REQUEST FOR PAYMENT AND POSTING VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP67B00539R000700010006-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: January 6, 2009
• Sequence Number: 6
• Publication Date: January 31, 1964
• Content Type: FORM

VOUCHER NO. 7-12
REQUEST FOR PAYMENT AND POSTING VOUCHER
VOUCHER NO. 7.12
TO Finance Division, Accounts Branch
DIVISION VOUCHER NO.
l
THROUGH: Monetary Branch
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.
SUBJECT
INVOICE NO(S).
PAYMENT TO J j
(
CONTRACT NO.
{
AMOUNT
CHECK TO BE DATED
CASH 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.
I HEREBY AUTHORIZE MY AGENT. WHOSE SIGNATURE APPEARS BELOW. TO RECEIVE $
OF OFFICIAL FUNDS IN CURRENCY ON MY BEHALF.
DATE SIGNATURE OF PAYEE
DATE
SIGNATURE OF AGENT
DATE
SIGNATURE OF RECIPIENT
DESCRIPTION-ALL OTHER ACCOUNTS 13.33
34-39
43
45-46
47-52
LIG
58.67
68-70
7
26-33
STATION
40.42
F
PAY
.
OB
53
54-57
ALLOT. OR COST
DUE
1.80
AMOUNT
T/A NO.
CODE
EXPEND
U
PER
REF. NO.
GENERAL
ACCT. NO.
DATE
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. NO.
PROP. NO.
CODE
N
.
Liq.
ADVANCE
ACCT. NO.
CA
YR
LEDGER
A
CT
NO
62 67
CK. NO.
OBJECT
T
CREDIT
122-33
DIV.
PROJECT NO.
FY
D
B
CODE
EMP. NO.
.
.
C
X REF. NO.
CLASS
DEBI
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DATE
AUTHORIZED CERTIFYING OFFICER
DATE
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TOTALS
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Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8
SECRET
(When Filled In)
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8
 REMIT TO: P. 0. BOX 2539 C URCH ST. STA. Y ' '
EL
No. 21183
HIPPED TO DEST. DESTI-
S
CUSTOMLR ORDLR N S DATF QUOTE NO.
NO.
DATE RECEIVED
DATE ENTERED
AREA-5 NATION
~J I1 2/f'
INV.
05-001-08-00000
HFCT-695 ~f/( 4
a? 3
S T
H
I
P
T
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Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8
SALES ORDER NO.
N O R VITA L K , C O'N N E C T I C U T , U.S.A. V I c T O R 7. 0 4 1 1
A III U4
INVOICE NO.
10701
INVOICE DATE
10 Customer B
- L Contract HFCT 695 (1963 Contract Funds)
ITEM
NO.
F
QUAN-
TITY
WE ACCEPT YOUR ABOVE-IDENTIFIED ORDER FOR THE MATERIAL DESCRISEO BELOW ON
THE ACE NEREO
30 DAYS NET - NO CASH DISCOUNT THE TERMS ANO CONDITIONS APPEARING ON THE FACE AND ON P.
PPD - COL. SHOW CHOS.
F.O.O. FACTORY. NORWALK, CONN.
UNLESS OTHERWISE SPECIFIED
PART NO. CODE DESCRIPTION UNIT PRICE I AMOUNT
Funds allo
Previous
Funds Relaa
Current
1063 uninv
ated f
voices.
Wing
t be
iced f
rom
ng
unds
1 July 19
Invoiced
remainin
62 to 3
g
0 June 19
63
2
151-0058
Pr
iem, A
1
151-0058
Pr
ism, A v
10
152-0034
Pr
ism, A
11
152-0035
Pr
ism, A
95,Poo. 00
76,240.00
18,759.37
8442?.93
10,3. 2.44
$ 331.17 $ 993.51
331.97 2,323.79
343.09 3,087.4W
331.97 499182
425101 Total amount a , this Invoice I I j~ 8. 96.93
CONTtRA~CTS~R$ CERTIFICATE:
I CERTIFY *. tHE ABOVE BILL IS
CORRECT AND JUST AND THAT PAYMENT THER&
FORE HAS NOT BEEN RECEIVED.
