REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP65-00523R000100060010-5
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 6
• Document Creation Date: December 21, 2016
• Document Release Date: November 18, 2008
• Sequence Number: 10
• Publication Date: September 17, 1962
• Content Type: FORM

FF fl'V * 2' flI .IS 1117
REQUEST FOR PAYMENT AND POSTING VOUCHER VOUCHER NO. 7.12
VOUCHER NO. 7.12
DIVISION VOUCHER NO.
Finance Division, Accounts Branch
Monetary Branch
THROUGH:
Request payment be made and/or'transaction be recorded as indicated below. Pertinent documentation in support of
this transaction is on file in this office.
INVOICE NO(S).
SUBJECT
CONTRACT NO.
PAYMENT TO
CHECK TO BE DATED
AMOUNT
ASH PAYMENT U.S. TREASURY CHECK AGENT CASHIER CHECK BANK CASHIER'S CHECK
THE ATTACHED CHECKS AND/OR CASH IN THE AMOUNT OF $ SHOULD BE TAKEN INTO ACCOUNT AS INDICATED BELOW.
WHOSE SIGNATUREAPPEARS BELOW. TO RECEIVES OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
RIZE MY AGENT
.
I HEREBY
DATE SIGNATURE OF AGENT DATE SIGNATURE OF RECIPIENT
DATE $FGATURE OF PAYEE
DESCRIPTION-ALL OTHER ACCOUNTS 13-33 34-39 43 45-46 47-52 58.67 68.70
71.80
40.42 OBLIG. 53. 54-57 ALLOT. OR COST DUE
AMOUNT
/A N STATION F PAY
EXPEND REF. NO. GENERAL ACCT. NO. DATE
CODE U PER. -
T NO
C
.
A LEDGER 52-57
DESCRIPTION- CODE N ADVANCE
ACCOUNTS 13-27 P.O. NO. PROP. NO. LIO' ACCT. NO. YR ACCT. NO. CE. No. OBJECT DEBIT CREDIT
DVANCE
CLASS
A
-
2.37 S CODE EMP. NO. X REF. NO.
13 PROJECT NO. Fr
DIV.
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PRE
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AUTHORIZED CERTIFYING OFFICER DATE
INN 1 (TOTALS
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111
 Stand-sd Form No. 1031
GAO 5000
1034-IOS-04
(Payee)
343 State Street Rochester 4, Netr.* York
(Department, bureau, or establishment)
Voucher prepared at ----Rochester, New York Se'otemher 6, 1962
(Give place and date)
Payee's Account No. 7*e279 Discount Terms
Contract No. 71-'-400 Task ?IT Date 8/23/60 Req. No. Date Invoice Rec'd.
Shipped from to Weight Govt. B/L No.
No. and Date of
Order
Date of Delivery (Enter description, item number of contract or Federal supply
or Service - - -
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
t Approved for
By
Title
Exchange rate
Cash, $ - on 19 _ Payee
' When used in foreign countries, insert name of currency of country in which used.
} If the ability to certify and authority to approve are combined in one person, one signature only is nec- Per
essary, otherwise the approving otycer will s?qn on the line below Approved for $ and
over his ofyc,al title. Title
$26oe00
466.62
47.96
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
8/12/62
?/16/62
through
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE
ACCOUNTING CLASSIFICATION (Appropriation Sym
; 3A
LIC VOUCHER FOR PURCHASES* f
COPY OF
ERVICES OTHER THAN PERSONAL
Direct Charges
1962 Provisional Overhead
1962 Provisional G R- A Expense
=$1.00
I Check No.
VOUCHER NO. __ 72
Amount verified; correct for
(Signature or initiais).___
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
'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 omisAien must be
made below.)
ABSENCE OF ADVERTISING
3. Without advertising, under an exigency of the service which existed.;prior to the order and would not "t of theAelsy in nt to
advertising. dt: 1, 1
4. Without advertising in accordance with --------------. -------------------------=- --------
5. Without advertising, it being impracticable to secure competition because of ------------------- -------- ?
----------------------------- -------------------------------------------------------- --------------------------------------------------
----------.--------------------------?------- -- -~ -- ---------------------
-r-t-- l ---
(Here state in detail the nature of the exigency or eircumstaacea trader which tbe'seenring 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 acceptan(e. of
less formal agreement) Standard Form No. 1036 should be used for abstracting the method of or absence of advertising and award of con-
tract. (See 7 GAO 4500 and 5000.)
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
 StandarlFor m No. 1035
] GAO 5030
f'" 1035-105
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
ublic Voucher for Purchasnd
Services Other Than Personal
CONTINUATION SHEET
U. S. GoverT)Tnent ------------------- -------------------- Sheet No. of Bureau Voucher No.
.- _ -_-. w......,.. ... t.hlichment)
No. and Date
of Order
Date of
Delivery
or Service
ARTICLES OR SERVICES.
(Enteschedule,t,and other information deemed necessary)Pply
Contract EG-400 Task N
7/16/62
through
8/12/62
Direct Charges
Salaries and Wages
Mat'le Subj. to Mat'l. Hdlg. Fem.
purchases - Fixed Price
Total Direct Charges
1962 Provisional Overhead
Salaries
Burden Center R Wages Rate
17-L $256.00 182%
1962 Provisional Nat'l. Hdlg-
17. of.00
Total 1962 Provisional Overhead
1962 Provisional G & A Expense
a of Mfg. Costs 72. -
QTITY
$256
600
b00
$260.00
13u:
$465
ed.en
92
670
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
47.96
6774.58
466.62 Y
72
V
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
Q 4)
EASTMAN KODAK COMPANY
APPARATUS & OPTICAL DIVISION
Contract NO. 'FY!,-IL00 Task IV
B.V. No. 72 9/6/62
Z- 2798
Total Costs Provided for in Contract
Total Fixed Fee Provided for in Contract
$ 91,000.00
5,636.00
$ 96,636.00
Accumulative
Totals___
Costs 2.4
7/-- 62 thru $../1162
Salaries and Wages
59556.00
$256.00
10,114.42
466.62
Overhead
41895.00
4.00
Materials
Subcontract
Travel
General & Administrative Expense
3,991.33 .
47.96
Total Costs Incurred Excluding Fee
Fixed Fee
Total Claimed
61,556.75 774.58
4,251.79 -0-
$65,808.54 $774.58
AO 1240 0 (1-61)
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
 Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5
0 41
7 September 1962
Under Contract EG_400, Task IV, we are submitting
Bureau Voucher #72 in the amount of $774.58 which represents
charges incurred during the period 16 July 1962 through 12
August 1962.
STAT
cc - JLB
ELG
FGF
EJB
Approved For Release 2008/11/18: CIA-RDP65-00523R000100060010-5