REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100060008-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 27, 2016
• Document Release Date: February 19, 2013
• Sequence Number: 8
• Publication Date: November 6, 1962
• Content Type: FORM

Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
SECRET
When Filled In)
VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7-12
TO : Finance Division, Accounts Branch
THROUGH: Monetary Branch
1 DIVISION VOUCHER NO.
IZ i .,.....,k2. /46
,0
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of
this transaction is on file in this office.
$
SUBJECT
INVOICE NO(S)? i72,
PAYMENT TO
4.2yicigi., .Ai...4, . ,
CONTRACT NO?(
AMOUNT-
CHECK TO BE DATED
ASH PAYMENT 1
111
U.S. TREASURY CHECK
AGENT CASHIER CHECK
BANK CASHIER'S CHECK
7 1$ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF
-
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW TO RECEIVE $ OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT
DATE
-
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13-33
34-39
STATION
CODE
4"2
EXPENC
CODE
43
F
u
.
..
0
s
45.46
PAY
PER
LID.
CODE
47-52
OBLIG.
REF. NO.
53
CA
YR
54.57
GENERAL
LEDGER
ACCT. NO.
58-87
ALLOT. OR COST
ACCT. NO.
88-70
DUE
DATE
71 80
AMOUNT
28-33
T /A NO.
ADVANCE
ACCT. NO.
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P O. NO.
PROP NO.
62.67
CK. NO.
OBJECT
CLASS
DEBIT
CREDIT
132.33
I SW.
PROJECT NO.
1 Fr
X REF. NO.
EMP. NO.
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DATE
AUTHORIZED CERTIFYING OFFICER
SECRET
DATE
TOTALS
Declassified
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
(1)
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
p
, 711DAO 5000
" 1034-108-04
?
PUNA VOUCHER FOR PURCHASEIVOS202e-601
SEWICES OTHER THAN PERSOUse continuotion sheet(s) if necessory AL,?
wri OUCHER N
Starlayil. Form No. 1054
U. S. Government
(Department, bureau, or establishment)
Voucher prepared at Rochester, New York October 30, 1962
(Give place and date)
Payee's Account No Z-.2798 Discount Terms
TO Eastman Kodak Company
(payee)
343 State Street Rochester it, New York
I Addressl
82
PAID BY
Contract No. EG"400 Task IV Date 8/23/60 Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
No. and Date of
Order
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Direct Charges
1962 Provisional Overhead
1962 Provisional G & A Expense
UNIT PRICE
Quantity
AMOUNT
$2,574.00
111.13
177.22
TOTAL
$2,862.35
PAYMENT:
COMPLETE
El
PARTIAL El
FINAL
El
PROGRESS
0
ADVANCE El
DIFFERENCES
STAT_
Amount verified; correct for
(Signature or initials)_
Pursuant to authority vested in me,
t Approved for =$
By
Title
Exchange rate =$1.00
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MAD
6( 962
(Date)
a*pg Officer)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be showtk,other blassitication optional
Paid by
t\> STAT
try
. --0
cr..;
MI ..)
Check No a m on Treasurer of the United States
ICheck No. on
Cash, $ ,on ,19
? When used in foreign countries, insert name of currency of country in which used.
t If the ability to certify and authority to approve are combined in one person, one sigeoture only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for ", and
over his official title.
Payee
Per
Title
(Name of Bonk)
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
METHOD OF, OR ABSENCE-OF ADVERTISING
METHOD OF ADVERTISING
1. Advertising in newspapers Yes 0 No 0.
2. (a) Advertising by circular letters sent to dealers.
(b) And by notices posted in public places Yes 0 No 0.
(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 OtIOr teoptho order and Would not admit of tiu;delay incident to
advertising.
4. Without advertising in accordance with
5. Without advertising, it being impracticable to secure competition becaus't
(Here state in detail the nature of the exigency or cimumstaaoes under, which tls? 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 undet
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 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
* U.S. GOVERNMENT PRINTING OFFICE: 1961-0-392098
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19 : CIA-RDP65-00523R000100060008-8
sa4orm prescribed by
troller General, U. S.
September 7, 1950
(Gen. 4eg. No. 51, Supp. No. 11)
U. S. Government
Pu Voucher for Purchases an&
Services Other Than Personal
CONTINUATION SHEET
(Department, bureau, or establishment)
Sheet No. 1 of Bureau Voucher No. 82
No.and Date
ofOrder
Date of
Delivery
or Service
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
QUAN-
TITY
UNIT PRICE
AMOUNT
Cost
I Per
Dollars
Cts.
9/10/62
through
1.0/7/62
Contract EG-400 Task IV
32.
20484.
$ 5
.00
Direct Charges
Salaries and Wages
Matil. Subj. to Nat'l. Hdlg. Exp.
Purchases - Fixed Price $
14.a.ttl.NotSubidMal..
InterdivisiOn
,
Total Material
Total Direct Charges
1962 Provisional Overhead
.--
.
2,1,00
02,574
111
177
00
13A
22
B
den
?
57
Salaries
Burden Center & Wages Rate
17L $58.00 IBTr
1962 Pri isional Nat'l. Hdlg. Exp.
$10..
'
17.4% of 32.00
Total 19 Provisional Overhead
1962 rovisional G & A Expense
6.6% of Manufacturing Costs $2,685.13
02 862
35
U. S. GOVERNMENT PRINTING OFFICE 16-62666-1
Mr-1--)pclassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
? ?
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract No. EG-400 Task rff
B.V. No. 82 10/30/62 2798
Total Costs Provided for in Contract
Total Fixed Fee Provided for in Contract
$ 91,000.00
5,636.00
$ 96,636.00
Accumulative
Totals
Costs for Period
9/10/62thru 10/7j62
Salaries and Wages
$ 6,002.00
$ 58.00
Overhead
104931.35
111.13
Materials
63,822.00
2,516.00
Subcontract
Travel
General & Administrative Expense
5,521.87
177.22
Total Costs Incurred Excluding Fee
86,277.22
2,862.35
Fixed Fee
4,790.60
?0?
Total Claimed
$91,067.82
$2,862.35
AO 1240 61 (1-61)
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8
?
Dear Sir:
31 October 1962
Under Contract EG-400, Task IV, we are submitting
Bureau Voucher No. 82 in the amount of $2,862.35 which
represents charges incurred during the period 10 September
1962 through 7 October 1962.
enc.
CC; JLB
ELG
FGF
EJB
Declassified in Part - Sanitized Copy Approved for Release 2013/02/19: CIA-RDP65-00523R000100060008-8