Doc 0000017391

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On the left side, there is a graphic of a vault door with intricate mechanical details and a blue glow emanating from it, symbolizing security and access to stored information. The right side of the image features white text on a black background. The text announces "THE BLACK VAULT" in large, stylized font, followed by details about a specific document originating from this online database of declassified government records, specifically from the MKULTRA/Mind Control Collection. It also provides a URL for accessing the collection. There are no photographs, handwritten annotations, official stamps, filled-in forms, diagrams, tables, redactions, or visual evidence of experimental procedures visible in this image. . . . : : ~- · : . _ ~ -· .. · . . ~ -·.~-·- ~- .- _;:--- ···:-~ ~;:· ·.'":. --·-: :. . --. ··. ·. : : . · . . . .. .. l~~~ • ;. ·"":::·· ~. . '. ..; . _ . . . -. -~· ~ .. ~- ~ ,. ."' .~.· ~ .. ; .: , · . _.. ... - - ~:: .~:· 1' ·. . '· ..i r. .t. . ... : . : ...· .:. .• t- ,- ·:. . ~-~ . ; . . .~ ;'.':.{.•. ..~. . . . . . ·;~~-" .. }. .. :::-> ·.-:.' :.,..·~ ... -~.:.:.·-/:~·:;_.c~':"'"'- ~~~ _ -- : . ; : ..-. :·~. ~- _..,.. . . ·. .. - . ;;.-- . - . - .- i - .· - -·- .-.~.- -..: .... - !hU ~'. ~ 1'\a"pQNI ploJe'Ct_ ~ael t~-=~-f_!~m~-llSd PtriOOlltl~ce~-:::lli· _ _-_-:-_:___-__:,~~--'c_ -----:- O<Otu"ha ujeriDmta and· ~re.tlonal-~at.!i\jot -_.~--~w-~~--- ot !SD tntei'Ut _&Dd_Wicb re~ ~te nal anE-}u~111~0{_a~i_--~~-~- ·- · Statui I A ~Urluiii& p~~·- ~-~!litY_.~~l'le ~HOMel have· been p1t 1Ato ·u-*-~~-~~1ucc•~-~rat1<ioal.-teat1ag_~-~--·_:._ a..lated.to~~Jfot~-~~~iq~ve~;. ~-- ___ · ·- .. ,- '<;;~ ~·· -~7--~ ··. ·.· ., .. •• ••• - - -·---·- . · .,.... . -:. ···~ . - ~-·:- . ..;·· ,. ... ~-.-~ -. .. _ - :"'I>Y,· - .. .. ::··-:.:-· ........ · -~·· ·" . " . ·- · · ~. .. . ~ ... -~ . .. ·. .... .. . . .. r • ·:::~· . .. · . .,~_ ~-;~ ::: ·~ ]£fL?ft~~~~fin~::~~;f;;?' -.j ~~1;:,: -,~i:~; ·:}~~ ~·c§:~~r.,~~~i~'f}~~;~\~:···;~,~~;-:;·~~~~~j~'l;1~~~"2__ .i\;,: .. . ' ,· -· l. -.. .!: . ~----------~--~----~~------ ~~-------~~~------~+--------~----~~ .~- ;,·- .. .__ . h.,_ - . -:··· : .. " ., __ (:1 .. ··-~ ... .· .. . ' . ; ·,. ,'i'l" ;.. .. · . - . .. .: . ..., .... · .. , : ~ .... · ._·- ... ; . -·. .. ........ .·.·.-. .. ~=--- _ · ..... -~·· --- ... - ~·._: ~ I. ... . . _ ~ ·- . .. . •. .; ,.,.,. ..... : • .,. : ;;, : ; :. , - ,. .. "'" • ' • • l I · · · . . ; , · ~ ; : - = • ' ' : ~ . · · . _ - This page is a scanned document, likely an "Invoice Check List" for "MKULTRA Subproject 132." It contains a table with columns for "Date of Original Authorization," "Period Covered," "Time Extended To," "Allotment Number," and "Amount of Obligation." A handwritten entry for "25 July 1963" shows a "1 year" period covered and an allotment number "4125-1390-3902" with a "$10,000.00" obligation. Below this is another section with similar columns under "Additional Authorisations," where several invoice numbers, dates, amounts, and balances are entered, all handwritten. A "SECRET" stamp is visible at the bottom of the page. There are no photographs or diagrams on this page. . .. . •. .; ,.,.,. ..... : • .,. : ;;, : ; :. , - ,. .. "'" • ' • • l I · · · . . ; , · ~ ; : - = • ' ' : ~ . · · . _ - . · . - ; ~ . - c " ~ _. ~ . -~ • --r • : ,~~ :; '!'··. , . . . - ' \ ~· . - . . . •:.•- . .,. ~- ··-.... . .. , . : . - .. : . - . - .. · . . -. .. . ., . .. .;. · .-... . .. . ~ . ~ .: >--. . . . - . ~ ·:~~>' ~.. ::~~--..