Doc 0000017400

_. ~ ·.. . i~.--.! 'i. .... -~ .. . ~-i-·.· ~. ~- .. ·-~ . ;i: :_. •.. o\.'_-- ..- -'·.• .·" .- ... ~-' '. :·-· .-,. ;_;. ·- .. './ .. r:-' ' - ' .. c:::::1~ ~· .. .. . .._ ~ '.; • l •· ·, ... _ ,_ . .. ,.. _______ . \. ~· --..--=~---· r -! . :- . ., . ... ~t ' t : _ . . '· . ... ~ ;. . .. ' _,.;- \ •·. I ,+ · • .. : .. • . ! _ , .. ,,.. - ~- - .... ~1 ~.... .. . ~ ~ tl .-..:.~:. __ _:i__2_. __ _;:_ .. --~ ~..:-~ "'i-' _: ___ , ___ ·- ~.::-~.- •.. :::. .. ~~-~-~-~ ( · ~·-~~- • ·-·~·~~~~~. -~ ~~-~~~~ -_-.::~ ._ -.. ! ., :X"'"~ I;'~ ~-· -~~ .... :.c :' .·· • ·· .. -~ ...:- ·. .. - ; - ... ,--i . ~.- . ·: ·•-'-.:Ot-r .,,, . '··: .. .•.· ~- . .. - .. ..,. .._ ~---~·~ ~~ ·-_, . .... '·- •.' -:-. . . ' .._. . ,. ..... •• ''!: ·. ·: -·. . · .. , '. ,• · ... · _._ _,...._ _ _ r··.. , /' ,_ ••• .,... \:: (When Ji<l«nr i.) •. ,. "' · -.., • ·~.~. 1 . RE IMBURSn' 1ENTAVOUCti ~ E R FOR PURCHASES AtiD ...... Ar • • ······-• ~ VOI.ICHER NO, (FinAnce Uoe Only) ;, , ,) SERVICES OTHER THAN PERSONAL ma:IL'fttl.- Subproject llo. 140 l' "'' I . ~, I : , ''(,'"'> )·:.1 .: ,, I I i ~: : . I P~at to . . Kl 3 ~or Xnvolce Ko. lS,. eoveriag the period :. . I' 23 :Rovember 1964 thl'oagb 1.9 Jla.rch DA SUbproject No• . 140) per paragraph . or I, IV-D tbe JOalLDA J'iscal A'l:mes. I cert1:t:r that, to the best of my knowledge aud $2,750 belief', tile DOGDt 8howD 'WU diabursed ~or .Agency-autbor:lzed actj.v1t:les aud senices 1 ! I or materials have been recfdved.. DocuiDeDts upoD wb1cb this statement 1s based are I ' '' ma1Dtabed S.:n T.SD f .... a il t e .. s .b · .1 ~ s o .. r ro q s _ e a c e u s r t . i .. t ... 7 .... . The image displays the header page for a declassified document. On the left, a stylized graphic of a bank vault door serves as a visual metaphor for "The Black Vault," an online database of declassified documents. The vault is rendered in shades of grey and blue, with intricate mechanical details like dials and handles. The right side of the page features white text on a black background, announcing "THE BLACK VAULT" in large, stylized cursive font. Below this, smaller text explains the document's origin from The Black Vault, its inclusion in the MKULTRA/Mind Control Collection, and the website where it can be downloaded. The URL "http://mkultra.theblackvault.com" is highlighted in yellow at the bottom, reinforcing the theme of data access and declassification. The image is a scanned document, likely a ledger or invoice checklist, with a mix of printed text and handwritten entries. The top section appears to be a form with columns for "Date of Original Authorization," "Period Covered," "Time Extended To," "Allotment Number," and "Amount of Obligation." Below this, there's a similar section labeled "Additional Authorizations." The bottom portion of the page contains a table with columns for "Invoice Number," "Date," "Amount," and "Balance," filled with handwritten invoice details and monetary figures. There are no photographs, diagrams, or visual evidence of experimental procedures. The document exhibits several black redactions, obscuring specific information within the table and at the bottom of the page. DocuiDeDts upoD wb1cb this statement 1s based are I ' '' ma1Dtabed S.:n T.SD f .... a il t e .. s .b · .1 ~ s o .. r ro q s _ e a c e u s r t . i .. t ... 7 .... . - re .. a · s ·· o · n ·. s . AD .. 4 .. .. ~ .... U .... l ... ... b ... e ... .. a .. . . a . · d .. e .. . a · v · a ·.. i . la ·· b .... l .. e ... ... t .. o .... . t ···· h . e . . ·l I ''j'•; .~:r.~ ~ I ·' i' ~- ; DATI£ . •; •. , . . ~.:· ' II , ·;;·,t.• . . ; l 1. . , . .· ! . ), . ··:. j ' ;, Cll£011' ,· ,..., - J ," ' '- ' .. .i ,' .. 2, 7-:>o.oo ·~· ,. ' , ' ;~ .· ,J • ~ I. 