PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000500050016-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: July 22, 1999
• Sequence Number: 16
• Publication Date: July 26, 1957
• Content Type: FORM

Standard Form No. 1034-Revised
Form prescribed by
c4-Stroller8optcGeA I OVed FO
? lnbLr f r
(Gen. Reg. No. 51, Su p. No. 11)
(Amended February 20, 19?2)
D. O. Vou. No- --------------------------- P' 360R0005000516-5
U. S COST REIMBURSABLE
(Department, bureau, or establishment)
Voucher prepared at --------------------------------------------------------------------------------------------------------
THE UNITED STATES, Dr.,
To
(Give place and date)
Payee's Account No. ________________
-----------------------------------------------------------------------------------------------------------------------------------
(Payee)
----------------------------------------------------------------------------------------------------------------------------------------
(Address) (City) (State)
No. and Date of
Date of Delivery
ARTICLES OR SERVICES
(Enter description item number of contract or Federal supply
h
d
l
d
QUANTITY
UNIT PRICE
AMOUNT
Order
or Service
sc
e
u
e, an
other information deemed necessary)
Discount Terms
Cost
Per
Dollars
Cts6
cost
i, 00
PAYMENT:
Complete ^
Partial ^
Final ^
Use continuation sheet(s) if necessary
Shipped from to Weight Government
B/L No. Total
I certify that the above bill is correct and just and that payment has not been received.
(Payee must NOT use this space)
Differences ---------------------------------
--------------
(Sign original only)
-----------------------------------------------
--------
Date ------7" - - b4e -------------------------------------------------------------------------
-----------------------------------------------
---------------
-
--- -
ognired nired when n like aertifioste is ride by payee oa stt.ohod bia or bill,)
Amount verified; correct for ___________
-
------------
-----
(Signature or initials) --------------------------------------
Req. No.
Date Invoice Recd.
SIGN
ORIGINAL
t ------------------------ ---------------------------
(Authorised Certifying Officer)
Title -----------------------------------------------------------------------
ONLY
Date ----------------------- ----------------- -------------------------------
By ------------------------------------------------------------
Title ----------------------------------------------------------
THE REVERSE OF THIS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
I Check No. ________________________ dated ------------------------------ 19_____, for $-------------------------------------- Jon Treasurer of the United States in favo-as
Paid by ` payee named above.
Cash, $----------------------- on ------------------------------------? 19-----. Payee ----------------------'' -
(eiaa original only)
R-6400360RO0050II0500-14.5----------
Title -------------------------------------------------------
1e-22900-
 Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050016-5
METHOD OF OR ABSENCE 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 0.
(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 ---------------------------------------------------------------------
{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.)
t : Approved For Release 2000/04/11 : CIA-RDP64-0036OR000500050016-5
 Standard Form No. 1035a -Revised
Form prescribed by ubl ~wD Glom troller Qeneral,.U. S.
ept0n'''e ~
(1j;11. Reg. No. b Ypd Fo R 1J
, R~ YiC+ mee/5~ Perj*n;#160R000'YM*ffi0kfkDUM
CONTINUATION SHEET
U. S. -----COST _RE-UMURSABLE
--------- of Bureau Voucher No. ---947---
--------------- --- -------- - ------ ----------- --------------------------------- Sheet No. --l
(Department, bureau, or establishment)
Date
Yoof
d
Date of
Deliver
ARTICLES OR SERVICES
E
QUAY-
UNIT PRICE
AMOUNT
Or
er
y
i
S
(
nter description, item number of contract or Federal supply schedule,
TITY
or
erv
ce
and other information deemed necessary)
Cost
Per
Dollars
Cts.
Contract A101 - System II
Direct Costs Properly Chargeable to
Contract A101 for the period 7/15/57
thru 7/21/57
Research &
Development
Pr
oducti
on
Tot
al
Labor We
k Ending
July 21, 1957 316.28
2
.97
319
.25
Overhead
computed
for Communications
Division
at inter
rates as follows:
Re se
ch & Deve
lopment - 145% 1+58.61
Produc
tion - 19
5%
5
.79
1+61.
Other Co
ts - shee
t no. 2
72
.00
Total Lab
or., Overh
ead and OtherCosts
855
.65
G & A e
nse com
n*d at interim
rate of
7% of $85
5.65
11+5
.16
Total Co
is
$ 1 001
.11
Approved For Release- 2OOOIO4/*W9?r:,CIA RDP64-0036OR000500050016-5
 Standard Form No. 1035a-Revised
Form prescribed by
f