PUBLIC VOUCHER FOR PUCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81B00878R001300150026-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 20, 2016
• Document Release Date: May 24, 2006
• Sequence Number: 26
• Publication Date: April 6, 2000
• Content Type: FORM

Standard Form No. 1034--Rovised ., .. r,_,- ,,_
C&npt Form r( Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150026-8 ----------------------
September 7 1950 0xlx'VICES OTHER THAN PERSONAL
j (Gen. Reg. No. 51, 9upp. No. 11)
(Amended February 20, 1952)
U.S. ------------------------------------------------------------------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Cive place and date)
THE UNITED STATES, Dr., Payee's Account No. ----------------
To -------------------------------------------------------- BairsLAt nic}--Inc ._____----------------------------------
(Payee)
--------------------------------------------------------------------- Cambridge__38, _ MassachusettB
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
schedule, and other information deemed necessary)
Discount Term*; INVOICE NO.
Coat
Per
Dollars
Cta.
6517-16
600
OO
6517-17
1,200
00
PAYMENT:
Complete El
Partial F-1
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Covernment
B/L No.
Total
17 800
00
(Payee must NOT use this space)
I certify that the above bill is correct and just and that payment has not been received.
Differences ---------------------------------
---------------
-----
(Sign original only)
Date -------------------- *Payee --- ------ -- ---- ----- ------ ---------- --------
-
-
-----------------------------------------------
-----------------------------------------------
---------------
- --- -
-----
- ---
t
.
Amount
verified; correct for -----------
O 4
T
Per -------------------------------------------- Title -------------------------------------------- (Signature or initials) -' ---------------------------------
Contract No. NY-B-3338 Date Req. No. Date
Pursuant to authority vested in me, I certify that this account is correct and proper
t Approved for $ -----------------------------------
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SIGN
ORIGINAL
ONLY
AUK _-----
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Contracti fficer)
Date --------------------------------------- ---- ---------------
ppro TEf1' REVERSE OF TH S FORM MUST BE EXECU D WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
I Check No- ------------------------ dated ---------------- -------------- 19_____, for $-------------------------------------- on Treasurer of the United States in
Paid by . favor of payee named above.
Cash, $ , on 19 Payee
(n'lev orieinal only)
? When a voucher is signed or receipted in the name of a company or corporation, the name of the person Per
writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: _________________________________________________________________
"John Doe Company, per John Smith, Secretary", or "Treasurer", as the case may be.
t If the ability to certify and authority to approve are combined in one person, one signature only is noc- Title -------------------------------------------------------
essary; otherwise the aonrovine officer will sign on the line below "Annroved for R------------------- ". and
over his official title. Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150026-8 10-22900-5
 Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150026-8
METHOD OF OR ABSENCE OF ADVERTISING
METHOD OF ADVERTISING
1. Advertising in newspapers Yes ^ No ^.
2. (a) Advertising by circular letters sent to -------------------- dealers.
(b) And by notices posted in public places Yes ^ No ^.
(If notices were not posted in addition to advertising by circular letters sent to dealers, explanation of such omission must be
made below.)
3. Without advertising, under an exigency of the service which existed prior to the order and would not admit of the delay incident to
advertising.
4. Without advertising in accordance with ---------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------- - --------- -------------------------- ------------ ------ ----------- --------
--------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------
------- - - - --------------------------------------------------------------------------------------------------------------------------------------------
(Here state in detail the nature of the exigency or circumstances under which the securing of competition was impracticable under 3 and 4)
NOTE.-The above form "Method of or Absence of Advertising" is to be used when purchases are made or services secured under
proper authority without written agreement in any form. In case of a written agreement (formal contract, proposal, and acceptance, or
less formal agreement) Standard Form No. 1036-Revised should be used for abstracting the method of or absence of advertising and
award of contract. (See General Regulations No. 51, as amended.)
Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150026-8
 Approved For Release 2007/10/23: CIA-RDP81 B00878RO01300150026-8
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