VOUCHER FOR PETTY PURCHASES

Document Type:

CREST

Collection:

General CIA Records

Document Number (FOIA) /ESDN (CREST):

CIA-RDP78-04917A000100010028-0

Release Decision:

RIFPUB

Original Classification:

Document Page Count:

Document Creation Date:

December 9, 2016

Document Release Date:

June 20, 2001

Sequence Number:

Case Number:

Publication Date:

December 31, 1948

Content Type:

FORM

File:

Attachment	Size
CIA-RDP78-04917A000100010028-0.pdf	150.52 KB

Body:

Standard Form No. 11$9 rorm proscribed by Comp. Gen., U. S. ll VOUCHER FOR PETTY PURCHASES D. 0. You. No._____ ________ May2. 1948 ro d For IZeI ase 2001/08/09' : CIA-RDP78-04917AO00100010028-0 General Regulations NA: lam' ATTACH SUBYOUCHERS HERE .._. Bu. You. No. ------ ----------- ----- U. S, Central Sntella.genae nc r --=------------- ----------- (Department, bureau, orestablishment) THE UNITED STATES, Dr., To ---- John Doe------ ----- ----------------------------------- ---------- Address __Room,200--Central Bldg., 2430 E St., N.W. ----- --------Washington 25, D.C. ---------- - ------------------------------------------------------------------- SIGN ORIGINAL - - - ----------------------------------------------------------- ONLY Authorized Certifying Officer. Title ------------------------------------------------------------------ For petty purchases made on account of official business at .the above-mentioned station, as per itemized statement within and attached subvouchers, for the period -------------- Tiet;. 1 -----------, 1948_ to -_ Dec..31 --- 19__48. I CERTIFY that the expenses listed within, as supported by the statements and subvouchers attached, were necessarily incurred in the discharge of official business, and were paid as indi- cated, and that no part thereof has been heretofore claimed by me. -__( Signature __Qf_ Pakreel --------- ___ Date Doe* 31 - - -- --------- , 19.48 Title ___Administrative Officer -------- ------------------------------------------- SIGN ORIGINAL. ONLY Recommended for approval: (Sign original only) Title -------- ---------------- ?-------- --------- ------ --------- Approvea..4t ttel sn?b2 O19, : CIA-IRMjB-04917AOQU1Q0010028-0. (Signature of Chief or Acting Chief) (Do not complete spaces below). Immediate Supervising Official. Pursuant to authority vested in me, I CERTIFY that the account is correct and proper for payment. *Approved for $------------------------ APPROPRIATION, LIMITATION, OR PROJECT SYMBOL ALLOTMENT SYMBOL ----------------------------------- --------------------------------- ------------------------------- ------------------------------------------------------------------------------------------------------ ----------------------------- -------------------------------------------------??---=---------------- (Payee must not use this space) Differences____--____---------- ------------------------------------- ------ ------- ---------------------- - - - Amount verified; correct for ------------------ ------------------------- ------------------------- ------------------------- (For use of paying office) LIMITATION OR PROJECT Amount ------------------------- ------------------------ ---------------------- ---------------------- ----------------------- ------------------------- ------------------------- ------------------------- ------------------------- -------------------- ---------------------- 19 ------- for $_______________ on Treasurer of theUnited States in favor of ((Check No. dated ___-. ------------- 1. Cash $ - ---- --- -- -- on - - -- 19------- OBLIGATIONS LIQUIDATED ,To be used at diecretlon of department, bureau, or establishment) 'I[ the. ability to.certify and authority to approve are itdmbined I. one par on, one signature only is necessary; otherwise, the approving officer will sign In the blank space low "Approved ITEMIZED SCHEDULE OF PETTY PURCHASES Approved Fpr RPIe^se 2001/08/09 : CIA-RDP78-0491.7A000.10001.0028-0 1 DATE.. Ig_M8 6 Safemasters Co. * ------------- ---------- -- ------------------ 'Postmaster CHARACTER OF EXPENDITURE Repairs to -govt-owned safes. Rent l ----------- - of P.0 .---- ox 1 1 49 to 3 319 ----~-- ---------------~--- ----------------- FOREIGN CURRENCY EXPENDED Riux Or CONVERSION AMOUNT CLAIMED ---Smith Look-Co. Jones Trucking Corp. # Extra keys for --Office----------door - -------------------------- Hauling of crated box --#xs~m,._Stata.Qn__to__D.#fa..cs__ --------------- -----------2---- 50 ----------------- ----------------------------------------------------- **(When not included in ohase rice or covered by Bill of Lad _ 'ng) ---------- ------ -------- - --- ---------------------------------------- --------------- --------------- ----------------- - -------------------------------- _* Charge__to -Contact Off "o -------------- --------------- ----------------- - -- #_ Charge _to EIH_ --------------- --------------- ----------------- --------------- ----------------- --------------- --------------- ----------------- --- 39-OTYA -_puxahaaaz----------- --------- =------ --------------- --------------- ----------------- --------------------------------------------------- -------------------------------------------------- --------------- ----------------- ---------------------------------------------------- --------------------------------------------------- --------------- --------------- ----------------- ----------------------------------------- -------------------------------------------- ------ --------------- --------------- ----------------- ------------------------------------- -------------------------------------------------- --------------- --------------- ----------------- ----------------------------------------------------- -------------------------------------------------- --------------- --------------- ----------------- ------------------------- -------- -------------------------------------------------- --------------- --------------- ----------------- ----------------------------------------------------- -------------------------------------------------- ------------- ----------- ---------------- ------------------------------------ -------------------------------------------------- --------------- --------------- -------------- ----------------------------------------------------- -------------------------------------------------- --------------- --------------- ---------------- -- ------------------------------------- -------------------------------------------------- --------------- --------------- -------------------------------------------------- --------------- -------------- ----------------- - --------------------------------------------------- -------------------------------------------------- ----------------- ----------------------------------------------------- -------------------------------------------------- ----------------- ------------------------------------ ------------ x _ - 0

Printer-friendly version

Search form

VOUCHER FOR PETTY PURCHASES