DISBURSEMENT BY TREASURY CHECK

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100180016-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 7
• Document Creation Date: December 22, 2016
• Document Release Date: June 8, 2010
• Sequence Number: 16
• Publication Date: November 12, 1957
• Content Type: MEMO

Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
SECRET
MUA
i o rat sxr ~u by Drury C ,e
1. tt iLc kird~;r requested i?herv e u. S. ` may CIe . be + ^&" kc
i i or of the r y 1ietq~a ?+ '. d r in the s int gtq? ~yt j t v.~FyJ~,.~gb'
&d U i, to the 'c 'i+'SS?~!a.?n { or 'a~ri+eenj, ihoV1l.Kb d,: The con#:'rac-t tbo~` and
to,wa4oe I de ttficat m net
Ch S r.a
trew ction t ;ioh bat not been included in c +~
(Notice 2Ok ), aft ow a ro , by the DCI.1 em er 195 nfi in
the trice of the Project C pt o l e o
3. The payment requested is bused on p gaw6~+ d made by the contractor
to date w)A etaou1 be pro ud use Genes Ledger Act No. 138,
titled "D1ebt reeg , of Appropriaste .P Ch~ge a to Confidential Funds
Allot mente . Avulting DC-1 C ific ti on 4 " The Allotment, Sywbal apple able to
the root is ~..~r4 a ~8 and the ~.t is
eb g le to Oen"al er Acc t ft-
4.
The c e ehou~, be dated as a ted in pexagmph 1 and mailed
in the attached self-addressed envelope.. If no envelope is attace4, the
erei~ed . eho be c nfi ?c?ted on e e io }xec payment is r ;l r for
(.x ieiti.on., ,
m,i.+ea acs aw
---
a rn - v-- eT~"~'
C c contract- NO
l ~f \ +ca~S~k~SLww~QO*n ~Yf M~~~rSSwM~as
bC A tr
d.tM jY'_i~ ~w:..~.~.....~...~...m..~..~~ ~.. ~..
eo Check to he
2, Pertinent oon"n?ation in connection wtb s i
nis'1~~tian~
4 & 2? i~dr.RM.
AuthOrlxed' Ce`{ /.;if. yin Officer,
{ ' j,(!~) Project, V11i4.71M 014-allty: A ,
SECRET
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
 Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
Standard Form No. 1034-Reviged
Form prescribed by
Comptroller General, U. S.
September 7, 1950 No. (G(Amenen. Februarq 0p , 952)1)
BLIC VOUCHER FOR PTh CHASES Ar
SERVICES OTHER THAN PERSONAL
U. S- _ ------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No- ----------------
EDGERTON, GERMESIiAUSEN AND GRIER, INC.,
--------------------------------------------------------
(Payee)
LAS VEGAS, 1`EEVADA
--------------------------
--------------------------------------------------------------------------------
(Address) (City) ----------------------------State)
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Date of Delivery
or Service
UNIT PRICE
Cost Per
Shipped from to Weight Government B/L No. I Total
I (Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Date -------------------- * Payee -- ---------- - -- - - --------------------------
(This oertifi.ote not re,,oired wben o like certificate ie msde by Cayee on ttsebed bill -bill.)
STAT.act No. TE 2 9 Date Req. No.
Pursuant to authority vested in me, I certify that this account is correct and proper for pa
STAT
SIGN
ORIGINAL
ONLY
Title -- M.V. iU V .L Vti Uit 1' it;l.tt a e ----------------------------------------------------------------------
-- -------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
i,neca ivo. ------------------------ -----------------------------?
Paid by favor of payee named above.