'i -~ i' ~?:: 26Q. :,:1~~~~~ ... t:YIOUS ~ I ,, .J ._, I • . ,,,.... .:I. (lS~l~i:it~'(:;~Y.~i~~>.~ .:·>.L .. .. :.~-~· ---c· ·-...... r ' · ' ~ :'' '. ":· ":' ~ •!I f,.: ',I .1 (W._ .. - ,. ... I ; I •. I hAM£ OF '\:L i.fi'IBnce Use On i REIMBIJRSEMENT VOUCHER FOR .. PURCHASES AND ~~ r ~ { SERVICES OTHER THAN PERSONAL BUL'J.'U. _-,. Subpr<deet #140 534259 DEC 30. 64 ~ ' f .• r.· . I~ . OESCR I PT ION OF EXPEND I TUllE • A"'T,.CH RECEIPTS AND OTHER SU!'POIIT lNG DllCUMENTS AMOIJNT i"- 1 fo$!Ei) !n;:;e;;:g,..!!b j. . Au:~::r:oi! 4iJIIII&-mfU~f1~6!~~o ~~:!;c ~:r=.mA 4 OO ODJLUVV •. nscal AnDeX. .X c::ert:i£3' that to the 'bes:t o:t my knowledge and belt~;~~f, the &mtount shOYD was disbursed for AgeDCy-authorized activities and :services ()r mate:t-lals have ·• been rece~ved. Documents upon which this statement is based are -ainta~4 in f1led J.' .. o'K 'rSD 1or seeuri"t7 reasons ·alld ma,. be made available to the eert1~y1ng o1'l'1cer at ... llia. ... ..... · · · ........ ·.... .................... .... .... ........ ........... ...................... ...... ............... .. ................ .. ~uest........ .~ i Pls .fl.wwil'l"'l!! .I • . : 1 ) ~ r .j ' j, ,. L l t; The image is a scanned document that appears to be an invoice or expense ledger related to the "MKULTRA Subproject." It contains several handwritten entries within a pre-printed table format, detailing invoice numbers, dates, amounts, and balances. There is a header indicating "INVOICE CHECK LIST." Some areas of the document are obscured, with black redactions, particularly at the top right and in the remarks section. The visual presentation is that of a financial record, with lines and columns suggesting structured data, rather than any evidence of experimental procedures or facilities. ·alld ma,. be made available to the eert1~y1ng o1'l'1cer at ... llia. ... ..... · · · ........ ·.... .................... .... .... ........ ........... ...................... ...... ............... .. ................ .. ~uest........ .~ i Pls .fl.wwil'l"'l!! .I • . : 1 ) ~ r .j ' j, ,. L l t; l~ il;'1'. !, il. ·] :~} ~ 1 j. ~ . . I :. ::: : ,: .. :,:: :::: : i :. :. :. :. I I .. I I I I I f ' l I I .. I I. • . "I • I' ,, • I • •• • • • • I • ! I< ! I . : I . I · I I .. I' 'I I ! I I '" I I I I I I I . :~1 :jll·· /.:·L· ~w£vlous ·, •• . 2 FO '• R 6 M 4 " L 6n , j . o • 1 • :1 < ) • > I T L f. 1 ON H ,S f , 1 I1· ·'''t£::,, .,,,.,, """"; 'y.~~l.;~t.t.:· 11 'I•• ' /'' .;. '' :·. rj l I l REtMsuRSEMEMT voucttER FoR PURCHAsEs AND·: 1 ·. .· - •m:m.A s~t(l'l.O ,1 i NO, (Fjnanee use only) 1 . r• I · . . ·< ·· · " ~~ . SERVICES OTHER THAM PERSONAL . . CHARG~ ,Tt) • ,(' ' REI~BURSE~ENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVIC£S, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR PROJECT DESIGNATED, c i l 1 ··li t' ~ . 1 .. I .. - ~ i' · ''· . _, ~"-- .. -~ ~ ... 1 L v k-::-'V!I!ft":t. no I !" l l I ' -~ t.,l 08LIGATION I!.EFERENCE CHARGE A~LOTMENT NQ, r'.j • s,Ia o Q'2S-.l:~~ DATE S:IGNAlURE OF AUTHORIZING OFFICER RECIPIENT 11 AUG 1954 i ' -r"':.-.. :f>';:;i I P!IIEPAREO -BY I --~---~~= ~-~~v" ' V" ~~-w~ • •- --- -· ' • ,.,,.,, __ -,. 'v '_, 1 ... --·-- , ___ ~ .. .. ·r- ·... ~ , ' 71·110 'j-;~I,· .... AI'IIOUNT · . : ; ~ - ' < . ~ .. . • : :: :: : I:OitDf t ,, ' •.• ·- . . . . . • • • • • - • i :.I, :• 1;-~t--· ~!: i '· ')611 I'ORY UU PR(YIOUS ~~~ 'j-;~I,· .... AI'IIOUNT · . : ; ~ - ' < . ~ .. . • : :: :: : I:OitDf t ,, ' •.• ·- . . . . . • • • • • - • i :.I, :• 1;-~t--· ~!: i '· ')611 I'ORY UU PR(YIOUS ~~~ •· # .· t ·1 W " ~ 8 ~ •5 ; 9 . · : - L ; , ~ _ t ,. : l : lt t O ~: I ~ T t, I f O ~- • ~ s : . - ·· < .. t':;~ ··,: · -~-~:~~ -- " ~ ;7r-·-:f~ - ~r7·r~··--~ ·;_ ~: --·-:":'·.":.;~. .~ ~~ ......... ' . -:;:.