VOUCHER FOR PETTY PURCHASES
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP78-04917A000100010072-1
Release Decision:
RIFPUB
Original Classification:
K
Document Page Count:
6
Document Creation Date:
December 9, 2016
Document Release Date:
June 20, 2001
Sequence Number:
72
Case Number:
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 282.22 KB |
Body:
-(Continuation Sheet) .
DATE
19 ----
SUB-
you.
No.
PAYEE'S NAME
CHARACTER OF EXPENDITURE
FORRiaN
CURRENCY
RATS of
CONVERSION
AMOUNT
CLAIMED
EXPENDED
DOLLARS
CTS.
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A roved Fpr ft -lease 2201/08/09 : CIA-RDP78-04917
TOTALS (to be carried O ar to continua tons eet, necessary)_________________________________
00010001
_______________
0072-1
_______________
_________________
________
Approved For 0UCRfR14V(Pq)Ect -FR9ftj 7p01 00010072-1
ITEMIZED SCHEDULE` OF PETTY PURCHASES
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Approved For Rele Qa 1107A-U00100010072-1 (says uoljonu14uo~)
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Standard Form No. 1 lafla~
Form prescribed by , C Comp. G r~Ved For lwR p a BR/d8'RTf -~I M> 1 7A0001 00QiQQ7Zu1 No _ _________________-.
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May 2 2, 1945
General Regulations No. 103 -law
U. S- -------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
THE UNITED STATES, Dr.,
To ----------------------------------------------------------------------------------------
Address --- ----------------- - -------- ---
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
(Payee must not use th ss -mace) cece
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APPROPRIATION, LIMITATION,
O$ PROJECT SYMBOL
APPROPRIATION TITLE
LIMITATION OR
PROJECT
APPROPRIATION
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Amount
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Amount
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OBLIGATIONS
COST ACCOUNT
OBJECTIVE CLASSIFICATION
ALLOTMENT SYMBOL
AMOUNT
LIQUIDATED
SYMBOL
AMOUNT
SYMBOL
AMOUNT
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Check No- --------------------- dated ------------------------------------ , 19 ....... for $________--__----Jon Treasurer of the United States in favor of
payee named above.
Cash $----------------------------- on --------------------- -------------------- 19 .......
payee
"If the ability to certify and authority to a rove are combined in one ----------------------- ______
Onl is pp person, one signature (Sign original only)
only necessary; otherwise, the approving officer will sign in the blank space below "Approved
for $________________? and over his official title. 1
Approved For Release 2001/08/09: CIA-RDP7~D4917AGGGT000T007Z=1-?""'???"'???"'??""
(For use of paying office)
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Approved For Release 2001/08/09 : CIA-RDP78-04917A000100010072-1
sasYxaxna a1151a ao ai naaxas aazimm
(Continuation Sheet)
DATE
19....
BUB-
VOU.
No.
PAYEE'S NAME
CHARACTER OF EXPENDITURE
FOREIGN
CURRENCY
E
RATE OF
CONVERSION
AMOUNT
CLAIMED
-
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DOISARs
CTS.
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Standard Form. NO. 11290 Form prescribed by Comptroller General, U. S., May 2, 1945, GENERAL REGULATIONS NO. 103.
VOUCHER FOR PETTY PURCHASES
Approved For;Wq l ~ c~'14 NJ~VOoW l9Rb duM --------------------------
Approved For RepU1FW0PEJW-17A000100010072-1
"ITEMIZED SCHEDULE OF PETTY PURCHASES
DATE
19
SUB-
VOU.
No
PAYEE'S NAME
CHARACTER OF EXPENDITURE
FOREIGN
CURRENCY
RATE OF
CONVERSION
AMOUNT
CLAIMED
----
.
EXPENDED
DOLLARS
CTS.
___________
-----------
-----------
-----------
-----------
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Approved Fore ease 2001/08/09: CIA-RDP78-04917A0001000
TOTALS (to be carried forward to cantinu sheet, if necessary)----------------------------------- ---------- -_
0072-1
---------------