PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000100090159-7
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: October 28, 1999
• Sequence Number: 159
• Publication Date: January 6, 1959
• Content Type: STATEMENT

Starult,x,1 Z+'omt No. 1084-R cvised
Form prescribed b
D. O. Vou. No_ -------------------------------
Cc_
,~ , 4.For Relea s&M ] 1WEQCV M
00100090159-7
(Gon. Reg. o. Cl, Supp. No. 11) SERVICES OTHER THAN PERSONAL
(Amended February 20, 1962)
U. U.S. -----------------------------------------------------------.--------------------------------------------------------------------
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
(Give place and date)
THE UNITED STATES, Dr., Payee's Account No_ ________________
To ____________________________________________________Lockheed Aircraft Corporation
--------------------
(Payee)
Burbank, California -
--------------------------------------------------------------------- -------------------------------------------------
(Address) (City) (State)
No. and Date of
Order
Date of Delivery
or Service
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
schedule, and other information deemed necessary)
Discount Terms Invoice No.
11-19
12-12
PAYMENT:
Complete ^
Partial ^
Final ^
Page 1 of 1
Shipped from to Weight Government B/L No. I Total
I certify that the above bill is correct and just and that payment has not been received. (Payee must NOT use this space)
Date -------------------- *Payee --------------------------------------------------------------------------
(Thi. oortifieato not nquirod wbou a like oertificeto ie medo by neyeo on attaohed bill or bi1L )
f Approved for $ -----------------------------------
SIGN
ORIGINAL
ONLY
-----------------------
icer)
Title ---------------------------------------------------------- Date --------------------------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
STATINTL
Check No- ________________________ dated ------------------------------ 19_____, for $______________________________________ on Treasurer of the United States in
Paid by Cash, $ on 19 Payee . favor of payee named above.
------------- -- - .-~d-y-) seininel only)
------------------------------
-----------------------------------------------
Amount verified; correct for -----------
2..347
93
6:396
33 `V
8, 71+x .
2-6
---------------
---------------
---------------
*When a voucher is signed or receipted in the name of a compan or cor oration, the name pof~ thperson
116 0
in the py~ qq ~gye~~a ~}}~~ @@~~pp~gei qq~~ ttY%Ar- UORO-0010009-0159-~ --- -------
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t If the ability to certify and authority to approve are combined in one person, one signature only is nee-
essary; otherwise the approving officer will sign on the line below "Approved for $------------------- ", and Title _______________________________________________________
over his official title. ]r--22e0e-15
Contract No. SP-1917 Date Req. No. Date , Invoice Rec'd.
 Approved For Release 2000/04/12 : CIA-RDP64-0036OR000100090159-7
METHOD OF OR ABSENCE OF ADVERTISING
1. Advertising in newspapers Yes D No fl.
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 ---------------------------------------- -
5. Without advertising, it being impracticable to secure competition because of ---------------------------------
---------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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t- ir-t-e --------------------------
ere state in detail the nature of the exigency or circumstances under which the securing of competition ition was s impracticable Under under 3 and 4)
proper authority without written agreement in any form. In case of a written agreement (formal? contract, proposal, and acceptance, tor
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.Releassee 2000/04/12 : CIA-RDP64-0036OR000100090159-7