--~"' :;--:-· lo •·*-· -~;·· ··i~, ·:i· ';" . ~·,: i. I: 'f " "" .. :."" " "~: ..... '• .·~ ! (When Fd led [II) ~ ! ,. VOUCHER NO. Yj 1. I REQUEST FOR ADVANCE ; 1\: 1)....__lbl~os:wat Of FUNDS t · 2102 ·I 1 ... ·.(. . PUIIPOS£ •.. ~.&. 1 } V • IN 1/0it:.E !I ' .. ~c> IIIULS& SUbproject #140 (--. #lS) 1or IGI1Ct1Yit1' apprcwed by Cb1et" 7BD. OD 20 April · J 1964-.. . ... ' ··r··. w:t.~ Ul1,Lm.&. ~!Seal ~-~· Atttcbaeat· A. . · o! • ' : I I.', . !! ·' ' ! : I. ' . . .-g f :'• 11 '· ·~· . .. ' I I . f 1 l . . . ;. 1!'11 'i' I I " I -· i · __ . , ::::;::_, 1 _ 1 _ 9 _ 6 _ 5 __ _ ... , - , . . ' ... •''· ' ·, • 11 11 I i I .. J ' ;:?ld~·.:: .. 'I • ~~"j- srimnllQ1'n.UBI~ :1 I .1 . . olll1 ·I ! . I CERT111'V I"U . · ' ' .. I ·.. "' ..., ~ ., '1 ·.• II -:~! · ........................................................ _ ...., . ........................... ············.S.PI\Cii:-BEI.OW fOR EXClUSIVE .I.ISF. OF FIIIIANCE OIVISIOIIII ··I ' ' ,~::·.. .. I ,,_, •• I ....... ... ,, " ,_' 'l ·•. ·: ,· r:-::. '::.t,· .o.1~-~u 't 1. ,, ,: 1 . 1 li I' 1 M 1 I· 1 , 1 t •· I t ~· I l'li ,I: l ~ I I l.t "' 6'e ' ' I I I 1 'I . f.:~- :.I . ' • ' This image contains a declassified CIA document, likely a form or memo, as indicated by the phrase "CHECK RECEIVED. IN THE AMOUNT OF $ 2,750.00". There is handwritten annotation "20 Apr 65" which appears to be a date. There is also a handwritten "A" and an unclear numeral "140-3" in the top right corner. The document has some redactions, obscuring specific information. The overall page is speckled with a lot of noise, suggesting it is a scanned or copied document with some age. ·: ,· r:-::. '::.t,· .o.1~-~u 't 1. ,, ,: 1 . 1 li I' 1 M 1 I· 1 , 1 t •· I t ~· I l'li ,I: l ~ I I l.t "' 6'e ' ' I I I 1 'I . f.:~- :.I . ' • ' ~ ~ ~ I' ... ; ' J~ • I I I I t .t.. I I I I It ! I I ·I i I ' I ! l' ! I· I 'I 'I i I I ! I' j" I ' :! •. , l. ' ·'·j\,::i .. ' • r - • . :· . ~ , ! F J O • R $ M 0 281· , UU PIUYIOUS --~ 4:;,._·: ·-~~ :t;\~--'7~ '. .... ;; ~-. ;--:"". --~ -· '~"-~~ ':f.:·:·,:~. .... ,.-,. ~ .h~·~~fi~·l?:1.:·rJT~·1Zr.,~ . ··, ~· "' ; ~. ~·· in) I BUL'ftA Subproject If, 140- _/ II REIMBURSEMENT VOUCHER FOR PURCHASES AHD voucfiER NO. (FJ.nanee u ... only) SERVICES OTHER THAN PERSONAL ~t CHARGE TO A~LOTMENT OR PROJECT 4US..1390-3102 ~ J ltEiMBURSEWE·NT OR I'AVMENT IS CLAIMED FOR MATERIA~S, SERVICES, OR OTHER E!CPENOITURES ITEMIZED BEL!)W WHICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR 'S::> PROJECT DES I GNAT£0, - ---. ----.--- -- -- - -----. :'\: --- - .. -- -··-----·-· -·· ···- .. .. ··- ------·--·-- \.1 , ' , . r~ I•· Or RECIPIENT 71•80 AI\IQUNT IUBIT CIUIIIT ... n'I C•tl ' '~ ; ·~:~:;x1~;~~\!~~:;jh}1~!~~~~~x :~·tr .t-:r:··}:~.?r~· X:'':·? :y ;·~·fiiJ~: :,~]~F':T·· . . 'I'"';' ·-----... -... -•M• ·';. . ; 1 ~ ~ ~ ~ ·. ,, 't · ' · , · , . ~ ~ ··~~:· -.:: ' . . d.~-<~Mt " "' '" ,· ... ~ ~- ..- •. ·. ... ~ ;· c_;__ __ , >'- ,f i. .. • .• / 'i • ~-< .·. 'I • ,;· ~ -....- SU6JECT lfKUi..'f~A )·~ sUhpl"oj£·c t No-. .. :- .... :: .··' ·._.~>~;.-~--:~;~.~~ ~~~f·:. --.~-;~. fc·_ •• ·• . :: --., . -····l •j_'_" _.-,.;:t :":--~! ·l .. l I ~ ~ I .~..:~~:~~!1~.)) ::'c~n r>~:Jt_lc:~\~--~!'-:·r '.l Z"i~-:-- F1J!{i~;~; ' ...... ..& - .· ~ .. ----;----- -,.-. :·;~·-~· * .... ~--·-~·;,~ ObjeClCl~~------~--·--~--- ·• ....· ·. .. . . .. --.· Obligations Obligations Unliquidated Date ~ma •. r - ks •. and > R •. detences ___ ., ~ . _ ,.._:~ ~' .. - . - The image is a declassified CIA voucher form titled "REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL." It is filled with handwritten entries and official stamps. The form includes fields for claimant information, expenditure details, and financial accounting codes, all populated with various alphanumeric entries and dates. Signatures are present in designated areas, indicating authorization and certification. Additionally, structured tables at the bottom of the form contain numerical data, and a stamp at the very bottom indicates "GROUP 1 Excluded verovamatic declassifica." There are no photographs, diagrams, or visual evidence of experimental procedures. This page is primarily a completed form, likely a voucher for reimbursements or payments, featuring numerous handwritten entries and official stamps. Notable visual elements include a form titled "REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL," with fields filled in with dates, account numbers, names like "MKULTRA," and financial amounts such as "$1000.00." There are several handwritten signatures throughout the document, indicating approval and receipt. Additionally, there is a distinct vertical handwritten annotation on the left margin, which appears to be "140-5." The form contains structured data in tabular format, with columns for various codes, account numbers, and monetary values. While there are no photographs of people, locations, equipment, or experimental procedures visible, the form's content and layout strongly suggest its connection to financial transactions related to the MKULTRA project. Z"i~-:-- F1J!{i~;~; ' ...... ..& - .· ~ .. ----;----- -,.-. :·;~·-~· * .... ~--·-~·;,~ ObjeClCl~~------~--·--~--- ·• ....· ·. .. . . .. --.· Obligations Obligations Unliquidated Date ~ma •. r - ks •. and > R •. detences ___ ., ~ . _ ,.._:~ ~' .. - . - - Incurred -c~ ··Liquidated Balance lo JUN uu ;-. -_-(';;,"r~~:.t.;kodi~~d}(~~+~i) ~-:.-~~- ~?~7.7-~. 17o32.z~ . l"~O__:_?ig~:.:_:.~~-_::.· -:~:.;:c(;_'~":-7-:•~·::· .::.~·,:_:~···'_,···~ ~-'--J1L!,r~-:~~--~:=-:~:;...._'_ ..,...~~=:;~~-.:;-"'---·:z---'=".: --~-:·-~=K~:r-:;--:~~-~-:-c.t~.-...;;;LO;·u :.~A~~-~·.~~:0-..-.~ ~::::~ __ _'--, _J..._._-..:.:..·..·. .... ·. ' .: ,p.l~ · . --. : R -· --r <"on. 60 ' 5' 31. >f - ·7··- I - --·--:-.---J-.----,~:.__~---,sF''--: ;_c~·--~~"--":.. ..·. . ----1--.,..-...--f-_!_f_ ~3'-. 7[ ~ .5()_ ·=--·. :J ~--~~~~--~-~~r~~~-=~=~=~~~·~~~~=--~~~7·-~-~~~9~ -o-~ •. -.-. •.;: .· . ~-------+----------·-- . ,. ;;•. (When Filled In) 5£.)"; 1 ~-,;;~-r;·~~;:,:.~{.:~~t:~:;m~:,~!::t~;;,:,'i~:b . " ~- ..-:-:- ·-ti~~---: ·:~:::n: :~ --~----~~~::~~tf~~I:~~-~~c}f;;-;: ~ ;:;~;~:;:~-;~~;.\;~:~~~~7~:-~~z;{ -~~~-~~:~~~-:·! ~~j;~1_;r~~~~t:::~rtft~ :~::. :_.. . ., ..: -. ;..•.· ,,. .. .i· ·.• .;. .... ,. ·'"'··"<; ·:-r"-·" .. "''*~~.- .., .-,.l<o}t:<· ... "- .. · ···"·"·. ··-" ;-·· -~· .... < ,, '; · ~ - · : -· . · f ; l : f ; :t l'···'( / ;a ·· ... ·;~~ 1J: ~ >~·,:; ~~;}·i~;~~{>':: !2:~~i~:}' (:~ :~; ',w . : ' • ' ':,:•: i{_~.!:~,-: ··- - .. - - - . - . ~ · -., __ ~:,; :; ... ~--. "" . ··- ·- ~- "'-. ··:·~,: .. nat~<~~~~~l~ _ __ ;.,....··-- -1 ~ 7- ~----~ -r-;a_ .,· ----- :- - < - - · . ~, .• _ ~ - ~ ~ - - - - -.; . .. . ~ . - M.EMORANOUM FOR;· C/TSf)/Jt'ASS •·- --~~-- ·.:·:·I: ,'y'!';' ....... ·.,., _. .~ ~ ... · , f · . . -• • ~ -· .';!"· ._.' •. - .S UBJEC'r .. ' . . -..-;~--_>-" .:· + { ·. -~ - ._ . - -·~ - :_';_· --··- ... from .. - _ :· the DC~_-·to.t~e~DP/A;~~and.~tie ·extension of.-tbis~authodty in subsequent-~·: -- -::.-'. --~- ~: --~~------~ --~-:~~r --/~~j-~:~;: __- ~~:t:-~~--~~:-~-~;_~----~--~-~-:~~~~-:~~--~~ . .. _· : ...: :_· . --~--\:.:. __ · .-- · · .. ~~ -_. ______ 'me~o.randa,i :subpr(>}~i:t --l.~ hasJ>e.?P:_ _ appioved, and ~f.?.Q1_~!QQ._:___·_- "·-· · · o ,·. f : tbe o :· v : er .r , · a ;: l :- l .: P-:i r o i j : ~ !: c : t \: , : M l{lJLARAfu - r > This document is a reimbursement voucher form with several fields filled out. The form includes handwritten signatures and dates, one of which is "10 Aug 1964" and another, "11 AUG 1964." There are also handwritten annotations, including "CHECK #202072" and the amount "$1,500" written in large script. The form itself is titled "REIMBURSEMENT VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL" and has sections for claimant information, description of expenditure, and certification. There are no photographs, diagrams, or visual evidence of experimental procedures. ______ 'me~o.randa,i :subpr(>}~i:t --l.~ hasJ>e.?P:_ _ appioved, and ~f.?.Q1_~!QQ._:___·_- "·-· · · o ,·. f : tbe o :· v : er .r , · a ;: l :- l .: P-:i r o i j : ~ !: c : t \: , : M l{lJLARAfu - r > 1 < <: lE . r : ln w;a ' . J- . ; . . ~ ·- ~n ; obligated to cover the ' . -~~;. ~:-~,.,.~~,: .~;::·:<' !fe .... subproj~~t'rexp~~sefl' and -~~~o~ld ch:arg-ed to cost ·center~ 2,:1:~}~...::...- ==. ~ .~. ~_:;._ . .;.·· :.- tr: -:- ,!._ -c ... • -·. ' :···. ,, • •.· '<-;• ..' ;· ·. . ~ . '"' ~ ~ ~·""--; ! li~ -.. ~- . :~ }fP , . , \· -~·:,,):--~ j:_L::J~_L/. __ £. . . APPROVED !-'OR OB.LIGATION:,,."c ·.-- ~~ 0 F FuNDS: ~. . . :::; : · .;. ;~}: , ·;· . .. ;.·. l~~ - • GROUP 1 Exclude-d £rom auto~ · matic downg~adtng.l\nd I--- .,11" f i. l i ,f. . l NAME OF YOU·CHER NO. (Fin•nee u•e ,only) f ,, 1'( 1-,j REIMBURSEMENT VOUCHER FOR PURCHASES AMD i' SERVICES OTHER THAH PERSONAL l r .• · l- : ~ , . . . l I. , ( h ~· .; ,;. .• . , .<. ~ {,.. REIMIUR$EMENT OR PAYMENT CLAIM(D FOR MATERIALS, S[RVICES, OR OTHER EXPENDITURES ITEMIZED BELOW WHICH ARE PROPERLY CHARGEABLE TO THE ~LLOTMENT OR .;. E~ P~OJECT DESir.NAT£0, r.. :; i, t ;, ·' '~·"*·/; -l ,!· l'l. . ' ~<'~l '/ ~ ·.~ . ·.. ' !\I~ t !1~." ·~·· · .. ·." ~·::·" .. :.. . .-. ,. •I ·. i =-.• r::~,' .c .. ~ !. ! i i ~'"·:"ii ' , , , ' I . :,,, I f·~'& .. .. • OR r~~ . j ? · , .. ~-:--~ .i I'' 11; • '· I> ('1- 1 1 f) t "a·~~ ~. • · . ' • ' Dll'fli: ' ';. 1''. ,I : , : , OF RECIPIENT k I'; . . ;t ·;' F_(II!M 2GLI- usc '"CYIOUa -;"· f•59 CD.YIOKS. ... ~};~~~~ttl~ ~. ~~£ ~ , ,~ ~ · ' ' ·. I . . ' . .. _. ~ · l• i? ', ' ' : . / i ' .\": ~ . ~~ .:':. ·:/-';~·~ .... (~~ NAME OF VOUCHER NO. F_(II!M 2GLI- usc '"CYIOUa -;"· f•59 CD.YIOKS. ... ~};~~~~ttl~ ~. ~~£ ~ , ,~ ~ · ' ' ·. I . . ' . .. _. ~ · l• i? ', ' ' : . / i ' .\": ~ . ~~ .:':. ·:/-';~·~ .... (~~ NAME OF VOUCHER NO. (Finance U5e only) , ~E I MBURSEMEH'r VOUCHER FOR PURCHASES AND SERV!CES OTHER PERSONAL ' THA~ CHARGE l PROP!ER'~V REIMBURSEMENT OR PAYMENT 'IS CLAIMED FOR MATERIALS, SERVICES, OR OTHER EXPENOI'I'URES ITEMIZED BELOW "HICH AilE CHARGEABLE TO THE ALLOTMENT OR ~ PROJECT OESIGNATEO, ~ DESCRIPTION OF' EXPENDITURE ATTACH RECEIPTS AND OTHER SUPPORTING DOCUMENTS AMOUNT ......... - tor Xnvo1ce #12 tor t:ho period 1.3 November 'SUl)ii:rojoct 140 per paragraph IV-D of tbo la{OL'TRA to tho best ot ray knowledge and belief the amount sbotm Af&efJ.f;Y 1\Utb~1:'1Z~··=e~~v1.t1e~;t ··and· ~·rYie:e• or mat~rials b.AV:'J upon ~·:t.~h ~his stajtementji11~ ~cJI are mai;at~iinedll i~ r~ason,, .: 1aoo. ·w~1,ll be.. 1 r.~d~: !a~a,1~a .. 1~ llr·· :ito thte: ·~e .. 1 .ft"~~:fiY1~.i: ;i : I · , : , I ' I II 1 '' ,, I I· I I I 1 II l I ', ' · IIi i I : ·· : · : 'I· : I ' .. , I , I I · I· ' :1 ' iI ' 191 I' / ' t !A,i I ' : ·!i. '!: , I . , I' I 'I '. ' I! I I' i ~. '' 3,.500.00 - . , 'I , - ' ' g,.::·, l1i:: ,': ,; I I I E)(TIIAOAOINAA¥, 011 I i ''I' I DATE CIIII£1U1' . ;f I I ,. . I FO!IM 2.::'+ .......... ous ~ ~~ ~ 6•59 y [01TIOH~. I. \,...-r-""'-·~ --·~ ...- ·- •• .t.~ .~- ...; ,', . , "! FiJled In) VOUCHER NO, (Finance uae only) REIMBURSEMENT VOUCHER FOR PURCHASES AHD SERV ICES OTHER THAN PERSONAL I CHARGE ~-3.90.3------'--------------1 ; I :::: ' RE INBIJASEMENT OR PAYMENT IS CLAIMED FOR MATER IAI.S, SERVICES, OR OTHER EXPENO I 'rURES ITEMIZED BELOW WHICH ARE PROPERLY. ·CHARGEABLE TO THE AI.I.OTMENT OR { I PROJECT DESIGNATED. ~ ' l l ' I i Iil I ' DA,TE, OF RECIPIENT i I •. I :1'1'• li>O .. ·· .... , y e•cDJT I' F 6 O •5 RM 9 2G!I. U E S D ~ I T ~ IO I N UV S I , OUS C.c91 r! . This document is a form titled "REQUEST FOR ADVANCE OF FUNDS" with several handwritten annotations and filled-in fields. A handwritten signature and the word "Aile" appear at the top right, along with a date of "8 July 1964" and an amount of "$16,500". The form contains multiple tables with columns for dates, amounts, and codes, some of which are filled in. There is also a large handwritten annotation in the bottom section that reads "CHECKED IN THE AMOUNT OF $16,500". A black redaction obscures a section of text in the lower right quadrant of the page. This document is a reimbursement voucher for purchases and services. It contains official stamps and handwritten entries, including account numbers, dates, and signatures. There are no photographs of people, locations, or equipment visible. The form includes sections for certifying funds, approving payment, and detailing expenditures, with a prominent amount of $2,295.50 listed. Some portions appear to be redacted or obscured, particularly in the lower section of the document. l l ' I i Iil I ' DA,TE, OF RECIPIENT i I •. I :1'1'• li>O .. ·· .... , y e•cDJT I' F 6 O •5 RM 9 2G!I. U E S D ~ I T ~ IO I N UV S I , OUS C.c91 r! . .J : ''""" •I"' -~ • ,,..., ~· .. '" __ ., .<. ·:I II' L ;·:I, :1. .,. .. . ~ .... • ,· ~·/ .. ~ .. ·~ ' If ··--·-- .~ (~ VOUCilER NO. ~ . REQUEST FOR ADVANCE I OF FUNDS ~~ I See· &1t~est pa-en• :ilnst. srlNII 'Vo.... PURPOSE ~~~ -~ ' AdYanee to maJLftA 14.0 1Dvo1c:o II 10 for ae'f;lv1t:r appY"oved .by Cb1ef., TSD on 15 Marcll 1962. Acccnmtiug .1or this advanee will be 1n accf)rdance "W1th Attacbment A of MEDLTaA Fiscal Annex. FINANCE OIVISIO~ • 71•1JO AMOUNT CI(D f'T - 1'01'1,0.NI.- .. ,.,. '· (W~· NAlo'E. OF AO VOUCHER NO, REQtJEST FOR ADVANCE I\. OF FUNDS PAYABLE: r~P-UR-P-OS-E----------~~La~~~~=m~~~L_~8-.~ (b ~ Mftnee to r.mn.'NA l~ 1.m'OJ.oe I 9 ror actf:v1~'Y approved. b)' Chie:f'• ·'!lSI) on 15 Mareh 19(2. .Aceoun't1DC ~or th1a ......._ 114~ 1111.\ to 1D ~ v1th At~t A 0: ~ J'1aeal ~. r .. ~ P.EOUEST lNG OFFICER 1 ,, ' DATE ii I • I i I OATE I ...... r··...., ... -·-···-·--------.. •·- ..'ARED IV ...... ,. ... , OESCRIPTION•AlL O~lltR AeCOUNTS 13•33 ..... ~ ...... ·--.. ~;: .,_. ·-·:-··. .. .. ,. __________ ...... ········-···-- .,.....____...~~-~=······ pJ· r.:y /£{(- /(:..- ; ,. : _. . . - . . . ;·I· :~ . ; l1:":":-:-:·:":"" . "-~ ~, .. :;. _;~.'- Cost Account AJ.fL5.-13<fO -J'llifb Obligations Unliquidated Date Remar-ks and References _____ . Liquidated Bala.'l.ce ---l--____:__ ___.........,...=-·~~~~;;;;;.::;;;;~--.!.---t---------=--r~.;;.;;.;;;...-··:__._ I 8 MAY IU2 I( 'I II I( .L 5FEB ., U$3 ,, ....... y;_ ~- ~....__.~ ~~~--~-'--~-::__~~~---",....t· ~~-"--'----+--J--.:.j-.1~"-"'-'"+-------.:.32..• .2 ...2? ~-' i _20_;i::f:....-.5N::s. . ·' 1-' <"{hen Filled In) ... · 1::1 \.:J ~·· : Finence Di.visic;n. --'--- - ·_ ___ ·-- ~. ~nd sho-~.,· ,1,1 00 . 1 DAte; ____ Dist.:rib'<..lti-cr~: 2 - Address<:e ~eigin1il. ~ ..., ' J:.I.i.7~1(·R:<It:C -C:-fi'I-(C~)t --------- . ~ . 1 ~ ~ ~ • . . . . _. . (.. 1~ .... ~~=" r..:o l'"':l ........ l .. f" T 'F OO""H ,-· ... _,. """"'~ ,,., tvcout. .. ER NO. (,."'i.n•nce u•e oniy) I 1 I: REIMBURSEMEtfi. VOUCHER FOR ·PURCHASES AND ,., ' --------- . ~ . 1 ~ ~ ~ • . . . . _. . (.. 1~ .... ~~=" r..:o l'"':l ........ l .. f" T 'F OO""H ,-· ... _,. """"'~ ,,., tvcout. .. ER NO. (,."'i.n•nce u•e oniy) I 1 I: REIMBURSEMEtfi. VOUCHER FOR ·PURCHASES AND ,., ' I ·. SERVICE$ OTHER TliAM PERSONAL •: IS C~AIMED FOR MATERIA~S, SERVICES, OR OTHE~ EXPENDITURES ITEMIZED 8E~OW W~ICH ARE PROPERLY CHARGEABLE TO THE ALLOTMENT OR 0 ~ ~ ftrAr.&~• ~ ~~ ~ aa~-- ---"·-'·-~- .,, -----·--·-.. -- -----··-·-.. -- .__,_"' ... --.. •• ... - 1 I t ~ '· I. X Olrtit:r that .. tO. ... ..,_. .. ,'bel1e:r···tbe·· ·a aacxm:e.·· aboWn ·a a ba.V112(& ··uabUI'ee4 ror -~ AftlmC7 authori~·~~:l.v:ft1ea matarial.~ ;bee• n cu ~ r l .t ~ r ~ : ~: 4~t8: ~ Vhs.Ch .. ~i.~ i+~~t.iia ~ ~~-~n't&S.~ 'lS)) :ror xeiiAODII ao4' vfu :t. ..a. a p I v ! a ~ il. : ab r l I I I A t . I ~ " : l i i "' o ' U : I I . ~ ;()ft'.1oe1'1 1 ~ : I ' i ~ ll I 9 63 I I I I I I / • I1 I : • .: 1 I : i 1 ' l I : 'i ! I i i I II I L I I ' I I I ,,. 1 I $1 I . . ' ~ .00 I · . · . . Sl GNATURE 1 ll "' ••, ill." . . . . $ SIGNATURE OF RECIPIENT c c••aiT ·:! DECN~; 2611 .. ...U...S -£ ~UOIOUS t.llt) '' -~~ ... ·: :\. ·. . j '!,!'' ·J '·' • j ~ VOUCHER NO. (Finance u•e only) I ·$EINBURSEMEMT VOUCHER 'FOR PURCHASES AND ~ SERVICES OTHER THAN PERSONAL ljREIMBURSE,.,ENT OR PAYMENT IS CLAIMED FOR MATERIALS, SERVICE!>, Cf: :l'il'\£1l' >i.~P·f.N?ITURES ITEMIZED BELOW WHICH ARE PROPERLY CHAI!GEABLE TO THE ALLOTMENT OR ~ PROJECT DESIGNATED I I , ; , ~~ ~ ~fl~ ... ·- .m __ .. ·!; .......... -~ ... . . bav1~~g been 41a~ tor doCuarerltS ~.Nvt wh1eb rau .. o ,. a ,. a 11 ,,, I Dl vlll. . i : be - m-a.e l: ' '· I ' 'I' I:;; .. 'I'•I' I 'I $l,2&0o .. oo r I : i !' I ;: '! II ! ·': I I' I :' This image is a scanned document featuring a ledger-style form with handwritten entries. The form has columns for "Date," "Remarks and References," "Obligations Incurred," "Obligations Liquidated," and "Unliquidated Balance." A single entry is visible, dated "1/21/14," with "MKULTRA SUB PROJECT 140" in the remarks section, and "22,500.00" in both the "Obligations Incurred" and "Unliquidated Balance" columns. There are also handwritten annotations at the top of the page including "140-9," "No. 530," and "Cost Account 4125-1390-3902." The document also contains official stamps indicating "(When Filled In)" at the top and bottom, and a redacted area at the top right. The document is a memorandum. There are no photographs or diagrams. There are handwritten annotations, including signatures, cross-outs, and the number "530" next to "OBLIGATION REFERENCE No.". There are two dark, rectangular redactions near the bottom of the page, obscuring text. A stamp reading "140-60" is at the top right. The bottom of the page contains text that appears to be a classification marking, reading "Excluded from retro- antic downgrading and declassificafion". doCuarerltS ~.Nvt wh1eb rau .. o ,. a ,. a 11 ,,, I Dl vlll. . i : be - m-a.e l: ' '· I ' 'I' I:;; .. 'I'•I' I 'I $l,2&0o .. oo r I : i !' I ;: '! II ! ·': I I' I :' :I'I ~1 )! ! I , " , :I " ' ,, fI' '"CONFIDENTIAL,, 1£iXTRAOIIiOUIAIIY, ' ' 'I , !I li ': ,. 1 ' i· j l I s lI !. SIGNATURE OF RECIPIENT t, I'' I !' ,. '· 11· eo AMOUNT •. i 1 l .,! I '· l· I' l• ~ FORM NO, 26q, USI Ue'IIIOUI EOITIOIIIo (At) ·... I .DEC 58 ' •; :1 . .... (W~): .,, VOUCHER NO. REQUEST FOR ADVANCE l! ,/ OF FUNDS . ·-~ . . at SJwtJ ug_jgp .·z· I -,FilS l rv & .... I "U"PosE · ,: I ) UYIUSCO: to ~ li\o SlwoS.oe f 1 ~- at1"4"::$ ~ b)-· Cblref 1 ', ':3D • ·15- ~ l$(.!. -l.~t. . t~ tor tbf.a m '! ~ ..,.__..,. 11:1l.l. • ~ v.ttb .a.t.vd:wen~~ A o.t_liiiX.i'U'.'IA. ;r~ .~DMX • . 1 ~" Pla J'ofWil'4 ·t"De diNk to C/ft;D/D ~ !!IJD/IJP DO later: t.blllll 3.J»>'U 1963·• ........... ' ... :. .. . . ...... ..... .. .. ----· ................ - ~ l ~ i 1 j l .l i .-1 DATE • ! ' t I l I I l i l ; l I i j ! '· • U.S. GOVEitfUIIIJtT P•tJIJ,IMii .OFf'ICI ·; II'U O-MI1•J USE ~~~~IOUS !OIT10NS. I ., .. j .. .. •... - ~ • r-·· 1I : ., . • \ ~ '"'f" ~ ..... . .... ~ ,,,I. ..:·~. '·:: 'I I ...- ,; J (! '/!!fl!!!!!!!!l n) SUBMITTED 8V :;; ACCOUNTING BY INDIVIDUAl FOR ADVANCE I I l ~t£: Follow lnotructlono on ~ ) ""-'-"-'.-'" l!ISBUHSI:.MENTS v.,'Writ'bl'j I { '-., '· PUIOD I ''· DATt DESCRIPTION AMOUNT l 18. - -.: ·j ~ l I ,,I ~I 1 ·I l .1 l DATE ! I l l l ·i 'i 1 ",! :! . ;l' 1 l rI•· ·1 ' l i I" 1· ' t FOAM 282 en l 8-81 USE ~RIY10US EDIT~ONS. I : !!I' '· . !"' ....... . -•• ·~~........ ~·-···~· i ··: ~ ~ ' ,·· .. ··· .1 i'i . I' ·. 1- (Wh~) ·NAME VOUCHER The document appears to be a financial ledger or accounting form. It is densely packed with handwritten entries organized into columns. Visible form fields include "No.", "Cost Account", "Object Class", "Date", "Remarks and References", "Obligations Incurred", "Obligations Liquidated", and "Unliquidated Balance". The ledger contains numerous numerical entries and item descriptions, such as "MKULTRA Sub Project 140" and "INVOICE #9 (Partial)". There are no photographs, diagrams, or explicit descriptions of experimental procedures visible. Some sections appear intentionally obscured, indicated by blacked-out areas or heavy scribbling, particularly in the bottom half of the page. :! . ;l' 1 l rI•· ·1 ' l i I" 1· ' t FOAM 282 en l 8-81 USE ~RIY10US EDIT~ONS. I : !!I' '· . !"' ....... . -•• ·~~........ ~·-···~· i ··: ~ ~ ' ,·· .. ··· .1 i'i . I' ·. 1- (Wh~) ·NAME VOUCHER NO. J· : REOLIEST FOR ADVANCE i OF FUNDS I j~ ;N 1' PURPOSE tI t k\1"8r!Ce to lilt1:JX.'fBA. 1!aO 1J:nre1ce· .f.O j~or .Cts.:¥1~ ap,pt'O'Nd by eMer, DiD ora ~· l$62. AcCOrmt1%1& tor tb1e l~ a4V&DCI' v1U 1:1o 1a ~ v1tll At~t. A ot ~ J'1llcal .ADDeX. ~.. ..... ,I .A l J I ' I 1 i 1 'J ! J I l .i .J• .. l i 1 i l• I I j i ·! 71•80 J AMOUNT OIE.IT CJI't0•1' ·, .J ., .·t . ·I ; l · I j :. 1 ! J i I , I ! F I ' · O e IO o ! 281 uu ~NEVIOUS EO I .TIONS. GOVIRNME.NT r•fti l f i iNG O,ICI T ilfll 0-111. .9 '14.1 ~ .. ·.·! I . ... .__ ?"-' SUOMI TT!;O ACCOUNTING BY INDIVIDUAL FOR ADVANCE I ~ t\J 21 NOT!!:' Polio• In•tructjonll on R.everse / RECEIPTS DISBURSEMENTS . ~ ' \ ' CJ11[0t1' ,, .. • I'ORM 282 U!la PR£VtOUS PI '8•!17 lEO I TtONS,. ,,., .. 1:· I,·,'' -~ .- .[": .·I' ,, :',• !,:I ·:i '"i r ··~-·· "'" '· '~· ... •'i \ ~ ••' .,:' - ·~-:... •• ' •J f/lb - '• ,.,.,,; " .... ! .. / If c' ·~ "' ..... , SVBMI TTEO BY ACCOUNTING BY INDIVIDUAl FOR AOVA.NCE ~~-· ! I I :l .' l . I .. l t j ·l i .. : ~ l I "·l 'I • J ' I i i l AMOVNT "] I 1 UIU I CUOIT l ·: ·~ ; i! :i·')l :I :·. . 1 I: ~ • I l 'I 1 .'/ ,i ' ''!I ,: 282 I'ORM US£ POtVIOVS ! 11 6•57 EOfTIONS • - .. ............ ~.--.,...._ ....... "'" ''"·:.·"·:·-· ··-··1!1. .....__. ·-..-#.,. --~. .-. ACCOUNTING BY INDIVIDUAL SUI:I:Mv·I £ T <\ T l E J D l .T av : t-t ..' \. FOR ADVANCE i i .- I ' l ·; . j , I ,l' ~ l IIM'C:, , ' "' ....-.1 ~ ~ l l ,., This is a declassified CIA memorandum dated May 29, 1963, regarding MKULTRA Subproject No. 140. The document appears to be a typed form, with handwritten annotations present. Notably, there is a section for a signature and date, "Original signed by Chief, DD/FASD" with a date of "27 JUN 1963" and an "A" stamp. Another handwritten entry states, "BB Carry" followed by "Itb" which appears to be an authorizing officer's signature. There are also handwritten numbers and text within a boxed section labeled "I CERTIFY THAT FUNDS ARE AVAILABLE", specifying an "OBLIGATION REFERENCE No." and "CHARGE TO ALLOTMENT No.". Portions of the document are obscured by black redactions. ··-··1!1. .....__. ·-..-#.,. --~. .-. ACCOUNTING BY INDIVIDUAL SUI:I:Mv·I £ T <\ T l E J D l .T av : t-t ..' \. FOR ADVANCE i i .- I ' l ·; . j , I ,l' ~ l IIM'C:, , ' "' ....-.1 ~ ~ l l ,., . 1', I I -.1 CIICDI't I ., I .-.~.t ... 'i i ·-~!. ·i I ! ; .. ' t ; -- 1"01111 !10. 282 OSSDLEU "Rti¥10US CH ; l .... .... I .. _J..I , J if ...... S ... fl EOI YIONS., ) I ' ··- :1 • ,,,•., .,. '·I' • "- .•.: •• • J :·f. (~In) ~ VOUCHER NO. Y) REQUEST fOR ADV.AMCE OF FUNDS