MKULTRA SUBPROJECT 140 (121 DOCUMENTS WITH PUBDATES FROM 620314 TO 650 907)
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
00017400
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
122
Document Creation Date:
August 23, 2024
Document Release Date:
September 8, 1976
Sequence Number:
Case Number:
Publication Date:
March 14, 1962
File:
Attachment | Size |
---|---|
MKULTRA SUBPROJECT 140 [8144504].pdf | 11.95 MB |
Body:
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.................,
RE I MBURSEMENT VOUCHER FOR PURCHASES AND
SERV ICES OTHER THAN PERSONAL
OFIILAIMA T.
=ULTRA - Subproject No. 140
VOUCHER NO. fiNANce Use Only)
557493 APR 20 6
, DESCRIPTION OF EXPENDITURE � ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AMOUNT
' .
Payment
23 November
rr-D of the
belief, the
or materials
maintained
certifying
1964 through 19 Starch
=ULTRA Placa Annex.
.amount shown was disbursed
have been received..
in TSD files for security,
. officer-at- his rell
or DIVOSCO No. 18,0, covering the period
T.Ii- ,,c * TRA Subproject No. 140) per paragraph .
. I certify that, to the best of my knowledge and
for Agency-authorized activities and services
Documents upon vhich this statement is based are
reasons and will be made available to the
.._.
..
$20750
RTIFY THAT ITHE
OF OFFICIAL BUSINESS
,BEEN, NOR WILL BE.
.H
DISBURSEMENTS ITEMIZED
OF ! A CONFIDENTIAL,
1111
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DATE
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:SIGNATURE
1 ,
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,DATEI,
1
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SIGNATURE
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.
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USE OF CONFIDENTIAL FUNDS
DIVISION.,
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REVIEWED
, 1
1
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1.YOUCHER.NO. 7)12
CRIPT � 'OTHER ACCOUNT 13.3
54.59 ;
"ATI"'
...41DA.'.1
40142,1
EXPENO"M"
CODE,
43p
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404401
PAY ,I'
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FORM emit ossoLieT
2.64 A.N.PT COITION
1 :
PIICVO'OUS
GROUP
kellogro how ...wok
wock oletion.recOlow
I
(.49)
REIMBURSEMENT VOUCHER FOR'PURCHASES AND
SERVICES OTHER THAN PERSONAL
AME OF 'CLAI ANT
=ULTRA Subproject #140
V0I4COIER
0.
(01^ 0.Ance Dee only)
534259 DEC 30 6 4
DESCRIPTION OF EXPENDITURE AT ACH RECEPTS AND OTHER SUPPORTING DOCUMENTS .
AMOUNT
Payment to for Invoice Zito. 17, covering period
4 August thru o A, Sub #140, per paragraph rif-D of the =ULTRA
Fiscal Annex. I certify that to the best of my knowledge and belief, the amount
shown was disbursed for Agency-authorized activities and services Or materials have
been received. - Documents upon which this statement is based are vaintaineal in filed
of 'TM for security reasons and may be made available to the certifying officer at
his...request.. . � . ��
Pis forward check to C/ISDA313 thru TSD/OF no later than 21 Dec 1964
1, 1 11
hiERTiFY THAT :THE DISBURSEmENTS ITEM !ZED ABOVE WERE NECESSARILY MADE! BY1 ME IN THE coot=
-
OF: OFFICIAL BUSINESS OF A cor07!pNT1AJ�.': EXTRAORDINARY OR EMERGENCY NATuRE, THAT I HAVE NOT
BEEN. NOR WILL) BE. REIMBURSED 1THEREFOR'FROM +14)1 OTHE OURCE.70 TH
TACHMENTS ARE TRUE AND CORRECT, 11 i
' , '0 CNA TUAIE OC Cl
AM
1000.00
,trouthotisemyagAnt,,*
correne,frootontAmoto trlaCrec!gmtinCIP rt;nrdlocar
behoqif lino! acknorienfie ac - P f s'oci. 'wad.
Dad,..),rempon,,$Y.
tali i A ty there,614..: mh.r. paid to my Agent. ii I 1
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AT FO
CERTIFY:TUN S ARE AVAILABLE: '
APPROVED
OBLIGATION REFERENCE NO.
CHARGE ,cosTFAccT,
ACCOUNTS 13.3
tscRIPTioft4AuvARee"Accuumts
h .13.2711
� 0 10 � :
11 � I � � �
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FORM 2-64 2611,
0.
2
DATE
SIGNATURE OF APPROVING opricea
07,1111.1ZD0DC/TVD
IED FOR
vATE!
VRE OF PAY
I.
OF AGENT
RECEIPT FOR FUNDS RECEIVED !
PAYMENT OR
CREDIT
,SIGNATURE OF CERTIFYING OFFICER
SPACE BELOW FOR EXCLUSIVE!
IpAymter Ret6vp,1
PH ThEhAmouNtlor 32.4004
USE OF CONFiDENTIAL,FUNOS DIV:1516N! !
!
INEUCMFR NO. 7.12 �
00
. .34.39 !
STATION
CODE
Poor. 110.
P ROJECV 110.
90T
40.42
E PE 0
'Coot
43
IUNDS
45.45 47.52 53
PAY 1
.0BLIG. i
.NO.ic4
PtFUr
!..10. ..AVVVINiVe". yR
A C.0 0.41..N.T. 4,0,� ,
CODE
.80
lAmuuteT
oNxi�uRE oF
PA.VgELIAS
ALLOT. ON COST
ACCT. NO.
66.710
HovE
lomt
Jce
e0.4111
exvotT
REIMBURSEMENT VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL .
CLAIMANT
TU.
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
D SCR I PT ION OF EXPENDITURE � ATTACH RECEIPTS AND OTHER SUPPORT I NG* DOCUMENTS AMOUNT
0 for the pried SRaytbroogb
0 NM= Sittprvect 1 per paragrasit 111-0 of the itatILTItik Faecal Amex.
certify _that to t'be bast of art knovied and boUof,Use sactoat shove luta bees die-
bed for Amity' avotbarized activities sad services or ataterfals tame bees received.
istatosoat tilaeadt are laistalsod in to files of TD for
Ict �p 2 be aside av*iib10 to the e rtifyi officer at hi* reeetet.
Please Zoxrd cheek to C//ZZ thru 3/Prot r gust
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE CORRECT. THE EXPENDITURES WERE INCURREO ON OFF CIAL BUSINESS OF A CON6OE TIAL,
EMERGENCY NATUREI PAYMENT OR CREDIT HAS NOT BEEN RECEIVED. AND I SHALL *IT BE REIMBURSED FROM ANY OTHER SOURCEI'
I !
I
I CERTIFY FUNDS ARE AVAILABLE DATE SI I !. APPROVED , I
IGNATURE
ORLI ATION1 REFERENCE NO. CHARGE ALLOTMENT NO DATE SIGNATURE. OF PPROVINO,OFFICER . ; 11
1 1 ; , 2() inz A111�1Lic 1
' S
20 4123-42902 tarir423133 ' tenta PAYMENT RECEIVED
DATE SIG4ATURE OF AUTHORIZING OFFICER CERTIFIED FOR PAYMENT OR CREDIT IN THE AMOUNT OF, i
1 AUG 1964
PREPARED ,BY
SIGNATURE OF CERTIFYING OFFICER OATE
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
I REVIEWED BY . TVOUCHER
. I I
I
VOGONOXIINO PAPP.' 00.
� .�.�.:Aki . *N"J tter, No.
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OBLIG
REF. N CA �GENERAL
."46fAcCe.IEOGER
ACCOUN
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S8.67 I
ALLOT. OP COST
68.70
DUE
GATE �
82�67
C. NO. ..�
;." " '"� JECT
X NC. NO. CLAP
s
NAME, OF ADYANCEE I � j DATE
3 JulIb. I 0
AMOUNT
4110 509
VOUCHER NO. (finance use on Y.,
REQUEST FOR ADVANCE
iiaLL_TZL
,
OF FUNDS
PAYABLE TO ROOM i BUILDING
Se ottme4w644 Ina:street_ -Q I2802
TELEPHONE EXT .
.
PURPOSE
I
�
Subproject
I
hvvoicE ,
n4iol (patti. 4'105) or activity
. . ..
