PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP64-00360R000400010022-3
Release Decision:
RIPPUB
Original Classification:
K
Document Page Count:
13
Document Creation Date:
November 17, 2016
Document Release Date:
June 29, 1999
Sequence Number:
22
Case Number:
Publication Date:
June 27, 1955
Content Type:
FORM
File:
Attachment | Size |
---|---|
CIA-RDP64-00360R000400010022-3.pdf | 514.54 KB |
Body:
Btaa :card Form No. 10#34- -Revised
y t
forl.U prescribed b *1,J
Comptroller~~ii eneral, U. S. BLIC,,,,~QQ C I
fiepteml 7-
(Glen y/po For R pa :.
, ReR. No,, 5
(Amended February 20, 1952)
(T03~60 R000400010022-3
U. S. __Cost_ Rpimburs$tile - -------------------------------
(Department, bureau, or establishment)
Voucher prepared at ------------- ---------------?--------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No. _33) ---------
To (Payee)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description Item number of contract or Federal supply
h
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
sc
edule, an
other information doomed necessary)
Discount Terms
Cost
Per
Dollars
Cts.
Cost
$15,796
38
PAYMENT:
Complete ^
Partial ^
Final ^
_ Use continuation sheet(s) if necessary
Shipped from to Weight Government B/L No.
Total
$15o796
I certify that the above bill is correct and just and that payment has not been received,
(Payee must NOT use this space)
Differences --------------------------------
STATI NTL (Sign original only)
STATINTL
-6-55
----------------------------------------------
Data ---
roqulrad v hau ae bill or bill.i
Amount verified; correct for __________-
I
_
Contract No. A1.UL Date
t APprovedhr $ .1S_s-7 6:..3$---------------
(Signature or initials) ____________________________________
e&PC 1196
D. O. Vou. No.
Title iiltl_tei AA;A
Off aer--------------------------
Title Umtractin&-offieer -------------------- STATINTL Date -----
71
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
AMOM:
STATINTL.
Approving Officer
Check No, ________________________ dated _____________________________r 19_____, for $____________________________ _ on Treasurer of the United States in
favor of payee named above.
writing theom an p~r~?. s~q~ t p~ hi~l~ t,~p~ csr. c r
"john Doe Co an ~ i~>S>ati E6taly ol:~ ~"4istl bel . G~I1a 64=O173FORD00 0II01"0072=3 ---------------
o
tIf the ability to cert y and authority to approve are combined in one person, one signature only is nee-
essar otherwise the a rovin of lour will sign on the line below "A roved for It r' and Title ____________________________________________________ __
SIGN
ORIGINAL
-------------------
over his oillcial title. 16-
22@00-5
tgj-dard. Form No. 1085--Revised
00,r40e,.For Relea, s 101/Ie1G'fR]R"W0400010022-3
September 7, 1950
(Gen. Reg. No. 31, Supp. No. 11) Services Other Than Person
CONTINUATION SHEET
U. S. __Cost_ Reimburse 2i- -__________________________________________________ Sheet No. ------ 1---- of Bureau Voucher No. --- 21-___
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
No. and Date
Date of
Delivery
(Enter description, item number of contract or Federal supply schedule,
TITY
P
Dollars
Cts
Order
of
or Service
and other information deemed necessary)
Cost
er
.
C
ONFIDENTIAL PAYROLL
4
D
irect Labor Costs properly chargeable to
C
ontract A101 for the period 5/23/55 thru
TATIN
L
5/29/55.
Week Ending 5/29/55. STATIN
L
ATINTL
Overhead computed at interim rate
of
X14,109
35
THER COST
heck No.
P.O.#
Name
7602
5645
Advance Gear & Machine Corp.
$274
7
73
75
7631
5937
Globe Industries, Inc.
44
/
7720
6436
F. R. Machine Works
125
463
42
76
7740
602
eMornay Donardi
/
6
hine Works
R
M
F
375
LU-
7742
43
.
ac
.
L682
111
.03
Total Other Costs
otal Labor, Overhead and Other Costs
$150796
-38
ST
e ease . VEONLI4RDR64-OG3#0R000400010022-3
tl For Release 2000104111: CIA-RDP64-0036OR000400010022-3
R-W Fens K R-1
ACCOlNITMIG con
RECEIVING REPORT
NA 5136
DAT
P.O. NO. 4 s ,J13 1S)Zo
mcl I ? all a urn
TE
UANTITY
PART NO
DESCRIPTION
W8GKT
I
M
Q
.
