REMITTANCE STATEMENT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00879R000900090063-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 9, 2016
• Document Release Date: July 27, 2000
• Sequence Number: 63
• Publication Date: December 30, 1959
• Content Type: FORM

Approved For Release 2QP1/03/04 ? CIA-RDP81 B00879R000900090063-9
IF INCORRECT
ADVISE AT ONCE
BALANCE
FORWARD
FOIAb3a
INVOICE
AMOUNT
: h
REMITTANCE SUMMARY
71
INVOICES DEDUCTIONS
DISCOUNT
OR RATE
f
CHECK KMTUi~F
Approved For Relea 5 W- 1, y6gQA79R000900090063-9
 Approved For Rele 2001/03/04: CIA-RDP81 B0QU9R000900090063-9
RECEIPT No. 32264
DATE
THIS WILL ACKNOWLEDGE RECEIPT OF $ '
OLLARS
FROM
13
P/!c' a-y~
C / C 39
51 52
54 G. L* 57
1010
FOR
FOIAb3b
13
DESCRIPTION
27
OFFICIA
28
33
34 39
40 42
45 46
47 52
53
54 57 59 62 67 68 70
71 80
Ap
roved For
Relea
se 20
1/03/04 : ClA
-F
4PV 00879
0009000900
3-9
FORM USE PREVIOUS