,
5.11 be la sneer
approved tvir a:dot, TSP, CO20 &pri1
1
1. Attachment A.
1
1 I I
1 1 1 1
STATUS OF OUTSTANDING
1
1 t
ADVANCES 1 1
I agree that I will fully account
to the reporting point stated and by
any unexpended balance 1 authorize
for
the
deduction
this advance
due date checked
from
by submiasion of vo;chers and refund of any unexpended balance
below,1 in the vent of my Failure to no account and refund
my rotary to effect act tleinent. I I
DATE
' AMOUNT
1
I
INACEOUNTEDG A CE
1
I
REPORT
INC, POINT �
I
I DUE DATE I
1
11
I
1
[ 1
FINANCE
12 VISION
1 I 1
�I HEADQUARTERS
I
1
Nie
I 1
1965
,
I
,..
oh, ARRIVAL
0 OR ABOUT
AT DESTINATION
I
MONTHLY -ON THE LAST
WORKDAY OF EACH MONTH
I
I
I
li
I
I
I I .
REQUESTING
OFICEjIn!
APPROVED
RECEIPT FOR FUNDS ADVANCED
ATE
SIGNATURE1 1 1.0,-11.-
1
11$49
OAT X
0.
SIGNATURE OF APPROVING
I
11 1
OFFICER
I acknowledge receipt of lunds
under to be lused for the purposelstated
DS shown above.
in the amount 'stated bore*
and ,Iaccounted for
1
1
rES 1,1DC rce04
7 '
,
AMOUNT
1 I 1
1 C RT IffY F
OBLIGATION REFERENCE NO.
5"3e
CHARGE ALLOTMENT NO.
4125-1390-3002
CERTIFIED
FOR PAYMENT OR CREDIT
DATE 1 I
1
AUTHORIZED CERTIFYING OFFICER
SIGNATURE
or ADVANCEE
11
I
I
I
I
DATE
p. o JUL 19
SIGNATURE
IVOirDri
.. . ____ ... _-----------------------------SPACE 8E1.0W FOR EXCLUS IVF 1.ISF OF FINANCE DIVISION
;',AIRE BY
REVIEWED BY
11
VOUCHER NO. 7-1
sea i PT 0 � ALL OTHER CCOU TS 13.33
34-39
STATION
CODE
----------
PROP.NO.
1143
'42
EXPEND
cope
1 r
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AS.481
PAY
6 11
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1.1104
Cipot
1 I 1
47-52
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REF. NO.
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34'57
GENERAL
S*. 6 71
ALLOT. OR I COST 1
1 ACCT. NO I .
64-70
DUE
DATE.
71.00
AMOUNT
DESCRIPTION*
ADVANCE ACCOUNTS 13-2
I 1 1 I
2B-'3
,/* no
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P.O. N.D.
..1.'''.14i.iii
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IFY
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-60 281. us,
INVIOUN EDI
(whmumprn)
REIMBURSEMENT VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT
SIMATItti Subprol
CHARGE TO ALLOTMENT OR PROJECT
4123-1390.3M2
VOUC ER NO. (Finance Noe on1P)
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
DESC PTION OF EXPENDITURE- ATTACH RECEIPTS AND OTHER SUPPORT NG DOCUMENTS
I CERTIFY THAT THI0'VOUCHER A
MERGENCY NATUREt PAYMENT OR
NO ANY ATTA
CREDIT HAS
AMOUNT
for X
or the period 16 Tisirets Owe
1ERA ristral, Ames. X
shown Um been 41lativrned
a been received. The
In the tiles of I= fer
4.72.cer at his retaneet.
,. 1[,"
HMENTS ARE CORRECT. THE EXPENDITURES WERE INCURRED ON OFFICIAL BU INESS OF A CO F/DENT)AL. E
NOT BEEN RECEIVED AND 0 SHALL NOT RE REIMBURSED FTOM ANY OTHER
: I
I CERTIFY FUNDS ARE AVAILABLE -
OLIGATION REFERENCE NO.
'
3 9 ci!:AY 1964 ,
ATE ,
.PREPARED BY
CHARGE ALLOTMENT 3107
3125'1
SIGNATURE OF AUTHORIZING, OFFICER
..:NCRIPT1ON.AtL OTHER ACM TS' 13.33
' N
ACCOUNTS
PVIL 040t NO'.
7.'1.77:7AW
FORM 1,,gut USE pritylvous
6-50 4"r". CDSTIONS.1
DATE
CERT IF
APPROVED1 ' !
NATURE OF APPROV
! '
GOgrel
NO OFFICER.
' .11
ED FOR PAYMENT OR CREDIT
1 SPACE, BELOW FOR EXCLUS IVE USE OF FINANCE DIVISION '
REVIEWED:BY
40-42
EXPEND,
' CODE;
PROP. NO.
PROJHOTNO.
34. 30
STAT /ION
40at
45.40 47.52
PAY OSLIG.
3 54.57
CA GENERAL
OUCHER
AORDINARVOR
II I
SIGNATURE' OF AY
56.47 .
�or
HALLOT : OR COST
?ATE
X V . CLASS
AMOUNT
Obligations Obligations
Inettired Liquidated
riAND'asi.
projev.
tlit hOrty gar tt.:;:it - , 3 3 I
. . . _
,
1
_ -.'i frcioi : c.'.- * 1 '(:_, r.l. i� 0 t, t tilt)
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Origin! s
t te
eERTiFY THAT F',..tXM AZF. AVATLA5LE:
. . _
COLIGANN
CliARCE
Obligations Obligations U1iqidated
marks and References. Incurred� Liquidated Balance
M FOR:
ante -in the memorandum dated 13 kp il 1953,
DD/., d L.e tensi of this ':authority in iScuen
' memoranda,: Sub-0
has been, approved, and _2O,00Q.0O
C.7 JUN
Date:
KULTRA. fuAds have .been ob1izted to cover the
' ould. charged to cost center 31254390.3902
1 CERTIFY THAT FUNDS ARE AVAILABLE
ORIG./1110N REFIRWE _
(NAME 10 ALLO1M1N1 144. 3,96-�,91"42:
GROUP .1
Excluded frotri auto-
matte doN.vngrading and
declaseificati:pn
A
(When
REIMBURSEMENT VOUCHER FOR PURCHASES AND
NAME OF CLAIMANT
MIIllamttg Sub 240
VOUCHER NO. (Finance use Only)
SERVICES OTHER THAN PERSONAL
CHARGE TO ALLOTMENT OR PROJ 7,
1�1211.1-2410-af)02._________
�
REmevaumENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED. '
ESCRIPTION OF EXPENDITURE - ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AmOUNT
It
I64 txt
dsbTzbdes
offloer *t
2.6to-.
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for gcYwo
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h1 eesst, .
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a
ta upon
realomp
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best
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loot
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this
cad
lZiO'tr..kM,gPAB�rjtjLjtar
for
of
alai
lavoiee 013 for the
140 per pars~ rvir-o
ow knowledips anti belief
*ad serricea
ortatomeat ,ia tasted
1 ___
be made availawie
1 , 1, , .
thatt la A ril
period
ot the
the
or stateriala
11, are salataieed
to the
,
3964
23
eacoat
certSyi
Ntmeary
UM!ILI
bare
, ,
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shoto
la
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1
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS AA( CORRECT, THE EXPENDITURES
EMERGENCY NATuREI PAYMENT OR CREDIT HAS NOT BEENIRECEIVE0. AND I SHALL NOT
WERE INCURRED ON OFFICIAL
I SE REIMBURSE� FROM ANY
BUSINESS OF
OTHER soune.
A CONFIDENTIAL. EXTRAORDINARY.
1 1
I
OR
I I CERTIFY FUNDS ARE AVAILABLE
APPROVED
lDATE 1
3/28/64
I
1
SIGNATURE OF PAYEE
1 11 1
OBLIGATION REFERENCE NO
1
1 t 4ST
CHARGE ALLOTMENT P.O.
DATE
SIGNATURE
1
OF APPROVING OFFICER
, DC/X=
PAYMENT
IN THE AMOUNT
RECEIVED
OF S *
OATE
tr *1
4,.: ;I
1
I
1
"'s
SIGNATURE OF AUTHORIZING OFFICER
'
I
CERTIFIED FOR PAYMENT OR CREDIT
DATE
SIGNATURE OF CERTIFYING OFFICER
DATE,
!SIGNATURE OF RECIPIENT
1
I
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PREPARED Y
1 1
REVIEWED BY
.
VOUCHER
NO. 7.12
C CRIPTION.ALL OTHER ACCOUNTS 13.33
DA'DD
.40..4.2..
EXPEND
CDDE
I'LlOOS
1
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1
4 .44
PA
PER.
LI�.
C�DE
47.52
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GENERAL
LEDGER
ACCOUNT NO.
1111
� 3e.47
ACCT. NO.
68.70
DATE
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AMOUNT
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(SITIORs.
