REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00224R000300250004-1
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 22, 2016
• Document Release Date: August 22, 2011
• Sequence Number: 4
• Publication Date: May 27, 1966
• Content Type: FORM

Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1
Received Check # 82,551,508 dated June 1, 1966, in the
amount of $9,425.18 and payable to
Date 16
STAT
STAT
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1
 Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1
SECRET
When Filled In)
TO
THROUGH:
REQUEST FOR PAYMENT AND POSTING VOUCHER
Accounts Division (Room Bldg. )
Monetary Division (Room Bldg.
as indi
Request payment be made and/or transaction be recorded
action is on file in this office.
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S
DESCP ",ON - ALL OTHER ACCOUNTS 13 - 3g3
DESCRIPTION -
ADVANCE ACCOUNTS 13 - 27
28 -
T/A_NO.___
SHIP. DOC. NO.
-- '32--3-3
1 1
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I HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE ApATE PEARS BELOW. S GNATURE OF AGENT
PAYEE
I SIGNATURE OF I I '
1 1
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FORM 1822 OBSOLETE PREVIOUS EDITIONS
3-65
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DIV.
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34-39
STATION
CODE
RPT. NO.
REC.
PROJECT NO.
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1
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40 -
41
E
X C
P 0
E D
N E
D
OBLI G.
REF. NO.
ADVANCE
_T_ NO.
ACC
EMP. NO.
PAY
PER.
1.10.
CODE
cated below.
SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
CA
OR
C
0
ST
GENERAL
LEDGER
ACCT. NO.
IFI
IUI
Y ID 1
1S[
i I
J..
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
I DATE I SIGNATURE OF RECIPIENT
55-66
ALLOT. - COST - FAN
ACCOUNT SYMBOL
4./
Pertinent documentation in support of this trans-
61-66
CE. NO._ X REF. NO.
67 - 70
OBJECT
CLASS
71 - 80
AMOUNT
CERTIFIED FOR PAYMENT OR CREDIT
SIGNATURE OF CERTIFYIQIr-OFFLCER
GROUP I
EXCLUDED FROM AUTOMATIC
DOVNf RADINS AMD DECLASSIFICATION
25X1
25X1
Sanitized Copy Approved for Release 2011/08/22 CIA-RDP90B00224R000300250004-1
 Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1
Standard Form No. 1084
7 GAO 5000
1034.11 "
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION
DATE VOUCHER PREPARED
29 April 1966
PAYEE'S
NAME
AND
ADDRESS
NUMBER
AND DATE
OF ORDER
DATE OF
DELIVERY
OR SERVICE
PUBLIC 3UCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
ARTICLES OR SERVICES
(Enter description, item number of -had or Federal
supply schedule. and other information deemed -wry)
26 Mar
Z2 Apr
Reimbursable Costs
Fixed Fee
(Dat
PAYMENT:
0 COMPLETE
D PARTIAL
D FINAL
PROGRESS
M AYE
QUAN-
TITY
9425.51
- .33
(Payee must NOT use the space below)
IATE
EXCHANGE R _$ =$1.00
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
(Date) (Authorize Certifying Officer)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
auth'n No. Identi
Appropriation Symbol Object Expenditure Chargeable Bureau Coot, or Bureau sub-
cation
Control No. '
tivit
th A
and Subhead
Class
Account
b
Activity SUL
CHECK NUMBER ON TREASURER OF THE UNI I to b I A I cz
CASH
CHECK NUMBER ON (Name of bank)
When stated in foreign currency, insert name of currency. ne signature only is necessary;
if the ability to certify and authority to approve are combined in one person, o
otherwise the approving officer will sign in the space provided, over his official title. ting the
When a voucher is receipted in the name of a company or corporation, the name of the person wri
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.
U . S. GOVERNMENT PRINTING OFFICE: 1963 - 689-361
fi
-
No.
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y
c
n
au
 Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1
Pu 'c Voucher for Purchases and
Services Other Than Personal
CONTINUATION SHEET
6624.00
TOTAL 76289.00
ANALYSIS OF CLAIMED CURRENT AND
CUIMIULAT I VE COSTS AND FEE EARNED
22 APRIL 1966
CLASSIFICATION OF COSTS
SALARIES AND t,. AGES
TECHNICAL OVERHEAD ( .846000)
MATERIALS AND SERVICES
TRAVEL
SUBCONTRACTS
TOTAL DIRECT COSTS
GENERAL/ADMIN. COSTS ( .186000)
TOTAL COSTS
FIXED FEE EARNED (PCT COi,iP. )
TOTAL AMOUNTS CLAIMED
Less fee overbilled on Voucher #6
Less amount previously invoiced
Materials and Services:
Computer usage charges
D. Scone, services, 1-31 Mar
CURRENT NO
2686.60
2272.86
2987.85
0.00
0.00
7947.31
1478.20
9425.51
896.18
10321.69
-896.51
FISCAL YR/CT
9919.94
8392.27
5417.66
0.00
0.00
23729.67
4413.76
28143.63
3051.84
31195.47
9425.18 N
77.57
2910.28
S 2987.85
.rj
PERIOD/DATE
20056.50
16967.80
5824.91
43.95
0.00
42893.16
7978.13
50671.29
4836.84
55708.13
46282.95
9425.18
Sheet No. 1 of Bureau Voucher No. 8
Sanitized Copy Approved for Release 2011/08/22 : CIA-RDP90B00224R000300250004-1