- ····· 1 -r · " : . - • . • ..... '; • ...a ~ . . . .. .. - .. : ~.: : . . . ' ... ~ • /"" '.-__. •.. P~:.:_;. ., _~_':;:~~i.·: "!·· - :, •. ·.~ ("he,; --,;Jl--.tl Xn} l t' I' REIMBURSEMENT VOUCHER FOR'PURCMASES AMD NAMI£ OF VOUCHER NO, (~Jn•nce u•e ... ..•. , •.. SERVICES OTHER TMAH P~RSONAL CHARGE TO ALL?TMIENT OR PROJECT il{i ~ . ·:~ RIEIMIURSIEMENT OR PAYMENT IS CLAIMED 'OR MATERIALS, SERVICES, OR OTHER EXP.I£NDITURI£S ITEMIZED 81£LOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR ' PROJECT OESIGNATEO. I .. ~t to lfr. £ . (Jj .. l ~or 1nYolce II 17 for professional aerwleee rendered! 1';;1 . ~: .:~ ' .·•· aattlLT.RA ~bpro;Joc't 132 per paragrapb IV-D of tM Jat'ULm.A !'1seal Annex. I ·cert ty •. . i { r.J tbat to the best of _, JtDowled&e aDd 'ballet ~h• UIOUDt ebOWD hu bee3 dlabun;ecS " ~!r . · fozo Apmc'8 authortze4 act:1Y1tl. ., aDd eei"Ylees or aatertala have beea :reeelyed .. '~ . ·"11Je .. '4oeD.ODta. . ··~ .. -w11:1ch ..· ·tbia-· ~tateJIOD~ .... £a ... ~ .... [ t o .. aatntairaed. ..... lQ'• .. tbo ... t11ea. .. or 7SD. :.: :tar ~s;t,; Jre..oali!,l aDd: ':l~JI bo ~~ • a11able ~. ce~tU';rtna: ot:seer at: ~.··t-1 .::~.~~ .l~:~r.rrl ~r J.ii:m·~::i:r:.lr i.~~~ :~.·~~~ :.~~~: ~~ ooo.oo I'' .. lli·r. . 1 :; t· Pla! I' ' t OI"JJ'UI'C C:· I - :'! -:r • - ' - ·- ·I -- I I _, I _ I I _ I III. .. ... The image is a scanned document from the MKULTRA project, containing a form titled "INVOICE CHECK LIST" with several tables and handwritten annotations. Official stamps like "SECRET" are visible at the top. The tables include fields for "Date of Original Authorization," "Period Covered," "Time Extended To," "Allotment Number," and "Amount of Obligation." There are also sections for "Additional Authorizations" and an "Invoice Number" table with columns for "Date," "Amount," and "Balance." Handwritten entries fill in various fields, detailing financial transactions and administrative information related to the subproject. Numerous handwritten notations appear throughout the document, including check marks and calculations. There is no visual evidence of experimental procedures, equipment, facilities, photographs, or diagrams. ~. ce~tU';rtna: ot:seer at: ~.··t-1 .::~.~~ .l~:~r.rrl ~r J.ii:m·~::i:r:.lr i.~~~ :~.·~~~ :.~~~: ~~ ooo.oo I'' .. lli·r. . 1 :; t· Pla! I' ' t OI"JJ'UI'C C:· I - :'! -:r • - ' - ·- ·I -- I I _, I _ I I _ I III. .. ... ......_. .• i I I : I - .· -· ·.r ~·I · Ii - ' I, _. 'I '•I . I I' I ·I .! _ I '_ :_ ~'' . . iI I I II' . i ; ' ·~ ' , ' ·. 1 ,·: I i I I :I • "..•'b :... I t""CDTI."C'V ,IC'UIUI"U~: ADII:" AVAil &D8 I!:' I 6DDDI\\IC:n I l1 -·- i - ll ' l - -·-· 'II II' I ·~-rl, ' ·;:~· l: :r;;. . I ! f: .:<~~; OATS~ 1., ~~; t-ra"ftarlr::"lf"'ll r~ llt&uu'l""'&ll'l" ~~;tl .·. :1:~. 0' RECIPIENT :.. ~··· .:·· '; ... "• l~-.1.-r-------:--L---.::-~~~~:-=::-'---.J..----~-:--;1· l·-..: ., ,';."' • ;.: : 71·,110 AMOUNT (1·.: c•toiT ··.: 1J 26 UWI POIEYIOU. . SECRET .. . ulflo••· ;, · ' .. ~a:.~'"~;.·'l1.c-atm,,,j;;;'l~::~\:· ~~.J:~ik) ~·::: ·t;~:~ ~ij~t·:.~~>··/~:;:.:;,~ :.. ;~),: :·~;n-~~T(~t'Lt\- ~.y-~:fRJ;;;:;.}·~:::;;.r.t:~iiU~~;~l:·:~Jl(;·ffif ~T~a~;1I! ';}~ /:·1:;:~:.~.,:.~~: 1.:: ~ .:.; ;;T7·· ::·r.:~f{i~2~.~J: ·~-~'~ :, • • t "·,.- (Whftn ;) t F .\ i I l K le t. d l tN)• ,., ,. 1 r 'l VOUCH£~ NO. (Finance uee onJ,) URSEMEMT VOUCHER FOR PURCHASES AMP SERVICES OTHER THAN PERSONAL :IM8UitSEMIENT 011 PAYMENT IS CLAIMED ,011 ,.ATEIIIIIlS. S!IIVICES, 011 OTHI!II EXPENDITURES ITI!MtZ£0 llt:Lf'.nr lrtiiCH AIU! PI!OPl!IILY CHARGEABLI! TO THIE ALLOTMENT OR IOJI!CT D£S,IGNATEO. 