REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00224R000300250011-3
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: December 22, 2016
• Document Release Date: August 22, 2011
• Sequence Number: 11
• Publication Date: February 18, 1966
• Content Type: FORM

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Accounts Division (Room
Monetary Division (Room
REQUEST FOR PAYMENT AND POSTING VOUCHER
TO :
THROUGH:
SECRET
(When Filled In)
Bldg. )
Bldg. )
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.
ACCOUNTS 13 - 33 ST34 - 3V
ATION
28 - 33 CODE
DESCRIPTION -
ADVANCE ACCOUNTS 13-27
1 I I I
I
1
I
I I I I I I
I I I i! 1 ITT
FORM 1822 OBSOLETE Pam.-
3-65
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF S
I HEREBY AUTHORIZE MY AGENT, WHOSE SIGNATURE APPEARS BELOW, TO RECEIVE S
DATE S GN TUREOF AGENT
SHIP. DOC. NO. REC_RPT_ NO_
'32-33 PROJECT NO.
DIY.
SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
CONTRACT NO. J `
VOUCHER NO. -
I DIVISI N VC,LICHER NO.
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
I DATE I SIGNATURE OF RECIPIENT
55-66
ALLOT. - COST -FAR
ACCOUNT SYMBOL
IF 61-66O
F U CK.N
Y D X REF. NO.
-1,
~. 6- 6 1 -` o 3,3
4-
1
1 1 /7 (Nry
68-70
DUE
DATE
-r
F/;
71-80
AMOUNT
1 1 I
1 I
CERTIFIED FOR PAYMENT OR CREDIT
GROUP M
E[CLUD[D PEON AUTOMATIC
DOWNGRADING AND DECLASSIFICATION
Ii
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Standard Foriw No. 1084
7 GAO 5000
laB&uaa
U.S. DEPARTMENT, BUREAU. OR ESTABLISHMENT AND LOCATION
DATE VOUCHER R3EPARED
10 Feb. 1966
VOUCHER NUMBER
5
CONTRACT NUMBER AND DATE
PAID BY
REQUISRION NUMBER AND DATE
n
PAYEE'S jI
0
2
NAME
AND
/[
DATE INVOICE RECEIVED
ADDRESS
L J
DISCOUNT TERMS
PAYEE'S ACCOUNT NUMBER
SHIPPED FROM TO WEIGHT
GOVERNMENT B/L NUMBER
NUMBER
DATE OF
ARTICLES OR SERVICES
t or Fednal
*
N
d
i
ti
it
b
(1li
f
QUAN-
UNIT PRICE
AMOUNT
AND DATE
OF ORDER
DELIVERY
OR SERVICE
r
em num
ccu
rn
uw
p
on,
er o
s
-Ppb schedale, and odw ugbrosadoa dseasd aeoswmy)
TITY
COST
PER
(1)
24 Nov
21 Jan
1966
Reimbursable Costs
Fixed Fee
6185.45
896.51
(Date)
18 FE S
(Date)
25
(Use continuation sheet(s) if necessary) (P must NOT Bpon below) TOTAL
7081.96
PAYMENT:
APPROVED FOR
EXCHANGE KATE
DIFFERENCES
COMPLETE
$
==1.00
PARTIAL
BY
FINAL
PROGRESS
TITLE
Amount verified; correct for
ADVANCE
(8~atan or lniiial)
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
(Daft) (Authorized Certifying Officer)' (Title)
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
Appropriation Symbol
and Subhead
Object
Clans
Expenditure
Account
Chargeable
Activity
Bureau Cont. or
Subauth'n Activity
Bureau
Control No. .
Sub-
autb'n No.
Identif-
cation No.
Amount
I.R. No's.
sn
CHECK NUMBER ON TREASURER OF THE UNITED STATES
CHECK NUMBER ON (Name of bank)
16
CASH DATE
$
PAYEES
1 When stated in foreign currency, insert name of currency.
If the ability to certify and authority to approve are combined in one person, one signature only is necessary;
otherwise the approving officer will sign in the space provided, over his official title.
PER
I When a voucher is receipted in the name of a company or corporation, the name of the person writing the
company or corporate name, an well as the capacity in which he signs, must appear. For example: "John Doe
Company, per John Smith, Secretary" or "Treasurer", as the came may be.
TITLE
PUBLIC 1 JCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
* U. S. GOVERNMENT PRINTING OFFICE: 1963 - 689-361
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'vices Other Than Personal
CONTINUATION SHEET
Sheet No. of Bureau Voucher No.
_5
_
ESTIMATED COSTS $
22041.00
FIXED FEE
2100.00
24141.00
ANALYSIS OF CLAIMED CURRENT AND
CUMULATIVE COSTS AND FEE EARNED
DEC 24 1965
'CLASSIFICATION OF COSTS
PERIOD/DATE
SALARIES AND WAGES
635.22
635.22
10771.78
TECHNICAL OVERHEAD ( .846000)
537.40 '-
537.40
9112.93
MATERIALS AND SERVICES
11.97
11.97
419.22
TRAVEL
0.00
0.00
43.95
SUBCONTRACTS
0.00
0.00
0.00
TOTAL DIRECT COSTS
1184.59
1184.59
20347.88
GENERAL/ADMIN. COSTS ( .186000)
220.33
3784.70
TOTAL COSTS
1404.92`
1404.92
24132.58
EXCESS COSTS
-1404.92
-1404.92
-2091.58
TOTAL ALLOWABLE
COSTS
0.00
0.00
22041.00
FIXED FEE EARNED (PCT CO
MP.)
0.00
0.00
1785.00
TOTAL AMOUNTS C
LAIMED
0.00
0.00
23826.00
Materials and services:
Computer usage charges
$ 1.30
Telephone charges
10.67
1 .97
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 D.3,1;, \T~~.- nor fnr Pi ir~~irrcoc nnrl
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Jprvices uiner I nan rersonai
Sheet No. - 2 of Bureau Voucher No. 5
ESTI I-iA T ED COSTS
FIXED FEE
46026.00
4372.00
50398.00
25X1
ANALYSIS OF CLAIMED CURRENT A
CUMULATIVE COSTS AN" F-:::' EARNED
JAN 21 1966
CLASSIFICATi i'6 Or COST? CURRENT i~;;O
PER 100/DA.IE
SALARIES . ND : 3ES 1855.45
2490.67
12627.23
TECn?~ I Cr L GV = ;r r ( .846000 ) 1569.71
2107.11
10682.64
MATERIALS HN3 SERVICES 26.67
38.64
445.89
TRAVEL 0.00
0.00
43.95
SURCCNTPACTS 0.00
0.00
0.00
TCTAL DIRECT COSTS 3451.33
4636.42
23799.71
GENERAL/AD,"v~iN. COSTS ( .186003) 642.04
862.37
442.74
TOTAL COSTS 4093.87
EXXXXX OCOOOC
5498.79
XX3~}~tXX}C
Lb 226.4:
C.03
0.00
XXXXXXXXX
XX)0QQ X - 0.^0
0.03
XXXX?XXX
00
0
XXX}X OUQX
.
Fixed Fee Earned (Pct Comp.) 896.51
Less amount previously invoiced
Plus amount previously in excess
2681.51
Total amount this voucher
7081.96 )
Materials and services:
Telephone charges $26.67
. 30 9U)? y C
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