PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00879R000500110009-0
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 9, 2016
• Document Release Date: September 12, 2000
• Sequence Number: 9
• Publication Date: September 8, 1958
• Content Type: FORM

FArm prescrlbed b .~. vou. tvo.
Comptroll . ea For Relea'LUgbb gH&AF PAW?6~6m011009g-0 -------------------------------
U. U.S.
--------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr.,
Payee's Account No. __________-_--_-
Mt'g. Co
To ------------------------------------------------------
(Payee)
Pasaderta~ California
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, an
other information deemed necessary)
Discount Terms Invoice No.
Cost
Per
Dollars
Cts.
15337
903
97
15338
1,66
60
PAYMENT:
Complete ^
Partial El
Final F-1
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No.
Total
2257
_2
I certify that the above bill is correct and just and that payment has not been received.
(Payee space)
must NOT use this
Differences ---------------------------------
---------------
-----
(Sign original only)
-----------------------------------------------
---------------
-----
Date -------------------- *Payee -------------------------------------------------------
---
---------------
-----
(Thi. eortisonte not reanirad when a like aartifoste ie mode by pays, on attnohed bill o, bill.)
Amount verified; correct for ___________
_____
_S
(Signature or initials) __ C..-C______________
Pursuant to authority vested in me, I certify that this account is correct and proper for
f Approved for $ -----------------------------------
SIGN
ORIGINAL
;Approving--Of cer
FOIAb3b
ONLY kuon-cracT, cer
F-M- Date
XECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Check No- ------------------------ dated ------------------------------ 19 ------ for $-------------------------------------- on Treasurer of the United States in
Paid by { favor of payee named above.
` Cash, $------------------------- on ------------------------------------- 19-----. Payee ------------------------------- -----------------------------------------
..-.~,.~~ l:)::.: oriainai Orly)
? When a voucher is signed or recei ted In the name of a can or cer oration the name of t e s
writing the company e~~ye1 ?1t l~I e (
OOOS00~10009=fl
"John Doe Compani ) ' B~cTet~',Yil K1,0
er' , a~the ca , may be.
t If the ability to certify and authority to approve are combined in' one person, one signature only is nec-
essary; otherwise the approving officer will sign on the line below "Approved for $___________________", and Title ____________________________
---------------------------
over his official title.
 Approved For Release 2001/08/01 : CIA-RDP81B00879R000500110009-0
METHOD OF OR ABSENCE OF ADVERTISING
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.)
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.
Without advertising in accordance with --------------------------------
5. Without advertising, it being impracticable to secure competition because of ------------------------------
- -----=------------------------------------
-------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------
---- -------- -
(IIere state in detail the nature of the exigency or circumstances under 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.)
`Approved For Release 2001/08/01 : CIA-RDP81 B00879R000500110009-0