42 : :·: Payment to Xr4 .iBIS tor Invoice II 15 for professional services re-..... ., ........... , ... ' ~ BULT.R.A Bubprojec." 132 per paragraph IV-D of tbe BULTRA J':l.seal Annex. I cert11'y ':>;:>-·that to tb:e beat of rr.t knowledge and be11ef tbe aount shown has been disbursed for ... ApacJ' .. author1Zed. . act1v.1t1ea. . , .... an4. .... ser"lees materials have been received. ._.·,_.< o~ ·:<;'!;:.' ~ documontlll •PC~n ~~1eb tble atat.,..at 1a ~~sed are malnta!a~d la tbe· files ·of · · ' aDd.' -.11.11: ~ 1..c1. . a"'':.Ja1t!~:t.l e It~~.' .it!le c. rt1f;r11lc o:f~t.:ce.~. I ' ! . I'I II' . I . I I' : " 'I I : ! I 1 I I : I ! ,I • ! Ii I I • I : . e l' ! I ' 1 " i! ' This page contains a declassified CIA document with handwritten annotations and official markings. At the top, "132-3" is handwritten, likely a document identifier. A form titled "TO: TSD/CC" details "This is an initiation of a new project." Section "1. Purpose of Project:" states "To support covert and realistic field trials of interest to TSD/RB." Underneath, handwritten text includes "[MKULTRA #X", followed by a redaction, and "under Behmimol c" (likely Behmimol science). "2. Project Monitor:" is followed by "A Dr." and another redaction. The document is marked "SECRET" at the bottom. a"'':.Ja1t!~:t.l e It~~.' .it!le c. rt1f;r11lc o:f~t.:ce.~. I ' ! . I'I II' . I . I I' : " 'I I : ! I 1 I I : I ! ,I • ! Ii I I • I : . e l' ! I ' 1 " i! ' I 'I . , I j I • : I i i: : I I ; i II I I I ! ' : ' i i • ' ! : : • " I I I ' i e l : : '.. ' . 1 ' II Ill I ' II ! ~ I I i I ' I . 'I :i:: 1,sofoi.···• o G:).·. J I )4 ;,;;1~3- _;'" J· IJ il ! I, 1:,'; I ' I, il! I TOTALS ;•, SECRET .... , ! b.ili~~,~~:.r,)ij~·~~~t~l:,.~ ,. .; ._,,t_ ,' :. ·:. ~~. ::t~:.~f;;~&:tY:\.t~:.·': ,.;)\\ ~·;:~: ~x~n~~}?, ,rn,< :· -~' ~'~:~·~1E~~f~i1~::;;rr:;;~~.:~~f<W.r~;kr~:;r .. ; ( 1 :: ..: ;~:?·!.r~ . . ?~V rp; ;.~::~~~ :;·]1· :: -· \ .. '' . · , · 'r ~l. ·~t j' · .. :" --· ··-· ,.,. (When F .. l . lled ln) I. ..... I[ 1 I NAME OF CLAIMANT ' I --· •7 - v;= ~ ~ I REIMBURSEMENT VOUCHER FOR PURCHASES AND IDCOLTRA SUb II 132 .... ~ ;;!,• . SERVICES OTHER THAN PERSONAL CHARGE TO ALLOTMENT OR PROJECT 4.123-1390-3902 . REIMBURSEMENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICES,'OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR ·. P~OJECT DESIGNATED, ··~· I' Pa1ment 'to )fr., 8 6S$t' M 'K.O'r lDVo:lce # 16 ~or pro:teasio:oal aerviees rendered, .· :t~:. ·. . t~~j ·~ .. :. . JIXULTJU. .Subprojec o t r 1 32 per paragraph JV-D o% th• BULmA 1'1seal .&Jmex. · . I cert:l.fy • • • II rI · ·) ~· .· .:·· that to the beat ay kbowledae · and beUe:f the amount abowa hu been d:labur•ed ~ · . : .. · .. " ~ i . . ~f ~ , .. < - · . fo ~ r d A o ge c w u : a :y e n a t u s t . h u o p r o l a z e o c w l l d a . c e t b 1 .t Y b i S t . 1 . The page contains a declassified document with handwritten annotations and official stamps. It includes the words "SECRET" stamped in multiple locations, indicating its classification. There is also a handwritten annotation "132-3" at the top right corner. A handwritten "A" appears on the right side of the document. The document itself appears to be a project detail sheet, with fields like "Project," "Date Initiated," "Date Expires," "Funds-current year," "Purpose," and "Status" filled in with typed text. No photographs, diagrams, or evidence of experimental procedures are visible. This page is a financial ledger, possibly related to a project. It contains a table with columns for "Date," "Remarks and References," "Obligations Incurred," "Obligations Liquidated," and "Unliquidated Balance." Several lines show dates, project details like "MKULTRA Sub Project 132," and monetary values. There are handwritten annotations and entries within the table fields, including numbers and what appears to be an invoice number. The document also has a "SECRET" stamp at the top and a field labeled "(When Filled In)." d A o ge c w u : a :y e n a t u s t . h u o p r o l a z e o c w l l d a . c e t b 1 .t Y b i S t . 