Mkultra Subproject 52 (108 Documents with Pubdates from 560614 to 64062 4)

(When Filled In) REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL NAME OF CLAIMANT ULTRA Sub # 52 CHARGE TO ALLOTMENT OR PROJECT 2125-1390-3902 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 # 25 for professional services rendered ULTRA Subproject 52 per paragraph IV-D of the ULTRA 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/PB 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 241 2125-1390-3902 APPROVED DATE SIGNATURE OF APPROVING OFFICER STANLEY COTTLER, DC/TSD CERTIFIED FOR PAYMENT OR CREDIT DATE SIGNATURE OF CERTIFYING OFFICER PAYMENT RECEIVED IN THE AMOUNT OF $ DATE SIGNATURE OF PAYEE 2/28/64 [redacted] SIGNATURE OF RECIPIENT DATE SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION PREPARED BY REVIEWED BY VOUCHER NO. 7-12