STATT
ELECTRO - OPTICAL DIVISIOUL
Pat
31 AN
(at
WE CERTIFY THAT THE PRODUCTS COVERED BY THIS INVOICE
HAVE BEEN PRODUCED IN COMPLIANCE WITH THE APPLICABLE
REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1538.
AS AMENDED. AND REGULATIONS ISSUED THEREUNDER.
CLAIMS FOR SHORTAGE MUST HE MADE WITHIN FIVE DAYS FROM RECEIPT.OF GOODS. GOODS WILL NOT BE ACCEPTED FOR CREDIT AFTER 30 DAYS FROM DATE OF IN-
VOICE. WE CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6. 7 AND 12 OF THE FAIR LABOR
STANDARDS ACT. AS AMENDED, AND OF THE U.S. DEPT. OF LABOR ISSUED UNDER SECTION 14 THEREOF.
FORM #03202
PAR- COMPLETE
TIAL
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8
 Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8
ii;---L'iti iii -J I i iiiCi'WT,d0ZQFVR-
NORWALK, CONNECTICUT, U.S.A. VICTOR 7.0411
SHIPPED TO DEST. DESTI.
AREA-S NATION
NO.
INV.
No. 21183
DATE RECEIVED DATE ENTERED
L
B customer B
I
L Contract HFCT 695 (1963 Contract Funds)
WE ACCEPT YOUR ABOVE-IDENTIFIED ORDER FOR THE MATERIAL DESCRIBED BELOW ON
THE TERMS AND CONDITIONS APPEARING ON THE FACE AND ON THE BACK HEREOF.
SHIP VIA PPD - COL. SHOW CHGS.
F.O.B. FACTORY. NOR WALK, CONN.
UNLESS OTHERWISE SPECIFIED
PAR-
TIAL
COMPLETE
CHARGES
ITEM
QUAN?
PART NO.
CODE
DESCRIPTION
UNIT PRICE
AMOUNT
NO.
TITY
Funds alloc
ated fr
om 1 July 1962 to 30 June 1963
$ 95,000.00
Previous In
voices
76,240.0
0
Funds Remai
ning
_
18,759.37
Current Amo
unt bei
ng Invoiced
8L396.93
1963 uninv
iced fu
nds remaining
$ 10,362.44
3
151-0058
Prism, A
$ 331.17
$ 993.51
7
151-0058
Prism, A
331.97
2,323.79
9
152-0034
Prism, A
343.09
3,087.81
6
152-0035
Prism, A
331.97
12991..82
42510
Total amount W thu ft""a
$ 3
G;S CERTIFICATE:
THAT THE ABOVE BILL IS
F',J,") JUST AND THAT PAYMENT THERE-
E- HAS NOT BEEN RECEIVED.
STAT
! =iVISION
WE CERTIFY THAT THE PRODUCTS COVERED BY THIS INVOICE
HAVE BEEN PRODUCED IN COMPLIANCE WITH THE APPLICABLE
REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938.
AS AMENDED, AND REGULATIONS ISSUED THEREUNDER.
SELLER CERTIFIES THAT THE PRICES
SHOWN HEREIN ARE NO HIGHER THAN
THOSE CHARGED TO OTHERS FOR THE
SAME ARTICLE IN SIMILAR QUANTITIES.
CLAIMS FOR SHORTAGE MUST BE MADE WITHIN FIVE DAYS FROM RECEIPT OF GOODS. GOODS WILL NOT BE ACCEPTED FOR CREDIT AFTER 30 DAYS FROM DATE OF IN.
VOICE. WE CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6. 7 AND 12 OF THE FAIR LABOR
STANDARDS ACT. AS AMENDED. AND OF THE U.S. DEPT. OF LABOR ISSUED UNDER SECTION 14 THEREOF.
FORM #03202
DUPLICATE INVOICE
Approved For Release 2009/01/07: CIA-RDP67B00539R000700010006-8