1 . e e s t ~ a 't . e a m nd $ n a t e .. 1 rv a l _ c .b e ul a e ' o d . r ... u m :'e a l. ..... t m e la r i 1 a n l t a a la ll e a d v e .. : l b n e . e th n e r . e :f c .1 e l i e v s e . . o d : • f . ,' \ · . . · i I f ; I : . ~· · : l ; , 1 l ; . ~ ~ : · ~/·:-· .-.·,. . ~~:S:t~(~~.1 · ·~ aa.d•. -.1~1 ~ ~.~ ~.~~. l~.l.• ~.the.·, .oer~. :l~. iDS:. offtce.r . •, n..: ~·; I . ' ~ · ; • : •. ; i ·: ; · !.· , . . .· · . ' • " ./ " .. I • " . ' : : • ' . . » .. ' . 1 . 1 . 1 - I I. : : ~ r ~· O I II ' l I " . " W I G ·I u q : 'd ' Q I d . e :. I & ' l e I t ' . . c . I ' k . · II t ·' I I ! o I · . . . C I · I I ' / TS I I I I '' D / • B I ' ' · B I ' th ' 1 i I 11 r I 1 ' ! I u ·;.' ' '. : I 1 I ' ( B . P I I , ' nO I . I I ' . ' at • e j 'I I I ' ,: I ' .. . . ~ . .. . 1 6 I I :· I : I . :D I . I e I . - e . ; . e This image is a scanned document with significant visual noise and handwritten annotations. At the top right, there is a handwritten notation "132-5". The majority of the visible content appears to be a form with handwritten entries. There's a section labeled "CHECK#, RECEVED." followed by what looks like a date "12/2863" and a monetary amount in large script "$1,000" with "00" to the right, suggesting a payment or transaction. There are also several redacted blacked-out areas obscuring potentially sensitive information. Towards the bottom left, there is another handwritten annotation, possibly a date, "12/17 X". The overall visual impression is of a financial or administrative record with sensitive details heavily obscured. , ' nO I . I I ' . ' at • e j 'I I I ' ,: I ' .. . . ~ . .. . 1 6 I I :· I : I . :D I . I e I . - e . ; . e , II 1 .. •' m i ' 'b ! ! :. e : ' ' r 19 ' 6 • '3 • . i : . I I i ' ' ' • 1,0 ' 0 I I I ! ' 0 ; : : p i ! ' I o •I. ·· I ( ~ l " : ' l ,; • . . • . . . · • . ~ ; · . ~ . ~ : I" 1 iii"C'D ... l&> ' v Yu&"W' ,..! ..... UII''Utl"wl I l :"a .&.a~~.n. .a. i' .wv .tt..Y : "f'.a.ruflliiiii:'IMY&I.a. I ~ ,.#'~,.,;,~,..,I 'I'M&- I~'IW a!:ll':'·io:lfIt. IYua.:-eI l•w.,•clI i I A U ! ' 'UD i 8 ' 1 1:'ft :nu !~~_..,..· i. .. f ' D &tci : ii 1 W ' tr•c_ 111"1 I ·r :r t·/ . 1 . ·.-;r I ' I ' ' il Ill' I .t.::f:~1•· . l~lrr:a1!'sC'v r:IINnC::::I. .&D.: Au••• .a~:~~•~ 1 111 :11 .a.PDD',nvcnl I _._ ... _________, ____ ..J ·:.J{· 'I .. ; .. 1I1 n . ~ . · , · ~ f · t i : · ; i ; · . - ::· ;. : i £~0 I 'x2sLt390-39021 st'n.DY i~IQ I l : ; ~~ 1 · · . . " _ , . j . ! ! • , : . . , - :c r • • DATE... , . , I I ! . ~ . < .. : . : . t ,, ~ •. t " ; " ~ 10o, £'c, OF RECIPIENT .... \ .:·"J' ;J,.·.~,. ..) 116a· il:'-~ ;,:.·:~'i' ! .j; .· ' ' . 'i SPM:E BEL.;;. FOR EXCLUSIVE USE Of' "NANCE OIVISIOH . :. 11 ,";.f.\; ~REPAR£o av '· .I I'. ·· BY vouCH.ER iNO 1 7• u . . , : • : . 1:l.. !· ,, · ! • • ,.. . . I} .J ·.', .•.. I I - ~ .,1 ' °. . "I • ; I ' I .i I . • ' .·••', ',',\!. i!l~ ...... ~.,t.t .• "J fl 7• u . . , : • : . 1:l.. !· ,, · ! • • ,.. . . I} .J ·.', .•.. I I - ~ .,1 ' °. . "I • ; I ' I .i I . • ' .·••', ',',\!. i!l~ ...... ~.,t.t .• "J fl ' . I 'll~ 1 · • ~ : ; ; : · : , . lltiPTION•ALL OTHUI ' · .ALLOT 5 , 8• O 1 i 1 l 7 CO I ST 71•80 ·' '11 ,i~V/ ar:r:T- Mn. AMIOUNT ;:l"; _.":.