(When
4.
led in)
REIMBURSEMENT VOUCHER FOR 'PURCHASES AND
SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT . .... _.
ItIVA.TrAtnb 140
VOUCHER NO. (Finance use only) ,
I CHARGE TO ALLOTMENT OR PROJEDT -
3125 -1300 -3902
RRImBuRsENENT OR PAYMENT VS CLAIMED FOR MATERIALS. SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
DESCRIPTION OF EXPENDITURE ATTAC RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AMOUNT
,
Pa7Ment
1063 thru
Fiscal
has bean
been, received.:
the illegal
, officer
P's forward
to
2
Annex.
distursedrfer-Agency
1 1
at his
.cbec
a
I certify that
;he 4ocuments
Tsmil for Security
request.1::
.to C,,,,,. 1
4
'
to
-nutherised-activitips;-and
upon::
reasons,1
thro,:=0/11Fto
the
project
best
1:
cb
!and
for
of
thi
-will
Invoice
140
my knowledge
s. saementLi
tt
be
:later
per
racelia7rsiIale!:,o
tban
#12
paragraph
for
and
-services
s
,
10
the
belief
based
ase
1
February
period
IV -D of
the
-9r materials.
are manate1
thel!le,*tifying
1964HH,:,
13 November
the =ULTRA
amount
I
itid
shown
have
i n 1
,.
I CERTIFY THAT THIS volucHg*
EMERGENCY NATURESl I1PAYMENT
AND
OR 1CREDIT
ANY ATTACHMENTS;
1 HAS NOTIBEENIRECEIED.
ARE CORRECT.
AND
THE
EXPENDITURES WERE
HSHALL NOT BE REIMBURSED
INCURRED
FROM
ON OFFICIAL
ANY
07IHER
BUSINESS OF A CONFIDENT At. EXTPA011DtP4ARY. OR
SOURCE.
I CERTIFY 'FUNDS
ARE:AVAILAB E I
: :
i: APPROVED
1:
1.1111:11,r:1
16.A.T.,
1
SIGNATURE OF PAYE I
OBLIGATION REFERENCE NO
;
',CHARGE ALLOTMENT NO.
' ,
I3125-1.3904902
'
I
;11
DATE
1
,
SIGNATURE
I ... Ir
OF
GOTTI.
APPROVING
I,OFFICER.
ST,:
DC/T&)!!PAYmENT
IN THE IAmOUNT
REICE : VIED
OF $
DATE ! .!
I
I I
S
*TUNE' OF
�
AUTHORIZING
1
OFFICER
I
I
! CERTIFIED
FOR
PAYMENT
OR
CREDIT
II
DATE
I
,I
;'
SIGNATURE
OF
I
CERTIFYING
OFFiCER,
I
I
!!OATE:! !
'11
SIGNATURE OF RECIPIENT
HSPACE IBELOW
FOR
EXCLUSIVE
USE I
OF
FINANCE
DIVISION
PREPARED BY
-
REVIEWED
BY ! !
,
1- . 1
I
VOUCHER
NO
7.12
CRIPTION.ALL OTHER ACCOUNTS
13.33
,.�, ;
' %we"
'''' --
FRO,. NO.
40.41
txrcmiculco
cope
,
43
1
I
45.4B
lik" 1
PER'
LIO.
' 47.12
0.LVII.1-
�AOVANCIE..
PPS.IYtI!tt
(MPH NO .
53
-
CA
I
4:.:;LL-
1 ,
--L-AL.Lal.rpoesT:'.
50-57
.'4T4
0.70
*0-
SecT
CLASS
71.80
AMOUNT
'-
s....,,,
DESCRIPTION-ADVANCE ACCOUNTS
13-27
'1;:ifilX.X
.
ekmomeEmmo
. .37'33
! eve
loiLE:Gctv
ACCOUNT
I 1.
'1140.
' II , ' I I
I
I
a?
Cs. me.
--T--7--
X etr. ! NO.
1
DEBIT
CM D
r Roster No.
1:f
CODE
�
1
..: I: !!:
1
' .1,,,,,�ii-'7
;2'4
v1^l ' -r-
1
'
v ,y -,�
;T. r; r: r!. -4.-7,
1
R.�,
, _
. ., ;
�Ii� -
., . .1
!:
,
�
.!,...1
. ,
...�....---
-1,. �
.....,.�...., .
.
�
.1 . .1
.
1
! TOTALSi: ..
. FORS! ,,ALL est PREVIOUS
6.59 A.'-' EDITIONS.
ENO 7
(When pilled In)
REIMBURSEMENT VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT
lintirtal= Sub 140
CHARGE TO ALLOTMENT OR PROJECT
3X2,..1290,4902
VOUCHER NO. (Finance use only)
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES. OR OTHER EXPENOITURES ITEMIZED BELOW WHICH ARE PROPERLY�CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
DESCRIPTION OF EXPENDITURE ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AMOUNT
Payment for Xnvoi.ce # 21 for the period 20 September
1963 tbzu eb.r 1963, Th. Subproject 240 per paragraph 117-D of the IIKOLTRA
Fiscal Annex. X certify that to the best of my knowledge and belief the amount shown
nes been disbursed for Agency authorized activities, and services or materials have
been received. The documents upon vilick this statement is 'itiascodl we maintained in
the files of 1'S:0 for security re 4 will be made /lab]. to t certifying
officer at Ms request.
11'
Pis forward cheek to CiTSD/233 titre TSDAXF no later than 26 December
i
I r
I CERTIFY THAT THIS youcHER AND ANY ATTACHMENTSIARE,coNacT. THE
EMERGENCY! NATURE' 'ORIENT CREDIT RAS NOT BEEN RECEIVE�. ARO
-
EXPENO$TURSh WERE NCURREO! ON OFFICAL BUSINESS
SHALL NOT 10',,REIMOURSEDIRRom ANY 'o HER SOURCE.1
,1
OF, A
CON! ,BENT AL.
EXT AoRBINA Y. OR
1,1 CERTIFY FUNDS ARE AVAILABLE
APPROVED
OBLIGATION REFERENCE
NO.
CHARGE ALLOTMENT NO.
DATE,
!
1 SIGNATURE OF AUTHORIZING OFF IC
,
PREPARED El?
DATE SIGNATURE OF APPROVING OFF CE
/ 1214/63
A2/97461' =ropy norrt.res. PAYMENT RECE VED
CERTIFIED FOR PAYMENT OR CREDIT INTHE AMOUNT OF $
DATE
!SIGNATURE OF pAYE
DATE
SIGNATURE OF CERTIFYING OFFICER DATE
GNATURE OF RECIPIENT I
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
ILREvIERGG By
CRIPTION-ALL OTHER ACCOUNTS' 03-33
CZ-7101PTION-ADVANCE ACCOUNTS
13.27
� 2,6 . 33
?Apo.
34-30, '
STATION
CODE
PUR.ORWERNO4 PROP. NO.
* PROJCCINO.
EXPEND
'CODE
'p)DE
�
� a �
!UAW,
1
,A6.46�
PAY
PER.
U O.
CODE
DIALOG.
REF. NO.
.ftccelerma.1
4000P.I No.
531'
CA
YR
GENERAL
LEDGER
AccpuNT NO.
VOUCNER
!
0
1.! 12
55-67
. _
ALLOT. OP COST
ACCT.INO.
54-70,
DUE 0;
DATE I
62.67 ".1
tR. No.
JECT
X RU. NO. CLASS
AMOUNT
COCOOY
;6
, �
, �
. � �
�
�
TOTAL
FORM wsw Portpwous
4-59 �-v-rtourowws.
01490
.0%
(When kiIed In
'
NAME OF ADVANCEE
OATE .
AMOUNT
45.1.5
voucNEN No. (Finance use on y)
REQUEST FOR ADVANCE
10Z171,TRA.- 0 i40
16 Soptorbeer ILAMI
� OF FUNDS PAYABLE TO ROOM
IL,See kttactked palm xe_itnint, 131
!WILDING
,
TELEPHONE EXT.
,ipuRposE
Advance to =ULTRA 140 invoice 0 10 for activity appoved
Accounting for this advance will be in accordance with
.....
�
.1,..,
I - Ps forward to '. rou TS1D n later
by Chief, TS1D on 15 March 1962.
