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REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
NAME OF CLAIMANT
[redacted]
CHARGE TO ALLOTMENT OR PROJECT
MOLYBDA 52
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 MOLYBDA Sub-project #52, Invoice #22, per paragraph IV D of the MOLYBDA Fiscal Annex.
I certify that to the best of my knowledge and belief the amount shown as having been disbursed for Agency authorized activities and services or material 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 upon his request.
Pls forward check to C/TSD/BB thru TSD/BF no later than 1 July 1963
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.
2125-1300-3902
DATE
20 JUN 1963
SIGNATURE OF AUTHORIZING OFFICER
[redacted]
APPROVED
DATE
20 JUN 1963
SIGNATURE OF PAYING OFFICER
[redacted]
CERTIFIED FOR PAYMENT OR CREDIT
DATE
17 June '63
PAYMENT RECEIVED IN THE AMOUNT OF $
[redacted]
SIGNATURE OF CERTIFYING OFFICER
[redacted]
SIGNATURE OF PAYEE
[redacted]
SIGNATURE OF RECIPIENT
[redacted]
Voucher No. 7-12
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PREPARED BY
REVIEWED BY
DESCRIPTION - ALL OTHER ACCOUNTS
13-39
DESCRIPTION - A/P ITEMS 13-33
DESCRIPTION - ADVANCE ACCOUNTS 13-24
EXPEND CODE
PAY PER. LIO. CODE
PAYABLE VOU. NO.
40-42
45-48
47-52
53
54-57
59-67
68-70
71-80
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