·: : cu:uT ~~. II I iO:f¥ ·:;;:; • • • • • ' • • • • • • • i • :::·::.1:!:·::::::: ::·:1::: I' 1: _:~·~:· 1:11:1 t -~~-·- •• •I:• I·!··· •• •:•.• I. 'I•J• I !·•ill .~1).'· 1111111111111,11, ~·.··~· ';•!1'1 l. \.J ~ •.• ~ ..• ~· • • • • • • • •• ·, ~ .. • I· ·'11··.1· j. :. !-~-\. I • • • I • • : • • • • • • • • 'I • I • : .. ' ~~ ~. 1 I j I ' I I I I t: I I I 1 I 11 1 , • ' '1o i ... ,_ i • "~" . j J ' .... • . .JI ' ' I' ' l',\ ,., I II II ' II I 'II I I _11'' _JI 'I', II" '~l II 1I .II ' "" ~' I i ~ ;i I ' · . . . · ; . . · . . . . . . . . . . . . . _ · ' . ' · : "· I I .•• I • • I ' • • I • • • I• • ' •• • •• • •• • I •• • •I I • •• • •• • • I , • •. • li I I ' •• •• •• •• I ~. • ~ r I I I II : ' • ' I 1 Il I I l l . l 1 . I I IIi I ' ' I ': ,, I i• '1 I I !I ' i - ~ i ' ! I I II ' I I ! i : I I ' T I OTAlS II : I ~ i : I ' ' i i! This document is a reimbursement voucher form, titled "REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL." It contains multiple handwritten entries and signatures, including dates like "1/23/64" and fund amounts. There are no photographs, diagrams, or schematics present. Portions of the document are redacted or obscured with black ink, particularly in the signature fields and in a large section at the bottom, obscuring specific details that were likely sensitive. Official stamps are absent, but the form is marked "SECRET" at the bottom. 1 . I I IIi I ' ' I ': ,, I i• '1 I I !I ' i - ~ i ' ! I I II ' I I ! i : I I ' T I OTAlS II : I ~ i : I ' ' i i! ; . 'i'r ,I . i t ~ I · r : : ~ · ~ \ · - . ' · ~ ~ ' : . " t ' ~ . · i . ~ : - · · : ~ ) t · - ' ~ : - . - ' · . : 6 ! , ! ' . . - ~ F " 8 : O · . . · . •I ~ ~ , I5 - t ; . t - . . l , . 1 t o : · ~ . l . ~ ) . j : ! ' . j 2 : " · , 6 . ! .. f ! ? 1 ~ ~ . 1 · r . - t .. j . J . . · . I o ' H · E o " t · n . · ~ O - \ ~ · ~ t . t ; - ' ; ~ : Il . : ; · f ' ~ · U : • . : o k ; . , - \ f . - I , ~ . . I . . . . - . O . . r .. · . . : ! U ~ _ · , : f . & · ~ . · ; . ; , n · · ~ ~ · !. 4 · - . ~ tr · ' - ~ - ? ·: ~ : ! . i . i I ' ' ~~ r . i . ~ . : ~ - . . , t , ~ ~- . - - 1 . n · ~ - : . : . . - :· ' ' 1 ./ 1 ' \; - '· - :• l · . . . . ~ -..-': ; (-\ " . ; ~;- . ; - : ; ~ . - ~ - v . : . ;- ; : - : ~ - ~ - , , * .. · . ' . The document is a "DISBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL" form, appearing to be a financial record. Handwritten annotations include what seem to be dates such as "11/19/63" and "11/15/63", a voucher number "152-6" at the top right, and numerous signatures indicating approval and certification. There is a large handwritten amount in dark ink, "1,500.00", next to "AMOUNT" and similar entries under "PAYMENT RECEIVED". The document also contains official stamps and pre-printed text indicating the voucher's purpose and the claimant's name. A significant portion of the document is blacked out, obscuring details within the "DESCRIPTION OF EXPENDITURE" section and other areas. \; - '· - :• l · . . . . ~ -..-': ; (-\ " . ; ~;- . ; - : ; ~ . - ~ - v . : . ;- ; : - : ~ - ~ - , , * .. · . ' . 1 ~~ " ;· · ' ; " · ~ - , - t : 1 . - ~ ...... ' I ; ~ ' .H , , . · ~ ! ~ : ~ ! ~ - 1 · \ - - , . 1 i j ~ ~ - · ~ I . · ·, · . , · ' · · · r ~ ~ : o · : ~ . ~; t t · ; r . , ~- . : d. ~ 1 ' j f ~ ~. . · - · . . J i r ~ ~ · S , ~ . : · E · .. r. < C .. . . · ;· · R · ~ , ~ ~ : - E 1 ~ t " . ) T ~ f ; . ( " ! ' · , : ~ i · . ~ . · _ . l : · ~ ~ ~ ;: L - · · : r r { " } , ' " ~ ' · ~ l ~ . : , / ~ ~ ~ • J · : ~ i ~ . _ F ~ ~ ; · ~ : - i \ ~ t f : • i ~ . : J t . : ~ \ r - · : ~ \ ~ : L f f · - , • ; ! ! : ~ · r ~ · · ! ~ - ~ · r ~ ~ : : · t ~ ( " . · " · ~ " : : . : · , : " t < : · : : : ~ : r ! · ·" ··· : ~ ~ , · ~ · · . : - · . ·' ~ "' ~ ~ "' J ~ · ~·. ~;·.