Attachment A of 19E01.11%A Fiscal Annex.
th2n 27 September 1963
�
1 prArrus OF OUTSTANDING ADVANCES
I agree that I will fully account for this
to the reporting point stated and by the
any unexpended balance, I authorise deduction
advance
due data
by au lesion of voucher' and refund
checitedbelow. in the entente/my failure
lhowlroyl celeryl to effect settlement,
of any unexpended balance
to so account and refund
DATE�
AMOUNT IA u T
MAC T DB e
REPORTING POI I1'
1111
1
I DUE
DATE
If
1 1
�
FINANCE DIVISION � HEADQUARTERS
1
11
1
1 I
ON ARRIVAL AT 10ESTINATIO
ON OR ADOCIT I 1 1 1
1
I
0141111LT - ON ITHE LAST
ORXDAY OF EACH MONTH
1
1 I
11
I
REQUESTING OFFICER
APPROVED I 1 1
1 I 11 RECEIPT FOR FUNDS ADVANCE
DATE
I
SIG ATU E
DATE
/
siGNATURE OF APPROVING
OFFICER
I I
i acknowledge
under
receipt of lund:An
to b.beouve.e.dIforthaperpo
--------,
the amount elated here-
0 e Died and accounted for
1
I I CERTIFY FUNDS ARE AVAILABLE
9//id
snirrz Gomm. pc/
AMOUNT 1
051.IGAT1011 REFERENCE NO. !CHARGE ALLOTMENT NO.
CERT F IED FOR PAYMENT OR CREDIT 1
1
I I
1 r ST 4125-1390-3902
DATE
1
AUTHORIZED CERTIFYING OFFICER
SIGNATURE
OF ADVA CEE
I
1
DATE 1 SIGNATURE
11
1
1
1
1
1
., t FOREXCLUSIVE0191 USE QF FINANCE DIVISION
ew
PREPARED BY
Ermri
I
ot.ryo 7ily
I
I
VOUCHER NO, 7-12
DESCRIPTION-ALL OTHER ACCOUNTS 3-
34-39
i: 03f:ice
43
45.1A5
47.52
1
531
1
50-67
60.70
71-00
25.33 ,
..... ............. .
STATION
... CODE.... . ..
EgoENED
, u
PER.A
REF. p.i.lis...
1,54.57
GENERAL
ALLOT. OR COST
ACCT. NO.
,
DUE 1
DAVE
AMOUNT
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
P.O. MO.
..... �� "Iii.
PpOP.00.
.. -{ '
I 1
ILlo,
AW1,4.RIro. �
C:
LEDGER I
'Ago-. NO.
42 67
611-.-69.
084E47
PROJECT NO.
oft.
s
co,ocE
MI.
0,
11
x Re,. No.
CCASO
049117
CMCOOT
1 1 1 1 1 1 1 1 i
1 1 1 1 1 1 I 1 1 1 1
1 1 I 1
1 1 /
[I
11 1 11
,...
�CC
631
..... 3.*gY)
1
1
I 1
I
I 1 1 1 1,1 1
1 1 1 1 1 1 0 i 1 1 1 1 1
1 I 1 1
I 1 1 1 1
-,.
,'
r
,
1 1 1 1
1 1 1 1 1 / I 11 I 11
1 1
111 1
e.,�,
�
I
o
1 1 1 1 1 1 1 1 1 1
1 1 1 1 t III! III
1
1 1 1 1 1
�
'
a r
1
,----11----
1 11 . TOTALS
111
il
i 1 I
11
i i
FORM
5-00 401 USE PREVIOUS
EDITIONS. '
*US GOVERNMENT PIFINFHIG OFFICE IEEE C1-4,11W411
NAME 'OF ADVANCEE DATE
"
1963
AMOUNT I yOUC HER P.O. (Finance uae only)
3,OOO.CO
REQUEST FOR ADVANCE
junrcrntvi io II jvCiz'
OF FUNDS
PATAOLE TO ROOM '1 IBUILDI G
I
, . 1. � ... . II
TELEPHONE EXT.
puRposE G �
I Advance to Ii=1.72A. 2710 io.c., 9 for activity approved by Chief, MOD on 35 March 19(2. Accounting for tlast
ektvance vill bo in accordinIce vith Attachment A or 14MI7JZIA Fiscal. Iumvez.
..
tbe , no later. elan 22- aily � 1961
, I . � ( � I
STATUS OF OUTSTANDING ADVANCES
� ,100, ttildie )I will fulir account for this advance hr subssission of vouchers and 'eland of say onespendeed talents
; (to the, roper int pein6 stated Anti 110. cIfie411 re dots eheckod �e,gew1. in the Swent *far failure, to so account. and refund
!jetty igenserpi tided Wanes, i suillarktO educ .lon) from sho sailer," to of lode �.tt).aant...
DATE 1
AMOUNT UNACCOUNTED R E
I ! 1111111111111""R" POINT II1 ! PH I HI III( I I DUE, BATE I '
) NANCE! VI ON 1.4EADOUARTERS ,
/1
1 1 I
1)111 )Ii1i ,, 1 1,,NI,1 ARRIVAL0 AT DESTINATION
1 I OR ABOUT '' ' I' ' I I I I I '
MONTHLY 1 *1 ON THE LAST', ) ,
II I'l 111Ij I I " 'II 11 'j I I 1 11j1 101 a
'I III ilm'Il DAYN rJ E.0414, MONTH 7
, , ,1
, , , , 1! ,�
REQUEST INO OFFICER
I wi,AFTR �E0 q !I 'PH' 1
1 , ,
1 IH' kREC V'THFO HFUNDS AOVANCED I
DATE SIGNATURE .0
! OATE 1
s I PO U E OF JAP OV I G; OFF 6C re/ ,
hicirro%!leefre receipt of funds; rn the se sunt stated hers.
under , to, be used , for rhelporpose lot shed end accounted for
shove.. ," I,
CERTIFY FU I 1
1
' IZ..-....) j
.'Shawn
rfr"i ''
OAT2 1 lj ;
IA UNY, II
)1
!
OR 'CATION PEFELCUCE NO. clA0,,,r .q.,,,,r.10.rf 2
�
ERTIFitED FOR IF' YMEMT OR CBE() T i 10
)
i 6 79:1".5.-.,e.-..,;.94'
1.9:/7 i 'IT, 1.1.
(3;3291
..,0467-7,1-- :,
A OR I ED CERT ITV I G OFFICER I / i'1 S NATI) OF I DYANCEEI j1 0
ATE
'SIGNATURE
II 1
1 I
1 1 1 ! ill 1 j
---------...... SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVIS Or' I
6, /ANED RV
, REVIEWED -RV" ' � -- ' ...
f
,-
VOUCHER NO. 7-i2
I ' I
1 I
DESC IPT 0 - LL OThER ACCOUNTS 13.33
34.36
40.42
3
45.43
47-52
...
54- 57
!GENERAL
SO. 67 66.
ALLOT .1 OR1 COST V E
ACCT. olio. , DATE
AMOUNT
�
. Descrt i PT I ON-
ADVANCE ACCOUNTS 3.27
.
0.0. .io.
STAT ION ,
CODE ,
r.o...o. ,
-'�'1�'1--
EXPENt
CODE
F
u
"
Pr11)
'Ell
LIO.
021L IG.
NEW. NO.
*inre Alec c
AecT. us. -
7'
,
'CO
), "
LEDGER
ACCT. 1, NO.
'
62-6
...(.4..).�:.
,),,p1. ko.
7
"'CC /
6 s s
�tele
CRE61/ 1
132.33
,00,
0090JCCT090.
'
1
CODE
�p,. NO.1
1
9 9 t i 9 II I
1 i l'
t t 1
I 9 I
I i
I
1
r.
111 :1 '.1.42aCt I .."' ..--r ' '''-'1
'
1 1 .1 It 11 III 1 1 1
I 1 1 1 1 1 1 III It I
1 It 1 1
III 1 1
,I 1 i i."-
, 4 t: ',
1
1
1 I 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1
1 1 1 i
1 1 1
1 1 I 1 1 1 1 i il 1
1 1 1 1 1 111111111I
1 1 If 1 1
1
1 I '
1
TOTALS
1
FORM
5-30 LO I use PIIIVIOUS eojT
0/
U.S. GOVERNMENT PNNT4NG OFFICE
Cost Accotult 4.4a5-13 I -
Date
Remarks and Referentes
lYttas
8 vra
nwei.
"1963
ZOFir �tr
Obligations
Incurred
Object Class
Obligations
Liquidated
unliquidated
Balance
Larat__ALLS 006.12t
Akki
'I
tf
�1'
i
of
86,006.6a'
/000._041 /9/ CO.c..c.so
1500.00 1 Z 50.o. 00
07567 7A 1 ?3,1. a?