Cash. $ . on 19 Payee ------------
(-ien or,sio-l only)
'When a voucher is signed or receipted in the name of a company or corporation, the name of the perpsle:on Per _________________________________________________________________
writing the company or corporate name, as well as the capacity inwhich he signs, must appear. For exam
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
t If the ability to certify and authority to approve are combined in one person, one signature only is flee- Title _______________________________________________________
essary; otherwise the approving officer will sign on the line below "Approved for $---------------------- and
over his official tit]- 16-22900-5
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
Bu Vo. iL 8
Bu Vo. J 9
12,08OJ75
1,24121
$]
---------------
---------------
---------------
Amount verified; correct for ------------ I
(Signature or initials) -----------------------------------------
 Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
Standard Form No. 1034-Revised ,K u. W. V ou...o- -------------------------------
Form prescribed by
Comptroller General, U. S. IfUBLIC VOUCHER FOR PURCHASES
September 7, 1950
,__ r__ - K, Q,,,,n Mn 111 RFRVICT-9 OTHER THAN PERSON Br.. vea. No. _______8________________________
(Amended Fenruary u, avua)
(Department, bureau, or establishment)
Voucher prepared at ---------------------------- ---------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
To --------------- d er'vor1_:--OermeEhauser --u._Orier.--.. Lne - .---------------------------------------------
(Payee)
------------------------------------) ---------------------------(City)-------------------------------------------------------
State)
(Address
No. and Date of
Order
PAYMENT:
Complete ^
Partial ^
Final ^
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, anA other information deemed necessary)
Discount Terms
Month ending 30 September 1957
Direct Labor
Direct Labor (Omitted from previous you
Materials L1 Services
Travel
Other Direct Charges
Other Direct Charges (Omitted from prey
Burden
Overhead
hers)
Shipped from to Weight Government B/L No. I Total
(Payee must NOT use this space)
STAT
Dal
shausen & Grierl__ Inc.
Differences ---------------------------------
---------------
---------------
---------------
.19
.1+0
.97'
32
.28
75
35
Z,-9
-------- --------- ----------- ----------
Amount verified; correct for -------------
(Signature or initials) _________________________________________
controller -----------------------
t Approved for $ -----------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
Req. No. Date Invoice Rec'd.
it is correct and proper for payment.
SIGN
ORIGINAL
ONLY
-- ------------------------
--------------------(Authorized Certifying Officer)
Title --------------------------------------------------------------------------
( Cash, k $ No_ ------------------------ . on dated ------------------------------ ? 19 19 _____, for $-- Payee -------------------------------- on Treasurer of the United States in
Paid by j - . favor of payee named above.` -------------------------------------------------------------------------
(Si.. -ori.in.1 odrl
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person Per _________________________________________________________________
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example:
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
fIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _______________________________________________________
e otherwise the anorovmg officer will sign on the line below "Approved for $------------------
? is official til Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
 Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016y-6
Standard Form tvu. iVoo---ovum !tAFC. /
1,3
Form prescribed byy abllc
Voucher for'Purchase*nd
Comptroller General, U. S.
September 7, 1950 OF
Men. Reg. No. 51, Supp. No. 11) Services Other Than Personal COPY OF
CONTINUATION SHEET C' /(~ L .~
Conti ae t - 4-11C - - Q f icex------------------------------------------------------ Sheet No. I-___ of Bureau Voucher No. --_.
(Department, bureau, or establishment)
No. and Date
of Order
September
Date of
Delivery
or Service
Burden
Total Direct Costs
Overhead:
Total Direct Costs C
ARTICLES OR SERVICES
supply schedule,
(Enter deserlptii otheinormation deemed necessary)
and
Direct Labor
Week ending 9/1/57
tt
tt
Month
tied pro previous vouchers
Total Direct Labor
'`Materials & Services
Travel
Other Direct Charges
t Charge (Omitted from previous
QUAN-
TITY
3.
1.
16,
50
19
17
10
9,
88
09
is S
Corp.
t
ecial
65
L.
16.
6o
94
46
226,
800 800,
11:-
00
Corp.
2.
31
1.
75
y
7
27
7
51-
y
4
42
6
19
1
41
20
00
20
00
53
19
21
21
1
75
73
urden
um Direct Labor x+,240.44 C 80;0 $3,392.35
9/8/57
9/15/57
9/22/57
9/29/57
9/30/57
2507
264.00
78.o2
14.84
1,731.11
1,043.69
1,407.93
159.40
----T-(79-59 1,396.97-;
1,328.32
156.28
vouchers)29.75
3,30
2.35
Vendor
Supper Money
Pavell Electric
Pavell Electric
Pavell Electric
Radio & Sound
20824 2496
20826 2496
20688 2497
20911 2503
20914 2505
20895 2494
20729 2514
20721 2514
Petty Cash 2536
,t tt 2536
it It 2538
1.aterials & Services
P.O. No. Check No.
Petty Cash
?Wholesale Electr
Woods Electronic
Las Vegas Bluepr'
Alamo Airways
AlamoAirways
Supper Money
Valley Auto Supp
Barstow Rdwe. Co
Valley Auto Supp
tt 2538
t~ nc~f2
2538
2538
2538
2538
20930 25x.2
20930 2542
Petty Cash 2560
20828 2584
Daly's, Inc.