~ ·i ·:/r :~:?i::=~;i· -·-· ~~,.: . · ! . ;;: . !: r: : : · · ; · : . _, . C .. . A .. U • . , This document is a "REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL", filled out for MKULTRA Sub # 132. Handwritten entries include a signature: "SIDNEY GOTTLIEB, DC/TSD" dated 12/9/63, and a date "12/5/63" next to "SIGNATURE OF PAYEE" with a partially obscured signature and a handwritten "A". There are no photographs or diagrams. The document is stamped "SECRET" at the bottom. Redactions are present in the "SIGNATURE OF PAYEE" section. This document is a declassified MKUltra voucher form dated October 1963. The form details a reimbursement for professional services rendered under "MKULTRA Subproject #132" for $500.00. It includes official stamps, a signature from "SIDNEY GOTTLIEB, DC/TSD," and handwritten entries for dates and amounts. Notable handwritten marginalia includes two instances of the letter "A" near the "SIGNATURE OF PAYEE" and "SIGNATURE OF RECIPIENT" fields, suggesting a recipient's confirmation. The bottom portion of the document contains tables filled with coded numerical data related to accounting and project numbers, indicating financial and administrative record-keeping. There is also a handwritten note at the bottom reading "URGENT" and "FEDE V," along with what appears to be a stamped "SECRET" marking. Obscured content is present in a large rectangular area towards the bottom, likely containing further details or signatures. · · . : - · . ·' ~ "' ~ ~ "' J ~ · ~·. ~;·.~ ·i ·:/r :~:?i::=~;i· -·-· ~~,.: . · ! . ;;: . !: r: : : · · ; · : . _, . C .. . A .. U • . , . .... - , : : · ~ ! ~ 1 ~ ~ - -· ; . , . h . , ~ : f ' . ~ ~ ~ ' ' ------- J,~·! ' -~;,~~-.•· .. • .... .... ,., ;i•" ~;. ru:,II'IDUR;)It.I'II:RI 'YU\onl;.l\ I"'VI\ I"'VI\"'UI\>111;.ol' 1"\nu • ···-·- ·- -V.WAA...,. ...,_..,. ,.,. .,,...,.. \~:< SERVICES OTHER THAN PfRSOHAL •-" " ·~ ::::· :·;:.: '"'"""" ,. "' '"""':.:_ .:~i 1{ ::!~:~·:~:~.~.=~···"' ~::::.:~ ~=:~::=:~· ::,::·:.:~:::·::· .:·:~::~"" ....: . . •·z'Mr•a ~. ' ~ . ). , ~' ._, Payment to~. tor Invoice II 14 1or professional services rendered, .. r.•....: :. .t., Jm:ULT.R.& Subpx'Ojact 1 2 per parag!'apb. IV-D of tho MKULTRA Fiscal .ADDex. :t certl:ty · :• ;· tbat 'to 'the beat of my knowledge and belie!' the amount shown has been disbursed tor .. Apuc7 autborizecl aetlv1t1ee., and eerv1cea or materials have been reeeiYed. The documents upon wb.ich_th:la .. statement la_ based are _aaintatned ln. the tiles. . · . - : ~ 1 .., . tor aecu:rltY" x.ascmsl • and w111 IMI a-.;a:llablel to tbe cert:lf71Dg office o r a f t ~ Id s J,. . . .. ............. , .. . ·--··---- ..., ·-- --- .........................., ... · ·' .... ·-···'·· ........... ,... .... .......... ,.. · : ; ' ,: ~ - ; ' 6; : : _ , : ' : . . •· ) . ' T : : . • • • ' · ~ ' 'II I I I ' . ' I : : t; II . - I ~ - ' ' ,' · I I I I · ~ · • M I Il J l' ! tp I, I I ~I I I I I '· I' I I 1'1 I I tb I I ru ~ I I ' I , - 'I i I I ' J ' m · I ' I! I I D I O ' ' I I I lat II I k ' · : I ' r ' t 1 ' ' h ,I I 1 ' ,' ~ I I ' I , - 'I i I I ' J ' m · I ' I! I I D I O ' ' I I I lat II I k ' · : I ' r ' t 1 ' ' h ,I I 1 ' ,' a 1 I n' ' ' 1 1 I I 6 : I g¢ I, to I be I I I r I 1 I 9 6 ' 3 ' ··,,1 · I I I I II I 1: ' 'I ! • I ·).;, .N I ' I I I I I I I I 1 :.!~(~ . (.~~; .;:~ .v;~~~i · .:v~ ;··;: .. w.- ' ·: ,;~~l. I :~' ' g 0 1 I 4125-13~902 GOTTLIEB ! il 'i~.~· -~''?: I OATE! I' I I I-I· --·-~·, -- -- ------~-------· ~-- --- : ,}_ _.· ' I ,, I : I >;Yf -~·~·: i ::.I .I ,'· 180 I C T ·, ·'.r/':'·'·: • ,r 1 ' : . 1 , 1 • . , 7 { ; : ' I f > : ' . ' ;. ~ , · : ', ', ' i -~~-. • : 'I· ' ' 18§.3 I ; ..•• ' . !'. •. f.i~~~ I' . . I I ! ' r>~ 5·'' i SPACE BELOW FOR EXCLUSIVE USE Of nNANCE OIVISIOH ' ·'·_:~·. .. · .~. ... ~. PREPAIIt£0 ev R&VIti:"WIIrl'llll •v I ........ ,.. .. 1:'111 .." "' 7.:., II !>{;.t .:; .·' ::, -~~·;~J. :~·· _.,. ~~. 71• 80 ~_;;~~- s~ ::' AMOUNT 1"'·· ' ; f~st~ 0 .~ -~. OIUT C:RCDI ~i~~~·· I :. !!'{' .• ;~Zf:" i.·~ ~-:· - • • - - • .. .. • .. .. .. • .. .. · . . ! ~ • I t; , J ._• · :. . A " ' .. . .• ' • • . • • . .1 • 11 .• ' .' • I I ' ' • ' • • • • • • ' • • • • • f~~ ·~- !I ••••••• ; i.~f! ·. ~ r.:oty ...... ·<. ,. '" • ,. ,. '" -. • . -. ... ~;~t r·~. ..... .......W 'II ·• •. ..•.. •: I •I I'P'/ .--..~~ ~ ..'J ~ ~ '_ : ; ~ ;'; ~ • :o ~ f ~ The document is a "Request for Advance of Funds" form, filled out with typed and handwritten entries. There are official stamps indicating "SECRET" and a form number "132-7". The form contains fields for advance details, purpose, outstanding advances, and financial accounting. Several handwritten signatures and some typed names appear in designated fields. There are also some redacted or obscured sections, particularly in the "Purpose" and "Status of Outstanding Advances" areas. The document also includes tables for accounting and a section for "Cash Payment in Amount of Received." This is a declassified government form, likely a financial request or voucher, with several handwritten entries and official stamps. The form is titled "REQUEST FOR ADVANCE OF FUNDS." There are multiple lines for signatures and dates, with entries like "16 September 1963" and "SIDNEY GOTTLIEB," and stamps that read "SECRET." Some sections of the form contain tables with columns for various account codes, dates, and amounts, with some fields filled in. Portions of the document are obscured by black redactions, particularly in the lower half, obscuring specific details within the table and the "SIGNATURE OF ADVANCEE" field. f~~ ·~- !I ••••••• ; i.~f! ·. ~ r.:oty ...... ·<. ,. '" • ,. ,. '" -. • . -. ... ~;~t r·~. ..... .......W 'II ·• •. ..•.. •: I •I I'P'/ .--..~~ ~ ..'J ~ ~ '_ : ; ~ ;'; ~ • :o ~ f ~ :~ · . ~ - · ' · V • • a • • I · I ~· • • . I • • • I I I :• .•: '!; •;• :• · I · :.- 1 . -1 :' 1 'I I ' I . i , ' , . ' "/r~ I ~~ " ' - - , -~ / I t I ( I , ' f --~.-. - ~ ' - _ I l I I ' .•. ;::- ... ;._:I : : : : : : : : : : : : : : ! • :. ~:,.. . ::' "!'f. • I I I I 1 1 e 1 1 , 1 1 , 1 • • 1 1 ,.1 ' 1 , , :~f:f,·~·· I 1 1 I ll,i 1·:, I• TOTAlS ~;.;l'·'·'· FOIINI 26q. uu PRIYIOUI SECRET ...... ~ -7 ··~~- .. ~--. 1'3~. l: ·~ ,;~""f;.,.- 1 ~, -~ .· . 1:·~ (rth• Fl edlll) · ~ l I I ,.,. .. £ tiF ADVANCE£ l DATE I. AMOUNT I YOUCMEII 11!0, (FJnan·ce uu .,,.( I ~ ~~ :1 REQUEST FOR ADVANCE .i ;• ,.1 . • ~ l . . .. .... OF FUNDS fo EKT. I~ 'jJ ,• PURPOS M E V 111111Ce to JCIW.'lRA ~ f.lrf'01ce IU. tor act.1Y1~ ~by ·~e:r. _. 26.~ 1963• AccotmtSDa tar tb1a l ! ; o4ftiiCI wU1 be Sa &CC01"4etDc:e v1tll AttAidww!t A or aam:mA rl•co.l Aa'ttd· ~· ~ >: • I· •I t~~ '~/.:I ~ .. ... ,... .. ....., ., - _ ., ~=«.·..:;::·a'N~H";,;:;.• ~::~-~a~-:---.-· --:-~~--------i ~ ~ ~ t otfteer by 18 ....;:. ·j li ": ·. }, I I ' . . . •i ,.,. .., . '""' z.];ijj luH,·!•count 1tW~hJea4Ytlllce~~~u,_J,aelonot..-.i,rn-dr•fundole"""""·P~4•dbdenc•. ~ ,,: · \..;.;;_;y STATUS OF' OUTSTANO 1N G! A(IVANCES 1 . · ;to tloolreporU•III poJnt dtlted Md b, tlo-:1•• d•t• cho~j"'of hl:ow.l ~" t~;•"t~ntlot•r. 'lf'll".r •: teo"'" "C:pount _, r•. /Utt<l !, J ·, · . ;:; . '· I· , . . · , i ,:1, , . i: ,..,yunio•pondodlbel..,eo,loutllorl ..! d•dUctA-tr-..,elolerytoe:t/eo't:edt!lo~lt.llll'lld 1l11 1·1!•1,11 • This page contains handwritten and typed text, along with some visual elements that appear to be part of a form. At the top, "132-8" is handwritten, followed by "25 July 1963". Several instances of the number "132" appear, along with "$10,000.00" and "4125-1390-3902". There's text indicating "Original signed by P" and "R&D", along with a handwritten signature or marker above the "R&D" text. A section reading "I CERTIFY THAT FUNDS ARE AVAILABLE:" includes pre-printed fields with handwritten entries "80" for "OBLIGATION REFERENCE NO." and "4125-" for "CHARGE TO ALLOTMENT". There is a large, dark redaction towards the bottom left of the page obscuring content. Another handwritten note appears to the upper right, with a signature-like mark. 1N G! A(IVANCES 1 . · ;to tloolreporU•III poJnt dtlted Md b, tlo-:1•• d•t• cho~j"'of hl:ow.l ~" t~;•"t~ntlot•r. 'lf'll".r •: teo"'" "C:pount _, r•. /Utt<l !, J ·, · . ;:; . '· I· , . . · , i ,:1, , . i: ,..,yunio•pondodlbel..,eo,loutllorl ..! d•dUctA-tr-..,elolerytoe:t/eo't:edt!lo~lt.llll'lld 1l11 1·1!•1,11 • •: 11 !·. oATE :AMOUNT •:!. 1• 1 REPOIITIHGPOirtTi ; 111 ''·:,;II., :j11oo"1!o~n:l' I! I ·.·I I .. ~ ~ ···l·. ' · I I· '·~ I, ··~ , ~ '~ . l>· ~ !'] ;:t ,; :·. . ;. j l:.;c •. • n! t~I I. 11 ·:~ ·.: CERTIFY FUNilS AVAILABLE ·. .: .. ~ .-.~ . (l:'_·_-~:•1 oaLIGATioN '· PAYMENT oR r~.··. .··. . ~ , ·.~.~ 1 ; 1 • ! : ·: I } I , , . ~ ~ . , . · ~ ~ 1 ~ ~ ,. . . , , . ... . . O A . T • £ I '""~ . ,.tr.. D ~~ ATE { . . · '. I : !/ J \ I ' ' · I : : ; : : I : : ~ .· : · 'I : r ~ : ' ) I , I ; , ! 1 ',1 · ~ p I ~ ( J 1 . . ~i:~·-~ . ':,l~·;! ..... I . . ·-·A -".. SPA«;f; llE;I,.QW FOR EXCLUSIVE USE Of FINANCE DIVISION ·-··-·····- .. ··I ·~,l!·~~:;-. -~ ·l :. s "'i 1· •! .:~"lJ~ i.___!·~:::JI"'II'!II ,..-• •un-,u.~ VIII"IE,.I'l "t;'-'UUINII:.I ·~· •~ J . ; ,...,.. . ,.---:- I ......... •• . t· .. i:;,tl: .. f· 'l·>. ti /: ~- · , ) .,> - ;. : 11I •·. ,•. ,•, ,~,I1 i 1 '' 1 l 1 I I' ' , ' · · , • , , · • 1 , ,I ,,I .,I I'1 I, . , · I ·, . I - · ; • . -v '. - .I P , , • , ! u . ' • ' c:T••·' ! . ! . 1: , , 1 1 , ~ . , 1 ... I : 11 , ( I 9 :: 1 -T I' : I 1. . . : i . ! , .... 1' . I . l o l o ' , : r ' : j . ! l' • i . · , · . , 1 ... I : 11 , ( I 9 :: 1 -T I' : I 1. . . : i . ! , .... 1' . I . l o l o ' , : r ' : j . ! l' • i . · , · . . I ·1 I 1 . 1 ' 1 C , 1 ~ SH · P ... A .. Y ME . 1 N ' , 1 I 1 . t 1 . ' ., . I I · , N p ,J ~ . ' . · , ~ , · .1 " ' . · " "• ' · · t r ~ l · ' - ~ r i · - l " , ' o ~ u · " • ' ' 1 · " l i • 1 ~ · 1' -·· , 11, .. ... . . _ .. , . , _ , _ j f u ... - ~4 _1 II " . .~. ,.: .'-: ,~! . ·: ' , : , ! .• · ' ' ' f · · ' I · " ' ' I I - I I ' ' ,~ ' • ' I I 1 ; ' 1 I . ; ' . : ; . I ' , I , • I I • I I ,• ~ I • ! I •. I I , • I , I I . , • I , , , I I , I , ·I ,I 1 1 !I ' i ' , I · , I 1 . ' · ::''1" I· I . ''II · · ' I I . I I ' I , 'I I I , R t ' J • ' ' r 'I I c . d J'' E ·' ·-- ~ v t · :t.~"'. 1 l ·r .• 1 ; - ,_ : ~ :! ~ , .. . · ~ · . ~ - ' . : I I I ' I I I I I I ' I I I , ·' , I I I I I i I I l ' ' ' I I I ' :' ! 11 t . ·' I I ! I I I I I 'I I • ' . 1 I I I I This document is a declassified MKUltra file, specifically a "Request for Advance of Funds." Visually, it's characterized by a standardized gov