3.oci0,06
.35oo�_off 2, 939. 22
35`foo. co
ev lit .3g. V
/900_00 3
3Z.2.0
----
(Vh n Filled In)
trolisr
ATTONION - Dkr1.61cal
SUBJECT MAU-) klYprdjoeu 140
- t4sch,.1.36
Ux&r tte tkutbority gted In tha Ud 13 April 2,93 .
TIN= the Eci to tNo._ DD e.ad tha extezloicn. tbAs .13-c,TI:sx',.ity
r.,airloranda;- Suritt-o,Wtt 140.... hastc &d ,S40, oco
-
of the ow:r-ell, Project:.140PRA funds- tWA,0 bezIrs1 hItc1 to covor tbs.
subyroject's ses eAd sltoo1(.1 01.,...-Kre',a-elto ot3t, 21-J 390.3902.
Distributital:
Orig1n$1 4 2 - Adiresszze
1 CE:MFY T: .\r
ocuaAipli-a:t.-Wrrp 41.1
Vioct jo Attc46.4 U. te
V:4747.4n.itIG OFEICE2�
(When Filled fn
;VI
[
REIMBURSEMENT VOUCHER FOR PURCHASES AND
NAMEOF CA AT
VOUCHER NO. (Finance use only)
, OTHER THAN PERSONAL'
SERVICES
,
CHARGE Ty 0 0,J CT
MKULMIA 1
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS. SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED:,
DESCRIPTION OF EXPENDITURE � ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
A LO T
payment
XV'
X
' Agency
.. &hi-
availaile
pr
D of
certify
-tatement
2.5 forward
the 41-
authorized
1 is
to the
1
1 �
check
1
1 st
activities
ballad [
Ce
, ,
,
to CiTSD/ICS
Amapa,.
1 of
taaintsined
:
ay
1 1
land
Officer
tbru
knowledge
1 services
won
TSD/?2
in
bile
and belieft
or ne.terial
1 the files
request.
o later then
Iclub-pro,ject
have
or 70:11
1
been
for security
11
JU1y11963
#940,
shame
receivedol
as
Xavoice
moons
ta. nig
The
I
1
#8,
been
1
documents
nod
1
1
per
vil1
11
parseraph
disbursed
for
on Vhich
be sekdo
1
I CERTIFY THAT THIS VOUCHER AND ANY
EMERGENCY NATURE PAYMENT OR CREDIT
ATTACHMENTS1 ARE
HAS NOT BEEN RECEIVED.
CORRECT.
WHO
/MEI EXPENOITURES WERE INCURRED ON OFFIIAL
I SHALL NOT BE REIMBURSED FROM ANTIOTHER
BUSINESS
SOIJRCE
OF A
CONFIDENTIAL.
XTRAOR INARY. OR
I
I CERTIFY FUNDS ARE AVAILABLE
I APPROVED
DATE
S GNATURE OF PAYE
OBLIGATION REFERENCE 0
1747,
CHARGE OTMENT NO.
1
1
DATE
SIGNATURE OF APPROVING OFFICER
gl I Uri IQ/ Sigad by 1
1 1
17 ihtate
'63
2125�11*-.3902
._.2_21N 19631
PAYMENT RECEIVED
DATE
SIGNATURE OF AUThORIZING OFFICER
CERTIFIEO
FOR PAYMENT OR CREDIT
IN THE AMOUNT OF $
1
I I
atia
DATE
SIGNATURE OF CERTIFYING OFFICER
DATE
SIGNATURE OF RECIPIENT
SPACE BELOW FOR
EXCLUSIVE USE OF FINANCE GIVIS ON
0.0iRED BY
REVIEWED BY
VOUCHER NO. 7IZ .
I 13..39
: . ... DESCRIPTION � ALL OTHER ACCOUNTS
40.42 5.44
I DA-I
Y
ExPE"
47-52
OBLIG
53
54.57 59'67
ALLOT.
GENERAL
LEDGER
VP:
40.70
DOE .
71�60
AMOU T
DESCRIPTION � A/P ITEMS 3-33 I �
BIER...Intl-1"h
Lig)
CODE '
OOVAUTCC
...t"F57:
LEDGER 1
......W5..
62'67
OBJECT
CREDIT
I PAYABLE
.. DESCRIPTION � ADVANCE ACCOUNTS 3.24 I VOW. NO
CODE..........
I
kotly. .0:
CMP.000.�
.,- ..ACc7.
N
44. NO.
. .....
CLASS
RiteiT
1.� 1 1 ' I
I
M
11
I I ..gattirt
%*1
ENT_ 12\1_ ,Km
nu
..1'-r rn -
� , I ,-r EdEi
VEI D.
.
I
FORM C NO54 O. att
0,. ...., .sc .Evroo � c.10... (4 0) ,
...1 OE . .... .
������
.
'.REIMBURSEMENT VOUCHER FOR PURCHASES AND
5 SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT
,.
HAR47. f
-........� WITTE& 3)10
VOUCHER NO. (Finono� roe only) �
. .
REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS. SERVICES, cr: ":/ 0-4;0 C..s.P F.f.19 I TURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE To THE ALLOTMENT OR
PROJECT DESIGNATED
DESCRIPTION OF EXP ENO TURE � ATTACH RECEIPTS . D OTHER SUPPORTING DOCUMENTS AMOUNT
payment
IV y of the , I
2 (certify that
* AgencY euthorizel
-...N
this statement
avat3ab1e to the
I
Pis forward check
1
*
to
is
16.6C04.
the
activities
lamed
Certifying
to
-
best of ay knoviedtv
Anti servicals
are saintainein
offs,
1
CITSID/303 thru./sr
_
semi belief
1
or materiel
the files
we WA remAtim.
1
no 'later 1.thart
.
anhaiwojeet 113.40,
-
the segotmt shown
1
hemim been received'
1 1
of 1,=0 for oecurity
3. July 3963
7.nvoice
as having
1 1 . The Idemsents
reason*
#8, 0z
been
emi vill
ansgraph
410bureed.
amp=
be
.
for
1
vhieh
1
I CERTIFY THAT 'Nis
EMeRGENCY1 NATURE.
VOUCHER
PAYMENT
AND ANY ATTACHMENTS 1 ARE
OR CREDIT HAS NOT BEEN RECEIVED.
CORRECT.
THE' EXPEND I
AND 0 1 SHALL NOT
TURES
WERE INCURRED
BE REIMBURSED1
ON 1OFF
FROM ANY
I CI ALI BUSINESS OF A CO
OTHER 1 SOURCE.
F I DEN T I AL . EXTRAORDINARY.1 OR
1 1
CERTIFY FUNDS
ARE AVAILABLE
APPROVED 1
DATE
1
17 .1�une
SIGNATURE OF PAYEE
I
OBLIGATION
,
REFERENCE
NO.
CHARGE
2323-33100-3902
ALLOTMENT NO.
DATE
I
SIGNATURE PiErgntkOyALACGOFF CER
Sidacy tottiet) i
EIXDSZY COMMINP, Da=
PAYMENT RECEIVED
IN THE AMOUNT OF $
DATE
SIGNATURE
OF AUTHORIZING OFFICER
I CERTIFIED FOR PAYMENT OR CREDIT
DATE
1
I
SIGNATURE OF CERTIFYING OFFICER
DATE
,
SIGNATURE OF RECIPIENT
1
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PAR 0 BY I
1- '''../../ *7
REVIEWED BY
.. ..
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"- � " . ,7 ''
13� 39 /V
DESCRIPTION � ALL OTHER ACCOUNTS
T-
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1846
PAY
A7� 52
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5
04. $7
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H 1
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11 11
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FORM NO.
264 omgrsous coorsons,
EIEC 56
..
NAME OF ADVANCEE
OATE
20 Nktrelt 1963
AMOUNT
431.500.00
,VOUCHER NO. (Finance u" "119
liEOUEST FOR ADVANCE
3.140
_Mr=
OF FUNDS PAYABLE TO
jklea mettedited.
ROOM
119 _J
BUILDING
TELEPHONE E15'(,. .
1111111.1�t�
PURPOSE
AWtwarics to 1613=14 1k3 SArrate. IP 7 for stettvIta
alwauta v1,31 la In fiarleardanere "filth Attacbuten;
PI* ittrword, tit* awe% to CMOS throznbilt121:03?
,
iwprovsest 167 Oilier
A of.14=f2kriscal.
no 3
67:F.77---
T3b ot 3,5 *rob ;042. Aceourttlrz for tb1c
Amex.,
,
isoril 1963.
- .
STATUS OF OUTSTANDiNa
, !
ADVANCES
1 !