Chet Byrne
1 Ling. Phil Gash
Electronic Supp1
Electronic Supp
Supper Money
VOUCFEER 8
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
 Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
3 Standard Form No. 1086-Revised
blic Voucher for~Purchase*nd
FormpreseribedbII. by
Comptroller General a: P nal
O
h
geptember 7, 1950
an erS
Services Other T
(Gen. Reg. . N No. . 51 bl, Supp. . No. 11)
CONTINUATION SHEET
-------
Sheet No. __2 -------- of Bureau Voucher No. ___ 8
UContructin~-- Ol 11cer -----------------------------------------------------
bureau. ------ or establishment)
UNIT PRICE AMOUNT
or Federal supply TITY Cost Per I Dollars I Ct-
Date of I I
No. and Date Delivery (Enter description, item numberof contract sc e u e.
of Order oe Service and other information deemed necessary)
O. ,o. Check ITo. Vendor
62 60
20806 2584 Elma-r Electronic 14 11
20806 2584 Elraar Electronic 10 20
20828 2584 Elraar :lectronic 8 23
20g6g 2583 Electronic Suppl 3
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
 Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
St ,harj norm No. 1034-Revised. . M1 D. U. YOU. ivo- -------------------------------
Comrporm t Comptroller General, v. S. L IC VOUCHER FOR PURCHASES A
upp. No. 11) SERVICES OTHER THAN PERSON 8,.. Vou. No. _.__------------------------
Septeo 51 S7, 1950
(Amended February 20, 1952)
----------- Conrac~in_0f_ZC_Q ---------
U. S. _
(Department, bureau, or establishment)
Voucher prepared at ---------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ----------------
TO ------------ ad;eoiermek)ausen _ 2ti_ Grier fi Ine-----------------------------------------------
(Payee)
------------------
-----------------------------------
---------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Order
Data of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms
Period ending 30 September 1957
F SAIIC 091 f 2-
Copy / or
PAYMENT:
Complete ^
Partial ^
Final ^
Shipped from to Weight
Government B/L No. I Total
I certify that the above bill is correct and just and that payment has not been received.
STATE
4akp e & Grier,__Inc
, ,,rtifi,M. J. mad. by w"- on tt.oh.d bill or bill.)
11 7g6
(Payee must NOT use this space)
Amount verified; correct for -----------
(Signature or initials)
Date Invoice Rec'd.
SIGN
ORIGINAL
----------------------
(Authorized Certifying Officer)
Title --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANT FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Paid by j
l
Check No- ------------------------ dated ------------------------------
Cash. $------------------------- on ------------------------------------?
19 ------ for $---
19 ------ Payee
Approved for $-------------------
,
the line below
n on
ll
s
i
g
essary; otherwise the approving officer wi
verhisoicial Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
Und
I on Treasurer o favor of payeefnam d aibove.tates in
-------------
Cairn ori.in.l ody)
. When a voucher is signed or receipted in the name of a company or corporation, the name of the person Per --------------------------------_________________________________
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example:
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the can may be.
fIf the ability to certify and authority to approve are combined in one person, one signature only is nee- Title _______________________________________________________
and
"
"
 corm prescribed by
Comptroller General, U. a
September 7, 1950
(Gen. Reg. No. 51, Supp. No. 11)
ib1ic Voucher ' for Purchase d
Services Other Than Perso
CONTINUATION SHEET
U. S- ------------Gems 'i -11f_ i-c-er------------------------------------------------ Sheet No. ----a------- of Bureau Voucher No.
(Department, bureau, or establishment)
No. and Date
of Order
STAT
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
Date of
Delivery
or Service
QUAN-
TITY
957
87,212
8,721
7,480
11241
orrec
and
ust;
nd
made
yn the Contr ct."
R, INC.
Sanitized Copy Approved for Release 2010/06/08: CIA-RDP65-00523R000100180016-6
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule,
and other information deemed necessary)
Total Costs billed through 30 Septeriber
including Bu. Voucher No. 8
Fixed Fee Earned (lo;o of Above)
Fixed Fee Previously Billed
Amount of this Voucher
"I certify that the Fixed Fee claimed is
that it is proportionate to the progress
~,~7C Zv97