NET
GROSS
STATINT
STATINTL STATINTL
na~.v ?~ rrwv..~ ww ~.v.
PACKING SUP NO NO. OF CONTAINERS /4::!
D f RECE EY I BY'RIFIED
,DVANCE GEAR
'"'"'` P-A 3rr?eldf oaVFease 2000/04/
40
? RAMO WOOLDRIDGE CORP
? 8820 BELLANCA
? _ LOS ANGELES, CALIFORNIA
N130
CUSTOMER'S ORDER NO. I CONTRACT NO.
5645
Recd Above in
Good Condition by
21122
DESCR I PT IOU
& MACHINE CORP, O
ROO, OR00040 lk2f -.3Efferson 8103
s
H
I .
P
P
E ?
INVOICE NO. 4-371-55
(NVOICE DATE 4-27-55
T
0
DATE 4-2 6-55
SHIPPED J
VIA
Account: f./ ~~ 18.50
7-3
................. 7
40
.........................
No adjustments w;?b e r ,of r Release 1 ?h,$? # R?~ ,9036OR00040 t of shipment.
nessau or ~~~A~ INVOICE
STATINTL_ _ ACCOUNTING COPY
~4ppro_vet( For el
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00360R0004O0ggq022-q070
ease 2GctUlI'111NQlAidtWRW-
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cr- Wt DATE 44- a7- s-z -
SHIPPER P. O. NO."psi -~-~-?
REC'D VIA '~- K -l/ FREIGHT BILL NO.
PACKING SLIP NO. NO. OF CONTAINERS
STATINTL)
REMARK
__ STATINTL
Reln~cn')nnninAIII : CIA-
DELIV RECE
TO BY:
STATINTL
400010022-3
F CHECKE I VERIFIED
BY: BY:
C>t 7~3l
Approved For,Release 2000/OO$tt' IOt A P64.00360R000400010022-3
Phone HEmlock 3741
GLOBE I N D U STRI ES, INC. 1784 Stanley Ave., Dayton 4, Ohio
Ramo-Wooldridge Corp,
8820 Bellanca
Los Angeles 45, California
GOVERNMENT CONTRACT NO.
N one
5937
5937
Govt. Insp.
hes I No
X
Ramo-Wooldridge Corp.
571-0 Arbor Vitae
Los Angeles, California
5937
TERMS: INVOICE DATE
1/2% 10 DAYS, N/3-F.O.B. DAYTON, OHIO I 5- 5- 55
5-5-55
5 0
roved for A
METRO F
SHIPMENT
ont ----- -----------------
)Y731 uns ------ ={'
'punt :
01146
X4ch-;93-7o
~~~~ UNIT PRICE
$45.00
23 82 5
1.50.00
2.24-
AMERICAN PHUUUGIIU1v AwU LAD-
PRICE FOR THAT ARTICLE.
R-W forrh 46 R-1 ACCOUNTING COPY
Approved For Release 2&61~0BIM0 A R 3608000400 22, i 5 2 2
VENDOR GLOBE INDUSTRIES INCOiiPORATED
SHIPPER SAME
REC'D VIAL
DATE MAY 9,1955
P. O. N(.~_'Z__RE 19
FREIGHT BILL NO._ 409370
NO. OF CONTAINERS -1 CARTON
_QOl,lm rraTC xoved For Relea$,~ /04/11: CIA_ P~f 6jq036OR00O40DUlDU22--3
RECEIVE T' CHECK
BLDBY: I BYr I_ YERIFIED
Approved Fier Releasegd@0/0 /'I'f H A + 360R0004dNIV02'2=9??
ELECTRONICS X-RAY DIVISION
DES,GN - DEVELOP M E1NT ? MANUcAttu PE
26-12 BOROUGH PLACE WOODSIDE 77. N. Y.