I agree
2.0.W405,40
coy
that
unexpended
I will fully
t10045414410o2parism*
balaneel;Z'antihorealIdoiduationl
memorit
for this
the thin
advance
Sato
checked
From
y auhiei., too of vouch.ri and re hind
hefow:.! In the event ()flay failure
Ieatery Min I feat tmettleannt.'llII
of any uneapendmi
to se Become
I !I
Walter
and "fund
!
DATE
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receipt
underMa be 11,00 01
is /Menu& above.
for
Of
A+1,41.40.4Nmwo!
fund,
in MC IMIOURIt
elated and
stated
crounted
here.
for
9,ATE,.
'
AMOUNT.,
I CERTIFY FUNDS A AO LABLE 0 I
:. II
�
OBLIGATION REFERENCE NO � I CHARGE ALLOTMENT NO. I
I22254390�3902
7 1 CERTIFIED
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I
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DATEII:
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51 51
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,
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, DATE
SIGNATURE
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SPACE BELOW FOR EXCLUSIVE USE OF, FINANCE DIVISION
1
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REVIEWED BY I I
VOUCHER NO. 7�12.
1 ,
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3.4.39
'
40.42
43
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47 -� -52
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53
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54.47
'54-57 , ALLOT.:
GENERAL I' IVACCT.
OR COST
NO. �
40.70
DUE
DATE
71.40
AMOUNT
DESCRIPTION. ,
AOVANCE ACCOUNTS 13.27
24- 3
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STATION
CODE
,
PROP
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USE MOE OUT EDITIONS.
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FOR ADVANCE
MOTE: Follow Instructions on Reverse
SUBMITTED BY , VOUCHER NO. (Finance "8 only)
%r 1O t1
PERIOD OF ACCOUNTING
FROM
11-71"1" 19(3
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21 Pebruery 296�1
RECEIPTS
DISBURSEMENTS
I. CASH ON WAND BEGINNING OF PER OD
133111111111111111111111111111111111111111225iiiii:01111111111111111111
' j2"' Rata DATE �
. DATE
DESCRIPTION AMOUNT
.
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. th.
,
2,41 - i.
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the
....-.04,,tF!..4.. ._.4' .
th4 14'
1 113 teeed cro
TOTAL EXPENSES I I
$3 � �-�
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38.
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II APPROVED II
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0 theR:1 the expenditeree hated hereon and
1 I
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i A
NO.
CHARGE ALLOTMENT O. DATE
21#254.119a.3332�____H_
,
SIGNATMc
OF APPROVING
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1
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n
:Rxe601
end
e d for
;hat
received,
correct.
of0eAsit !purl
payment
and ::!theelt
' I
-
0,
DATE
SIGNATURE OF AUTHORIZING OFFICER IjjcERTIFIED
FOR IPAYMENT IOR I CRC()
T I
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Of
PAYEE
H
J
DATE
j1
SIGNATURE!
OF CERTIFYING
Jj
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1 '
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II
SPACE BELOW
FOR I EXCLUSIVE USE OF
FINANCE DIVISi
ON
I
1 I I
PREPARED BY h
I.
REVIEWED BY
11:1
i
11 VOUCHER NO. 7.12 ll
' OESCRIPT 0 � ALL OTHER ACCOUNTS 13.33
34.39
40.42
43
.65.445 47.62
54.57
ALLOT
56.47
ACCT.'OR. NOCOST.
60.70
OUE
DATE
71.00
AMOUNT
1
DESCRIPTION . ADVANCE ACCOUNTS 13.21
28.
T.
PO
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N
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FORM 282
6.61 USE PSIYIOUR EDITIONS.
:
1
_ ..
�
I
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(I) 1
28- 33
T/4 No.
.0. *0.
SPACE BELOW FOR EXCLUSI'
REVIEWED BY
I 1
40H42
EXPEND
cobEL.
NAME ADVANC E
DATE
AMOUNT
VOUCHER
NO.
(Finance
use only
REQUEST FOR ADVANCE
OF FUNDS
21 ra/rMtilli 34101
$3150/0000
TELEPHONE EXT .
PAYABLE 0
t tobt0414 pyrsmal�
ROOM �1 BUILDING
319
PURPOSE
' N
Advance to MISR& WO laoradee iNS Zoe activity approved toy ateLlero Imo .02
44:71040* ar113, laa n actecadanee 14.10a Attaabsent A or .14KM3A Yiscal AMICIOX.
STATUS OF OUTSTAND NG:ADVANCES
DATE
AMOUNT' '
UNACCOUNTED BAIA CE
)nth 3.962. Accecating for VA.
zatar then -18 retp *63.-
h
I 1 I
to the reporting gmiet stated and by the duo; Witte checkertbelow. gn the event of ary fisigure tolls� account and refund
agree thist eili fuggy, account for thin adv7ce lby submission of vouchers and refund of any unexpended balance
any unexpended balance I authorize deduetton from rnyi eel/aryl to effect aetilement. III I 11 11
DUE DATE
1! REPORT i NO ' PO I Nr '
I "
ON � HEADOUARTERSI
ON ARR ,vBLIBT,GEST,INAT ONI
om AsouT L'ir
MONTHLY,!'!, ON �THEIIILABY
WOREDAY.DFIEACHHMONTH
1
REQUESTING OFFICER I
APPROVED
,...,..7-1
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DATE
'i;
S I GNATURE 1
1
DATE
S I GNATURE"
OF ,APPROV NO
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, .I
1
acknowledge
' under
ON
receipt of
1 1 1 Il , 1 II
Ii0 bebeliedlror the
MilOWII above. 1
fund,
1
purpose
1
in the amount atm
1
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ed here-
for
li Itilh
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FUN ... A Ai Au E
15 -
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DATE
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OBLIGATION REFERENc,S, NO .
CHARGE ALLOTMENT ' NO.
CERTIFIED
FOR PAYMENT OR CRE II
I
6 S4
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DATE
11
AUTHORIZED CERTIFYING 0
F ICER
1SIGNATURE
1
OF
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1
0
1
1
1
1
1
DATE; I- SIGNATURE
11
1
1
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DESCRIPTION-ALL OT
ACC
13-33
DESCR *PT ION.
ADVANCE ACCOUNTS 13.27
34.39
STAT I ON
CODE
PRO..NO.
132.33
Ito v. PROJECT 1.0.
3!
49.
PAY
L110.
CODE
d
4792
REF. NO.
()BIAG.
I 153
1
A0,0A�ftc:x* CA
it..50.4.1vt,.. Yn
mod.
54-57
GENERAL
LEDGER
AC:?1 T. NO.
SECRET
IS
VOUCHER
50.07
ALLOT. OR C
' ACCT .1 NO.
�
�
0. 7.12
- 70
DUE
DATE
4
62�67
"..4CT
'Ct*1,4,6
o o
TOTAL
' 71.50
AMOUNT
GOVIERNIMENT PNIWIINO 0ItICtr 1955 0-549043
CREDIT
(When
In)
ACCOUNTING BY INDIVIDUAL
FOR ADVANCE
'
I NOTE? Follow instructions on R
SUBMITTED BY
1410/04131A *Ito 3,160. 5
VOUCHER NO. (Finance use only)
PERIOD OF ACCOUNTING
FROM
2.1 1poremOber 3.962
TO
.r Juuazy 396
I RECEIPTS
DI SBURSE ENTS
CASH ON HAND BEGINNING OF PERIOD
3VOuCHER.
DATE DESCRIPTION I AMOUNT
1.3.
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.V6..0 .'..1 020 0
2'eNEUCMCBilW
DATE
DESCRIPTION
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S' .6.10 6.6 I
I ' TOTAL ACCOUNTED FOR I I
S 6 6 .
I I CERTIFY FUNDS ARE AVAILABLE
APPROVED '
I certify, that the expenditures listed hereon
and
OBLIGATION
I
REFERENCE NO.
CHARGE ALLOTMENT NO.
1
4POtt3,10P.-
DATE 1
1
8-
.
AU 1363
SIGNATURE OF
szcogersamapojern4,!,,,
APPROVING1 OFFiCER
on any attachments were incurred for lofficial
poses of a confidentiall nature. that payment
credit therefor has not been received
is accounting is true and correct, ,
puy.
Of,
and that
ATE
SIGNATURE
OF AUTHORIZING OFFICER
CERT I F I ED FOR PAYMENT OR CREDIT SIGNATURE OF PAYEE
DATE
I SIGNATURE I OF CERTIFYING OFFICER
1
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
REVIEWED BY
:VOUCHER NO. 7-12
- ,
. DESCRIPTION � ALL OTHER Icouters
90-02
XPENO
I y
ER.I
' 47�52 53
oeLIG
t4EFI� ti 9 Fl
56-'57
GENERAL
59R7
ALLOT: LEDGER
T.
