REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00224R000300250005-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 22, 2016
• Document Release Date: August 22, 2011
• Sequence Number: 5
• Publication Date: June 10, 1966
• Content Type: FORM

Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
Receipt acknowledged for U. S. T asury
Check No. 82,553,196 made payable to
in the amount
of $17,307.62, dated June 14, 1966.
Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
 Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
SECRET
(When F1Zled In)
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. -
TO = Accounts Division (Room Bldg. )
DIVISION VOUCHER NO.
THROUGNi Monetary Division (Room Bldg. )
`~ _ f ~ -? ~ ~'
Request payment be made and/or transaction be recorded as indicated below. Pertinent documentation in support of this trans-
action is on file in this office.
SUBJECT
INVOICE NO(S). Q
PAY
MENT
CONTRACT NO.
~
~
j!
OUNT
L'
-
CHECK TO BE DATED
CASH PAYMENT
I
U.S. TREASURY CHECK I
I
AGENT CASHIER GHECK I
I BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF Z SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
1 HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE f OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE I
SIGNATURE OF PAYEE I
DATE I
SIGNATURE OF AGENT I
DATE I
SIGNATURE OF RECIPIENT
DESCRIPTION -ALL OTHER ACCOU
NTS 13 - 33
94 - 39
40 "
4I
42 - 47
48 - 49
50
cA
51 - 54
55 - 6
6
67 - 70
71 - 80
28 - 93
STATION
OBLIG.
R
ALLOT. -CO
ST -FAN
OBJECT
T/A No.
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CODE -
--"---"
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-REF. NO. --
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C
GENERAL
ACCOUNT S
YMBOL
CLASS
AMOUNT
DESCRIPTION -
ADVANCE ACCOUNTS 13 - 27
SNIP. DOC. NO.
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DATE
p
DATE
REVIEWED BY
DAT
E u N
11.%~s.~ - ..
1 \
lv .1966
FOR , ~ 1822 oesoLEre
8-8
SECRET CROUP 1
(10-49)
EICLUDED FROM AUTOMATIC
DO7RCRADIMf MD DECLAESi PICATIO
N
25 ~1
Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
 Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
st d Form No. iosa PUBLIC OCHER FOR PURCHASES AND
~ ~ioosAS-i.R~ SERVICES OTHER THAN PiRSONAI
I I s ..,EPARTMENT. BUREAU, OR ESTABLISHMENT AND LOCATION DATE VOUCHER PREPARED
DATE OF
DELIVERY
OR SERVICE
PAYEE'S
NAME
AND
ADDRESS
NUMBER
AND DATE
OF ORDER
20 May I Fixed Fee
ARTICLES OR SERVICES
(Enorr deecriptior-, itan number of or Alsdera!
~PPIY eched+de. and otlw iaJormatfon deaned neaeeemy)
23 Apr. - Reimbursable Costs
Date)
10.;~d?
Daite~
PAYMENT:
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
QUAN-
TITY
(Payee must NOT use the space below)
J
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
ropriation Symbol
APP
and Subhead
Object
Clare
Expenditure
Account
Chargeable
Activity
31 May 1966 I ~
PAID BY
Bureau Cont. or
Subauth'n Activity
17307.62
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optionaQ
Bataan Sub- Identifi-
,,,,.,I Nn_ auth'n No. cation No.
CHECK NUMBER ON TREASURER OF THE UNITED STATES
CASH
S
CHECK NUMBER ON (1Vaane of bank)
~ When stated in foreign currency, insert name of currency.
s If the ability to certify and authority to approve are combined in one person, one signature only ie necessary;
otherwise the approving officer will sign is the apace provided, over hie official title.
When a voucher ie receipted is the name of a company or corporation, the name of the person writing the
company or corporate name, as well ae the capacity in which be signs, must appear. For example: "John Doe
Company, per Joha Smith, Secretary" or "Treasurer' , as the case may be.
16142.61
1165.01
Amount VellSedi colreat f0!
tr U. S. GOVERNMENT PRINTING OFFICE: 1983 - 889-981
Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
 Sanitized Copy Approved for Release 2011/08/22 :CIA-RDP90B00224R000300250005-0
Public Voucher for Pdreha`ses and
Se. vices Other Than Personal
? CONTINUATIbN SHEET
U.SGNk_y Sheet No. 1 of .Bureau Voucher No. 9
ONR-~
ESTIMATED COSTS ~ 74037.00
FIXED FEE 7061.OU
TOTAL 81U98.OU
85PCT OF FIXEf) FEE
ANALYSIS Ur CL.AIh?ED CURRENT AND
CUMULATIVE COSTS AND FEE EARNED
20 MAY 19b6
CLASSIFICaTl~w OF COSTS
SALARIt5 AND ~~~nGES
TECNNICr~I. OV~.KHiAt) ( .846000)
MATERI~+I_S Ati;) SERVICES
TRAVEL
SUF3CONTRr~CT5
TOTAL DIRECT CUST5
GENERAL./NUra1w. COSTS l .18000)
TUT ~~L COSTS
FIXED FEE E