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REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT
BETH TDA S-5 # 57
CHARGE TO ALLOTMENT OR PROJECT
125-130-300
Voucher No. (Finance use only)
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
Payment to [redacted] for invoice # 55 for professional services rendered for INOLTRA Subproject 52 per paragraph IV-D of the INOLTRA Fiscal Annex. I certify that to the best of my knowledge and belief the amount shown has been disbursed for Agency authorized activities, and services or materials have been received. The documents upon which this statement is based are maintained in the files of TSD for security reasons, and will be made available to the certifying officer at his request.
Pls forward check to C/TSD/BD thru TSD/DF no later than 11 March 1964
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE CORRECT, THE EXPENDITURES WERE INCURRED ON OFFICIAL BUSINESS OF A CONFIDENTIAL, EXTRAORDINARY, OR EMERGENCY NATURE; PAYMENT OR CREDIT HAS NOT BEEN RECEIVED, AND I SHALL NOT BE REIMBURSED FROM ANY OTHER SOURCE.
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO.
CHARGE ALLOTMENT NO.
DATE
SIGNATURE OF AUTHORIZING OFFICER
APPROVED
SIGNATURE OF APPROVING OFFICER
DATE
SIGNATURE OF PAYEE
AMOUNT
125-130-3002
EDMUND GOTTZ, DC/TSD
2/26/64
[redacted]
300.00
CERTIFIED FOR PAYMENT OR CREDIT
DATE
SIGNATURE OF CERTIFYING OFFICER
DATE
SIGNATURE OF RECIPIENT
PAYMENT RECEIVED IN THE AMOUNT OF $
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PREPARED BY
REVIEWED BY
VOUCHER NO. 7-12
DESCRIPTION-ALL OTHER ACCOUNTS 13-23
DESCRIPTION-ADVANCE ACCOUNTS 13-27
34-39 STATION CODE
40-42 EXPEND CODE
43 FUNDS
45-46 PAY PER. LIO. CODE
47-52 OBLIG. REF. NO. - ADVANCE ACCOUNT NO. EMP. NO.
53 GENERAL LEDGER ACCOUNT NO.
58-67 ALLOT. OR COST ACCT. NO.
68-70 DUE DATE
71-80 AMOUNT
DEBIT
CREDIT
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