VOUCHER FOR PETTY PURCHASES
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP78-04917A000100010028-0
Release Decision:
RIFPUB
Original Classification:
K
Document Page Count:
2
Document Creation Date:
December 9, 2016
Document Release Date:
June 20, 2001
Sequence Number:
28
Case Number:
Publication Date:
December 31, 1948
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 150.52 KB |
Body:
Standard Form No. 11$9
rorm proscribed by Comp. Gen., U. S. ll VOUCHER
FOR PETTY PURCHASES D. 0. You. No._____ ________
May2. 1948 ro d For IZeI ase 2001/08/09' : CIA-RDP78-04917AO00100010028-0
General Regulations NA: lam'
ATTACH SUBYOUCHERS HERE .._. Bu. You. No. ------ ----------- -----
U. S, Central Sntella.genae nc r --=-------------
-----------
(Department, bureau, orestablishment)
THE UNITED STATES, Dr.,
To ---- John Doe------ ----- ----------------------------------- ----------
Address __Room,200--Central Bldg., 2430 E St., N.W.
----- --------Washington 25, D.C.
---------- - -------------------------------------------------------------------
SIGN
ORIGINAL - - -
-----------------------------------------------------------
ONLY Authorized Certifying Officer.
Title ------------------------------------------------------------------
For petty purchases made on account of official business at .the above-mentioned station, as per itemized statement
within and attached subvouchers, for the period
-------------- Tiet;. 1 -----------, 1948_ to -_ Dec..31 --- 19__48.
I CERTIFY that the expenses listed within, as supported by the statements and subvouchers
attached, were necessarily incurred in the discharge of official business, and were paid as indi-
cated, and that no part thereof has been heretofore claimed by me.
-__( Signature __Qf_ Pakreel --------- ___
Date Doe* 31 - - -- --------- , 19.48 Title ___Administrative Officer
-------- -------------------------------------------
SIGN ORIGINAL. ONLY
Recommended for approval:
(Sign original only)
Title -------- ---------------- ?-------- --------- ------ ---------
Approvea..4t ttel sn?b2 O19, : CIA-IRMjB-04917AOQU1Q0010028-0.
(Signature of Chief or Acting Chief)
(Do not complete spaces below). Immediate Supervising Official.
Pursuant to authority vested in me, I CERTIFY that the account is correct and proper for payment.
*Approved for $------------------------
APPROPRIATION, LIMITATION,
OR PROJECT SYMBOL
ALLOTMENT SYMBOL
-----------------------------------
---------------------------------
-------------------------------
------------------------------------------------------------------------------------------------------
----------------------------- -------------------------------------------------??---=----------------
(Payee must not use this space)
Differences____--____----------
-------------------------------------
------
------- ---------------------- - - -
Amount verified; correct for
------------------
-------------------------
-------------------------
-------------------------
(For use of paying office)
LIMITATION OR
PROJECT
Amount
-------------------------
------------------------
----------------------
----------------------
-----------------------
-------------------------
-------------------------
-------------------------
-------------------------
--------------------
----------------------
19 ------- for $_______________ on Treasurer of theUnited States in favor of
((Check No. dated ___-. -------------
1.
Cash $ - ---- --- -- -- on - - -- 19-------
OBLIGATIONS
LIQUIDATED
,To be used at diecretlon of department, bureau, or establishment)
'I[ the. ability to.certify and authority to approve are itdmbined I. one par on, one signature
only is necessary; otherwise, the approving officer will sign In the blank space low "Approved
ITEMIZED SCHEDULE OF PETTY PURCHASES
Approved Fpr RPIe^se 2001/08/09 : CIA-RDP78-0491.7A000.10001.0028-0
1
DATE..
Ig_M8
6
Safemasters Co. *
------------- ---------- -- ------------------
'Postmaster
CHARACTER OF EXPENDITURE
Repairs to -govt-owned
safes.
Rent l -----------
- of P.0 .---- ox
1 1 49 to 3 319
----~-- ---------------~--- -----------------
FOREIGN
CURRENCY
EXPENDED
Riux Or
CONVERSION
AMOUNT
CLAIMED
---Smith Look-Co.
Jones Trucking Corp. #
Extra keys for
--Office----------door
- --------------------------
Hauling of crated box
--#xs~m,._Stata.Qn__to__D.#fa..cs__
---------------
-----------2----
50
-----------------
-----------------------------------------------------
**(When not included in
ohase
rice or
covered by Bill of Lad
_
'ng)
---------- ------
--------
-
---
----------------------------------------
---------------
---------------
-----------------
- --------------------------------
_* Charge__to
-Contact
Off "o
--------------
---------------
-----------------
-
--
#_ Charge _to EIH_
---------------
---------------
-----------------
---------------
-----------------
---------------
---------------
-----------------
--- 39-OTYA
-_puxahaaaz----------- --------- =------
---------------
---------------
-----------------
---------------------------------------------------
--------------------------------------------------
---------------
-----------------
----------------------------------------------------
---------------------------------------------------
---------------
---------------
-----------------
-----------------------------------------
-------------------------------------------- ------
---------------
---------------
-----------------
-------------------------------------
--------------------------------------------------
---------------
---------------
-----------------
-----------------------------------------------------
--------------------------------------------------
---------------
---------------
----------------- ------------------------- --------
--------------------------------------------------
---------------
---------------
-----------------
-----------------------------------------------------
--------------------------------------------------
-------------
-----------
----------------
------------------------------------
--------------------------------------------------
---------------
---------------
--------------
-----------------------------------------------------
--------------------------------------------------
---------------
---------------
----------------
-- -------------------------------------
--------------------------------------------------
---------------
---------------
--------------------------------------------------
---------------
--------------
-----------------
- ---------------------------------------------------
--------------------------------------------------
-----------------
-----------------------------------------------------
--------------------------------------------------
-----------------
------------------------------------ ------------
x _ - 0