MAY 1 1 g 55--
THE RAMO-MOOLDR I QE CORP
8820 BELLANCA AVE
I 'tie Aw Et E 115, C?i ( F
N' 24916
TERMS 1% 10 DAYS. NET 30 DAYS
FXR TYPE X410A FREQUENCY METER - SER #165
125
1
00
67
PP-I
-SPEC
-.
1-f 6-
T7
s
YOUR P.O. No. 6Lf-6
/s s
SHIPP OUR P.S. No. 29281 DATED MAY 10 155
j-x Approved for tA_
Payment :....:.......
f4 ` Prices a,nd 'Seller re
resent:
hat wi
h respec
5~
am' Cd1310YiC tl tti=e 7Jr0
1Ci 1~ i U
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1.Cit !S
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e servic
Paid ......................
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?
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ice, it
has full
; k.x
.
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of the
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h ``
tandards
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1938, as
"
d For Re aa 00104/'1''1"''CTa-RD 4-0 360
~
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10022
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/ a ;
R- W Form 46 R-1
ACCOUNTING COPY
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Approved IIS'r Release ?&fe~OYIV~C&ER6~P6 -00360 R00040NJ900258O3
VENDOR 1 Xj h1u DATE S J
SHIPPER p P. O. NO. 3f
REC'D VIA- FREIGHT BILL NO. --
PACKING SLIP NO. NO. OF CONTAINERS
STATINTI -
STATINTL
RYan 1-7416 780 S. ARROYO PARKWAY
SYcamore 2-4142 PASADENA, CALIFORNIA
SHIP TO: The Ramo-Wooldridge Corp.
5740 Arbor Vitae
Los Angeles, Calif*
The RamoaWooldridge Corp.
8820 Bellanca Ave*
Los Angeles 115, Calif.
CABLE ADDRESS
"DEMARDI"
- 5
DATE SHIPPED
6 { DBG-S-127 X-Band Horns
Approve
Parcel Post Charges
01716
INVOICE - .O _ 2855
i4-0036DROOn40.00 nn
'ATE 9
YOUR ORDER NO. 6612?
1~ccow1~
0..,..-.?----.
or Release 2000/04/11 : CIA-1DP64-00360R0 0400010022-3
INVOICE
$468.00
vIL4
46 RApproved COPY
approved For Release I 4-003
VENDOR
REC'D VIA
PACKING SLIPvNO. ~? SSS
40(RV022?~ O
DATE 5- 2 4_-f~
D E 3 C R I P T I 0 N
WEI
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ITEM
QUANTITY
PART NO.
NET
GROSS
~ STATIN
L
~~
O
--
______
0 -- Q _
-_
V
S
STATINTL
TATINTL
P. O. NO.4611 (RZA r0 f
FREIGHT BILL NO.
NO. OF CONTAINERS 1- =.-
A `7191
Ap~iroved For FJease 20V6l?4/ DPB R00040004OO22r4A a-28oo
E L E C T R 0 N I C 5 ~:~ ~' s X-RAY DIVISION
DESIGN. DEVELOPMENT-MANUFAC~~R~
M -THE, RAMO-WOOLDR I GE CORP
0
8820 [3ELLANC~AAVE
Approved for,
payment A,
~iAY
N~ 25080
955
.
.....~,.L::
FXR TYPE Xk1OA F REQUENC ra
o 223
125
00
',
00
E
P
12
379
12,
3
0s
YOUR P.U. No. 6436
37s%
eot
sp.
37
SHIPPED ON OUR P.S. No. 29425 DATED MAY 17 t55 TO:
that
with r
. res
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roduw
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on of to
e
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r Or t:~e
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Ap
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01-691 4
ACCOUNTING COPY
R-W Eorm 46 R-1 "s
WEIG
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ITEM
QUANTITY
PART NO.
DESCRIPTION
NET
GROSS
fi
STATI N
---
- -
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STATINTL
Approved For Release K 2f/I~6C K 0360R00040 002121186
sove,
VENDOR~~ ~~? +J a ~~~ ~NC, DATE a-J
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-
SHIPPER P. O. NO. e z "7
REC'D VIA FREIGHT BILL NO.1 ~7 C /~
PACKING SLIP NO. -2 NO. OF CONTAINERS / - CiZ4-L
RECEI
BY.
ase 20 00/04/11: CIA Te0360R000400010022_3
-- CHEC I VERIFIED
BY: BY: