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DOC 0000017453

18 pages · May 08, 2026 · Broad topic: Intelligence Operations · Topic: MKULTRA · 6 pages OCR'd
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TRAVEL VOUCHER £ NAME OF PAYEE FROM 1 l-Csaaafcap 1935 PERIOD COVERED BY THIS VOUCHER TO 15 Dcocabcr 1955 SUMMARY OF EXPENSES CLAIMED SY TRAVELER Tr^3,ogr TOTAL LESS ADVANCES AND TICKETS FURNISHED BALANCE DUE TRAVELER EXCESS ADVANCED TO BE REFUNDED (Attach copy of refund receipt} *220,59 400»Q3 PAYMENT INSTRUCTIONS- CERTIFICATIONS AND APPROVAL / at lify that this voucher ard any attachments ate correct, the ex- penses were incurred on official business of a confidential nature, payment or credit has not been received ; oil quarters or moots fur- nished without charge are slated with appropriate deduction from per diem/ and any leave feten has been noted in the itinerary. 4 <7a» 1956 I CERTIFY FUNDS ARE AVAILABLE OiUGATSQN REFERENCE NO. CHARGE ALLOTMENT NO. SKSNATurc OF AUTHORIZING OFFICER . . Submit an ottjtnal and one copy Submit an additional copy it ika originating deair a* an audited copy of ttte voucher returned. OFFICIAL DUTY STATION Bl TRAVEL OfiOOt NUMBER OR AUTHORITY TOR TRAVEL TC3 242-56 TCLC^tONE EXT, X - 3031 THIS SPACE FOR FINANCE USE ONLY VOUCHER NO. TOTAL CLAIMED LESS ADJUSTMENTS: AUDITED BY NET APPROVED CREDIT. TO. ADVANCE ACCOUNT’ NET TO PAYEE SPACE BELOW FOR FINANCE USE ONLY (13-22) DESCRIPTION DEFEND. CODE (*?-&> ADVANCE ACCL NO. 77 U:iC PREVIOUS (OIUON OF THIS FORM. •IP A fctn_*cts f08M #.v> WM‘CH IS OBSOLI (si m GENERAL LEDGER ACCT. NO. (53 $?) ALLOTMENT LEDGER ACCT. NO. X VOUCHER NO. (68-70) OBJEC- TIVE CLASS (7I-B3) AMOUNT (4-)/
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