!T.'.
68 70
DUE
I
71-80
mouhT
I , DESCRIPTION � A/P ITEMS 13-3i * : 36.39
CODE
110
s .
Wc..70iNct 11
VIF1
LEDGE
Accr NO.
. ....c-...7..
II
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62 67
010.0 T 1
: PAYABLE , , i 11,1
DESCRIPTION � ADVANCE ACCOUNTS t3�74
CODE
'A:vActIT7:10g1:
,
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1
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,
x 000.00.
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FORM 282 use PRESIOUS
6-57 cosTrops,
ACCOUNTING BY INDIVIDUAL
' FOR ADVANCE
NOTE: Follow foist uct ons on Reverse
SUBMITTED BY
nic=ifkikkitith")yta-C
To design and conduct controllod experiments
involving pharmacological and clinical tests
in humanvolunteerS.
Test facilities are etalablished.__Bource:.of_volunteers
is assured_and_a_cover_program has been initiated. Preliminary:_
phases of studieS-inVelVing marking and identificatitiii:oVindifidtills
and clinical testing-of-behavioral control mate-TWO have_heen.com,
plated. Programs have_been.deeighed-to carry the investigations
further.
Requirement:
Internally gonerated in TSD.
Washington; D.C.
Dear Sirs:
This is to request your consideration of a rant
+0,ject_dealingivith
The project had been n operation for:two-yearCs Objectives
and present findings are outlined in the enclosed progress _report-.
The proplosed-annual budget is as fcllows:
Salaries, clerical, statistical, 5ecretAri8l--$6500.00
2000;00_
2000.00
Mileage, Travel, Telephone- 2000.00
Expendable MattYiaIs---
Sutctst Fees
Iteilrance
AnalYtical Lebbratory�Ctets
Administrative cost of above-items, _ 1500-.00
Professional Services and Tethni01
COnsultations .
500;0)
2000.00
5000.0�
Tbtal .$5500;00� _,
Thank-yowfor consideration_of this-proposal:::
Proiessibnal Services Rendered
Dor period January 281 1964_to
March_16) 1
RECEIPT
Receipt is_hereb �acknowledged of Treasurers_
Check_ dated A ril 8 d a
on the
payable_
amount of
. � .
REEHBORSEmENT VOUCHER FOR PURCHASES AND
E OF CLAIMANT
straiimA Sub
VOUCHER NO. (Fi.nance uae only)
.40
:-
p . ,SERvICES OTHER THAN PERSONAL iCHARGE TO ALLOTMENT OR PROJEC7T
2125-Iaf12242A)2-_a___
RElmOURSEMENT OR PAYMF CLAIMED FOR MATERIALS. SERI/ices, OR OTHER EXPENDITURES oTEmizE0 efiLow WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
pwoJEcy. oFsIGNATED.
r.!DESCRI�TION OF EXPENDITURE . ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS AMOUNT
4064,..t
. ,' !,'Fincial
"Ass
loam
--'4,theo
-cdficers
....herersa.--.2-coriti
IWO%
received.,,
ttiern
It
disbursed
of
his
!Usti
'TM, Xer
reorest
, i
cheek
,
Sae
, decuments
, isectrity
1
to C/TIMAZItbrD
*44
-Oat
Agezcs
,
uu
-to---tbe-best-
aziltharize4
won
reamers,
�
u
V
,
ect
.9.pitiotpo
th�,
-
of
iriall.
olator
140
-iv
invoice
per pragripga
,--n
I.,
ute
be
than
013
tte
a .
for
,
,
,
a
bCd
'available'
,ril
the
IT
'
period
-D
lief
,
'1 1:Nr
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to
14
of
the
the
Sat.
210130477di
the
2
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out
=132A
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L
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.78
,
I CERTIFY
EMERGEMOYI'AATURE:
FTI.THAT THIS VOUCHER AND
F.
PAYMENT OR CREDIT
ANY ATTACHMENTS ARE
HAS NOT SEEN
CORRECT.
RECEIVED.
THE
AND
vo.Emoirruar,
SHALL
NOT
WERE INCURREDINCURREDdm
BE REIMBURSED
orrocom
FROM ANY OTHER
BUSINESS
Tounce.
OF
comrloom
AL.
EXTRAORDINARY.
R I
CXERTIVY FUNDS ARE AVAILABLE
I
,
APPROVED .
I
DATE!
'
I
SIGNATURE OF
PAYEE,
'
OBLIGATION
REFERENCE
NO.
CHARGE ALLOTMENT NO.
1 1
J1
,
DATE
1
SIGNATUREIOF
APPROVING
,
OFFICER
1
1
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PAYMENT
RECEIVED
;
SIGNATURE OF AUTHORIZING OFFICER
''
I I CERTIFIED
FOR PAYMENT OR CREDIT ,1
IN
THE
AMOUNT
OF $
,
1
,
1,
DATE
SIGNATURE
OF CERTIFYING OFFICER
DATE
l'
1
SIGNATURE OF
-CIPIENT
2 ,
SPACE
PELOW FOR
EXCLUS
VE USE OF FINANCE DIVISION!
,
PREPARED! Hy'.
''''' ' 1 ' "'''
REVIEWED
�1
,
Dv
1
1
1
1 ^
VOUCHER
NO.
.1
, JCRIPTION,ALL OTHER ACCOUNTS 13.33
SA.S7
5A67
4570
71.60
DESCRIPPT(ON.AOL;ANCE
....-rl'A�",,--..""'.."
lard
- -
EXPEND
FU
PAY '
lilikir '
00,17114
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ALLOT.
pACCT.,.MO,'
OP 'COST
uto5..1
AmpuNt
ACCOUNTS
'.� � ' .11,5- 27
r00.0010164NO
PROP. Oge.
coole
,
11.
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" X 04
ACCOUNT47MO.
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Professional�Services Rendered
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it oartify-thItiservices or q:aterl nave 6vik.a
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Recei.
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in the amourtt o
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500.00
I certify-that services or materials have been
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were incurred on-offU buainess
hvti /2. _
(;19!7'.FM777)
REIMBURSEMENT VOUCHER FOR PURCHASES AND
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.
NAME OF CLAIMANT
r A Au b 140
O� uCHER NO. (Finance use oni)) 1
CHARGE TO ALLOTMENT OR PROJECT
3r.7 1300-3907
LREIMBURSEMENT OR PAYMENT is CLAIMED FOR MATERIALS, SERVICES. OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PROJECT DESIGNATED.
., DESCRIPTION OF EXPEN ITURE . ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS
AMOUNT
T".".
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Payment
.1.9r2 thra
v�Z1 Fiscal Annex.
bean disbursed
N s
been received:
th.e files
officer at
PIS rward
8 January
I certify
for
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of T o
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that
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November
LIXULTRA
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1,
1 cERTIFy THAT I THIS VOUCHER AND
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ANY ATTACHMENTS
CREDIT HAS
ARE
mo/ BEEN
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CORRECT.
THE
,JID
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SHALL
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REIMBURSED
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NovernborI2, 1963
Professional Services Rendered
For period_September 10; 1963
to November 12 1963
.1�oeltif7ttt
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lora - inWr
A
Re ei hereby acknowledged of Treasurer's
�- 7 Dece
it _Amount of $3,500.0
Date
....
'REIMBURSEMENT VOUCHER FOR PURCHASES AND
,NAME OF CLAIMANT
wry:AI:pa. Ito,b viti
VOUCHER NO. (Finance use
" SERV ICES OTHER THAN PERSONAL
CHARGE TO ALLOTMENT OR PROJECT
100,
%IltE)mBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS. SERVICES. OR 0 EXPENDIY ITEMIZEO BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR
PleJECT DESIGNATED. ;�
DESCRIPT ION OF F.XPFNOIT P ATTACH' CE OPTS AND OTFER SUPPORTING DOCUMENTS AMOUNT
... .
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DATE
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DATE
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WOrir Fellow Instructions an Reveree
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TO
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RECEIPTS
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S
"43; R
DATE DESCRIPTION A OuNT
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Check
dated 20 September 1963 d awn on
ya 0- to
amount_of_S
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4., ..
� REQUEST FOR ADVANCE
,
. OF FUNDS
NAME OF ADVANCE(
1Y'& 140
DATE
6 septepter
ROOM
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BUILDING
AMOUNT
$3,,,socLan
TELEPHONE EXT.
2802
woucuEN mu. (Finance use only,
PAYABLE TO
irkatmattatemilkt
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:,...Advance to Emma 140 invoice
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will
.....
