IC, 11.;174:. il ZIT 0 ,It afr,.nt `,), f,r,,u1 in tho fiLles of TrE.7 fo
vill heo men tvailL1-..lo to tho cortif.71,nz, cifi �. .,,,t his re-
7:::"- f-t; 1:,!:,:74,:cr f7,:c% 4t, �:;;.:. . 1.4 .i., 4.7.,,.., 1 tr. I 3 e!'rei
...t.A.ir *
CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE CORRECT, THE EXPENDITURES WERE INCURRED ON OFFICIAL BUSINESS OF A CONFIDENTIAL. EXTRAORDINARY. oR
EMERGENCY NATURE: PAYMENT OR CREDIT HAS NOT BEEN RECEIVED. AND I SHALL NOT BE REIMBURSED FROM ANY OTHER SOURCE.
I CERTIFY FUNDS ARE AVAILABLE
APPROVED t DATE SIGNATURE OF PAYEE
OBLIGATION REFERENCE NO. CHARGE ALLOTMENT NO.
DATE ,,
SIGNATURE OF APPROVING OFFICER
PAYMENT RECEIVED
DATE
1Si GNATURE OF AUTHORIZING OFFICER
CERTIFIED FOR PAYMENT OR CREDIT
IN THE AMOUNT OF $
1
4?Pr
DATE
SIGNATURE OF CERTIFYING OFFICER
1
,
DATE
SIGNATURE OF RECIPIENT
SPACE BELOW FOR EXCLUSIVE USE OF IFINANCE DIVISION
PREPARED WY r REVIEWED BY 1 VOUCHER NO. 7-12
.sCRIPTION.ALL OTHER ACCOUNTS 13.33
34-39 I
,40-42
4B
45.A6
. 47.52
.5
58-57
54-57
68.70
71-410
DESCRIPTION-ADVANCE ACCOUNTS
1 26 .33
TA ND.
STATION
CODE 'EXPEND
'
"DS
PAY
PER.
oeLI.
REF G . NC.
...�1Ay, .
CA
GENERAL
ALLOT. OP COST
ACCT. NO.
OUE
DATE
AMOUNT
13.27
pDR.ORDERNO,
CODE
PROP. NO.
LSO.
AccoumrA4.
YR
LEDGER
52.67
E. KO.
,..,
' 34.33
, r,,
1 PPIC.JCOTNO.1
r
CODE
Emp, No.
ACCOUNT NO.
--
A REF. NO.
jgct
CLASS
_ OEMIT
ERED I T
1....�.....,�___
'' :
TOTALS
FORM a,ag USE PREVIOUS
6-59 WI' EDITIONS.
For services readered, Hrch 1964
certify that services or W' "
satisfactorily receivail
were. incu:red on offici.
For services rendered, February 1964
COSsOi.VUL1 ANT
PI 4AR MALIOLOGY AND TCOC1 4t,,DelY
0250.00
CONSULTANT
ASMACCLOOy AND TDXICOLCR.Y
13 February 1964
$250.00
I certify that services or ';% �r.rla..s have been -
satIsfactorily rooelvod 1,,1 fl'r enditures
were incurred on officil1J,1Mnss.
Plop_ .
RECEIPT
Receipt is hereby &owledod of Treasurer's
Check L10 11
of $250.00
NAME
Date_ileakyloAA 6
(When F4,14ed In)
1 NAME OF CLAIMANT
. REIMBURSEMENT VOUCHER FOR PURCHASES AND
VOUCHER NO. (Finance uee only)
SERVICES OTHER THAN PERSONAL 1CHARGE TO ALLOTMENT OR PROJECT
I , !
' , .. ; ,': 7., � ,..": ;:::: ::
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED. .
SCR/PT Y 7NDITURE - ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS AMOUNT
,
Icnt tu, 1:.... Q' inv4.4,:ce 0 4. for zcrsic.1.,n1 (4.rvicce.: retorc6
',':::,,..7.7.4 :.'ize...a71, !,�5:::!�...n. I certify
t7":at Lo, 1-.....e tczt 0.1';.'� t,...nrilcd�.7c .,2:-!6 ..,:..,12.,,fg Vio r,,,,.z.out cb6vn 1-iz,.s :::;,c,c71, die:,vrsce,.: Ior
A.,--, -,------r1C.f, 1-,;,--c: e 7.,....-,,t-e,- or ,.'.vii.*:,ri.nl,t. 1,,T,:.47... t:i -tccivcil. TI".c
'''�:.,;:::;e6, %.�,%�,: ::,1,;.i:;�.:;