0 10 tor activity approved by Chief, ?SD on 15 starch 1062.
by in accordance with Attachment A of MEM= FISCA1 Annex .
, Maas TSpie= no 1ate than = Septeaber 1063
4�1
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STATUS
1 1 1 I
OF OUTSTANDING ADVANCES
I 1 1 I I I I
I .1000 that X wlil fully accounti for this advance
to She reporting point elated Nod by the due date checked
eny unexpended ballades. l authorixe deduction freatiret
byaubetiaeion of vouchers and refund of aiy
below. In the event obey failure to so
salary to effect settlement. t i 1
unexpended
account
I 11 I
balance
and refund
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4,40- 2
PmEVOQUISHEOOTIONS.
� GO 39�1
NT P41115,115 OFFICE II
9743
.4
September_10 1963
Professtoi'mI_Ser_viees Rendere
Porperiocniuty-11, 1963 to
Septembe-r_LO, 1963
tl.at St:1T
C'
e
vst
3500.00_II
_
1 tt.:0
Net',
_
too: /0
�.3
BEHAVIORAL-AC-TIVITIES SUPPORT�
gory Betv1oraI Contr2!ar4.s
-
:
_
al
F7:eject Title Crinic
o
To design -andcoduct rol ed experimentin_ involvin
pharuacologleal--:anA-Iclinical� es s_in human volunteer
r.
Test facilities are estao1s'e&Souice of volunteers is
assured_ and la _ cover_ program lia-g-been-jihitiated .
-
Internally-:generated_in TSD.
RECEIPTIII
is-hereby aoltnowledged of Treasurer's Check -
dated 1 A wn o
- MY-111; 1963
Professional Services Rendered
For period May 29, 1963 to -
July 11, 1963 $3000.00
'vox
oe ,
stvi, s1:4
-9.
-
_
s - - -
es
C,� t
AfIkr ?
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REQUEST FOR ADVANCE
NAME OF ADVANCEE
1411:31ntk lha
OAT
11 3
AMOUNT
.
VOUCHER NO. (Finance u � � IY)
� � OF FUNDS PAYABLE TO
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44"4.e.
03,2�.21aVIT:.:1 TOR; CrfSDIF
SUB SECT
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from thc DC 1 to ;he DD/A, and the exnsion oi=" thi3 r..�uroority in subsequent
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to coat cente:c 345,4390.390.2
I CERTIFY THAT FLIND5 ARE AVAILADLE:
CILIGA1IO4 XEIRENCi
gqARCE j
GROU1-)
Entclnde..cli:oin auto-
matic do,vr.gza,-3ing and
deolassiEcation
Branch__
Category -
Project Title_____CUS Item Classifica ion_
Project Crypto Crypto Classification tit*
Branch Project No. Project-Engineer
Contractor
Contract No. _ -Task-No
Type of Contract -
Cost
Purpose:
Status:
Date Initiated
ikkob
G3
Completion Date_
tfitnet eiSPO-4010041 ISVOIVing
WA WI tiStill itt MOM illiwittoors�
Seemo itotontsato
Vont Lottittedi
rah
MEMORANDUM FOR : TEE RECORD-
SUBJECT Subprojett 140
DRAFT
29 May 1963
1. The.pUrpose-of this subproject is to prOvide,for thel-coni--
tinuation'of investigatiOnal'programs involVing utilization of----- -
taimen volunteer-:subjetts and the cervices
2. This -program is designed tO explat
S.
and institUtional-faCilitiet-as veil as professipnalitmovledge in
providing-answerv.to:specific questions an soIbtions:-to specific
problems of-direct7interaSt to the Agency. This Subprojett-fl_.
permit the-UttlitatiOn of the professional servites_o
3. The scope services viii include the
following:-
Consultation with-TSD on programs-of-technicainterest.: -
1:)--Maintain an investigational cover activitysfor__
backstopping aMseT in conducting cilnitaVevaluation �
and_feasability trials of interest to TSD. i
�On-request, assist in designing experimental-
protocols and conducting, under controlled conditiOnsi-_
pharmacological and clinical -tests in human volunteers
ofSpecifidithemicelavtiothemicals, and bioloaically
active=materiale of direct-interest to the Agency.
d.__Perform. professional services on revest._
4. The proposal indicates the nature of-the-investigational
program being used for cover purposes. In additbarmacolog-___
teal and'Clinical-investigatiOnd_of Agency_interest_will te_con- _
ducted; these_investigations will encompass clinicalLtesting and
feasibility_teating of drugs affecting human behavior. -Other
activities-will-include as5ta4zent and-feasibility_studies_on_
covert marking systems.:SeriolOgical anUfluman blood group
identification-systems will be assessed to-dttermineltheir fees -
ability.
5.: The funds for this project villber transferred_directly.
will be reimbursed for expenses and-profesSional
services-rendered.
6. The cost of this program. for a period of:a*_(1) year _
beginnini 1 Apr11-1963-vill not $20,000.00. Oharges_should7-_�_ -
be made againstiAllathent No. 3l25;1390=3902_.
7, The_principalinvestigator vill submit-invoices and be
reichursed accordingly.
8; 'Lis not-antitipa -d that-any permanent evipoloAtYill-,_W
required for_the program.
9. rt-bas been agreed that documentation and_accounting for
travel expenses-which are reimbursable shall conform_to_acc_epted
practices.
10. It is-e.greed�that technical reports reflecting tbe pro-
gress of Abt--iictivities-vill be submitted at mutually acceptable
intervals.
11. bolds a Top Secret Agency approval.
Project viii_be_unclassified.
Distribution:
Original only
Attachment:
Proposal
TSD/Biologics1 Branch
TO:
Subject: Thyroid Research Project
Proposal for Renewal of Grant.
A summary of research activity on the Thyroid Rese rch Project
since March 14,-1962 is attached. It is proposed that this project be
continued with-the folIoVing budget:
Fees for Subjects $2000
Analytical Laboratory Costs 2000
EdableMatenialv 2000
Mileage, TravelT�ph�nLTI 2000
Insurance .500
PI�fe.ssional ServIces 11,500
$20,000
Mai--ch 13, 196
Professional Services Repdered
Yorperiod JvIttary 31, 1963 to
March-13, 1963 $3500.00
i_certify-that rervl PC _ 1Shi3ci
h.so
sat1sfaotdr5.77---:� lttures -- -
were
is ereby-acriedgea_of Treasurer's Chea
dat,ed A ril 1 drawn on the '
payable ;
e amovnt of
r-.
Branch_____PD
Project Title
Project Crypt�
.�.
Category tvjoci C
Pat ULTRA _
� Date
Item CIassifica
Crypt� Classificatio
Branch Project No N.A.
Contractor
roject_Engincer_
TaSkiNo
'
Type of Contract
K.KIJLTaA. � Date Initiated- -
march 1962
_
Cost_ 420,000. Cornletion Date
Caltinuing jrenewal March 1963)
Purpose: To design_arid conduct -diaTItlled experiment s__invialV14phar_macological=-- _
and ell ni-cailtestsiriA:urozn_volunteers .
Status:
Test facilities_are_esteblihed._Source_of_volun eers is ssured
a cover program�has_been initiated.
Ft0VIEEMNT SOUIICE:Internally_generated lii TSD.
` REQUEST FOR ADVANCE
OF FONDS
NAME OF ADVANCEE
102:01250A 910
DATE
20 Welt 1963
AMOUNT 'youcBER NO. (finance yea �off)
I
$3/500.00
TELEPHONE EXT.
PAYABLE TO .
....., . .
ROOM i SUILOING
-v.
p pRPOS
'
' ..,M.Yenal,
to ECOLISAI 301/143 Invoice # T for activitq
. � /Advance viii be In accordance vilitbi Attacbsent
.. is Forward the check to CitrAVIDS through TEOViEr
.
appxored, 1:T chief, Ts!) on 25 plaza' 194S2. ACCOUOUrig for this
A of riZOLVA. Pigtail Annex.
CO later then 3 41-13. 1963.
. . . ,
STATUS OF OUTSTANDING ADVANCES to
�I II I
agree that
the reporting
Y ltualti,e dad
I will fully account for this advance by subaismion
point stated and lop' the due data checked
halance.lieuthar se deduction fronvylOa
below.
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of vouchers and refund
In the event �fop failure
effect wet tiawent.I I iI
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II
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February_l, 1963
For_Professional Services Rendered:
December lltil_to_clate
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Chief
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RECEIPT.
Receipt is-aanowledged of Treasurer's Cbe041111111114dated
December 5; 1962 drawn on-tb
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Date:
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Please siva attached receipt and eturto.
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