You are on page 1of 56

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Dear -
'

Enclosed is the signed receipt which you requested,


*

Due to the fact that your letter was addressed to

it was delayed in reaching me , That was an

apartment from which I moved aboufe| iyears ago. The fact

that the letter did reach me shows the cord ial relationship I

have with ray local Post Off ice^=l^r=presenfezaddress is as above.

I telephoned your office today because I felt that

by mail there night not: be time to make arrangements to meet this

week. Furthur I was not certain by your letter whetheryou felt

that such meeting was indicated.

Thank you for the notification that my project has


been approved, I understand the stipulations. I am resuming
;

December 3> 1953

Enclosed la a check for^OTOO In payment of your last


'
Please return the receipt to U3.
•>
Invoice. .

.. With best personal reg ards, I remai n,- • _• > -.'-y')'.

'

/ X; Sincerely yours,

-•*
$roi®Y_OpTTLIEB: ;

Enclosure

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throu^i Tf^Budget .

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TV'’:"-^'
:
SIDNSY GOTTLIr.13 . .
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Chief '

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OheaicallDivisiori^ TSS-'
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Attachments! ' :
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.invoice ? .• %v - d* 7,
'.‘.y,..; -? y7/^ y •/-;'
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Certifications v- ',-f-
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Distribution; .. .>/•••"
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Addressee - Cri2*iA_l.?- _d /^.^d>,y_'L,y

C-
Comptroller ** 1 "V V- .’/ -.V
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- • .-..•••

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\TCr/Budset - l'*<“
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• ;• •• - •

. -. • ;
.

l dS/Kegiatry .'- -V/


"
\,yAyy \ •.

Exec, ~ 1
j

TdS/CD - 2 '•
;
(1) "It is hereby certified thhVihis is Invoice To,. 7 applying to
subproject U of fTojcct I'XUITFLt, that technical pcrfoKvanc© by
has been satisfactory, that the work was accortnlished In

'

accordance with ..the cutual agreement reached wi th


. .

that this bill is just and co3-rect rod that vayrcab thereof- .has not
-
'yet been r;ade, - .;
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•..
-•
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'v.

(2) "It is hereby certificdrrthat this invoice applies to subproject T


-4 .'under Project ^ll4¥OfKieh" was.iSIl3 ''Spps o Sfe'd ‘and that the project
r i ,
T
has beer, carried out in accordance with the DP/P lse;aorand\ia .to COX ; •./
dated 3 April 1953 and the DCI icousrarfun to ,Lh/». dated 137.pi*il 1953*^
Tajnsent is authorised and requested. p>;- ^ \ -
V
. , .;*
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;••
.

(3 ) "It is hereby certified- that the scope of the prograa of subproject


4 of Project AhllRa has been approved.^: ^
S .7 ?.,.
“i-
4
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22 QW&te*- 1933
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HK-; >-

*eK£R«nyj3 roar crisp,' putAios p zvmos 77 4


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SWWSQlk - ‘Xavoi««- 2?a*


_

la^oScs Sa» 6 for Suoprojecfe A, project: HSULT8&** is attached.:

It is requested that pay«mb bo eads by cheek for $eOO,QO fisodcTout

« .Tha chock cho*Ud bo con* ‘to Chief,

gli I^S/mdset Office?.: ,'

•v. w 7: ssam-ommu^ >


*


4 Ckffiaic&X Pivisios/ ?S5 '

Attac&entas \
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v-‘ 4.4 -
v
Tavoico • •
4
: CorbificatioKa •/•
'-h .:*- t :

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• **. ?.

MstributiCKj -.
'?;'*}%
A2d*o3 3sa -.oris, &
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" Coast roller L ,
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KS/Hcoistry *X4_Vil
^cwc. cos ’y. jlMSnS&k
TS3/i50 - 2

'i,'i

OCT 2 7 EIII O

» < '4
'

li'LUni.
SECURITY! INFORMATION
i
^

CEriXmcATionn

(l) "It ia hereby certified that this ^3 Invoice l?o» 6 applying to


h of Project technical pcrfcrtsanca by
PBfc has be«a satisfactory, that the writ
ffij ffifj
j
-

accordance vith the eutusl s^essnt reached vdthli^ ^wfct lsWWW


that this hill da j'oat and correct ard that payment thereof haa
_ =•.-
act yet been sade.
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(2)

fate:
'J‘XD(iiu'£ GOi** £» lil
Chief, CD/SS3'*
:

*
\

"It is hereby certified that thia Invoice applies to subprojs


k 5»lcr ftro'esf I-XJD'Kvl vhich vaa duly approval cod that the proje
has been carried cut in acccr>lacce vith tee DD/? t^oraftd^i to 1C 1
(3)
dated 3 April 1953 ted the £C2 y.eriorsndtai to -PS/A’ dated, 13 April II
Payment is. authorised and, r«y.m1^»t^-- -----c:. — .

Sato:
.....
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-;- Y.‘.YJ ’-.'Vf,. jtesearcli.Diracto#"

"It io hereby certified. that the scope of teo presrau of subprojeo


4 c.f Project ":C^/SA hao been approved.

Date:

Exec, lieejy..

00 r y
October 22, 1953 ^

Dear John:
of yo^s* last;
Enclosed is & check for $450.00 in payaegt

Invoice . Please return the receipt to xiq. .:. -f


C.

With best personal regards, I remain


,-
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V-.
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V
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V : V ; !•
'7. Sincerely'
yoiir a,

ZO SIDREY GOTTLXEB

Enclosure
MEMORANDUM RECt I PT

FROM: Budget Office, fSS

SUBJECT: Check

~ I hereby acknowledge receipt of the following:

« Check #ML3519U in the aourit of $K50.*©0 parable t


--
as payment for invoice #5 subproject 4 Project
*<r*

Floats raturn. .sigaoJ copy ties) of this receipt

Z ( 0^ 3
DATE RECEIVES
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#-/r
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.3 October 1953

B2^0RANDUM FORI Cim^, DIVISION - <



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YU: . v -.;, #S/Budget Officeirr^r "77IZS:’'’ . •/. v; •’ ’

S&BJ2CT: Invoice Ko. 5, Subproject 4, Project mn*^ r


'A:
r
^i.-X~'

Ia?oico 5 foriSnbprojsot 4, Projocv !£3JLljLVis^ttached.'. ..

It ia rsnusstod that payinoat bo 1


^ 40 ; by ohaolc for $450.00 inadaT^”' •
=.
-

“2Jia check should be saint : to .Chief,- -CD/


out •

3 TS3, through ^S/Budgct Officer.

\-v~- siPtisr.dbTTtisB'
V
'
Chief

Chemical Division, TeS

.;
"••
Attachments : •

,. Invoice 7
Certifications

Distribution:
•Addresses - Orig. &1
Comptroller - 1
TSS/fudget • 1 ^ * 1
Ihtec. £ecy, JK. I

53S/Roelatry
TSS/CP - 2

v 7

OCT 8
.

(1) "I* id fcoraty aartlfiod'-thnt this i« Xnvotao i*o».5 applying '7


to nibriyiv ^t
a of Yuo-lcst tliatk..t^aivdC B.l T-f!rCoc?^nga
bo&n satisfactory* thot tho v-ork was r.c-
ln.*a.-;or-J<---icQ 1 th ir.u Lutu.~:l li&roorjiiit rocehod with ;7

that »la bill Is just and correct uml that ?fi/»


sSSttooroof haa not yot boon isado*.

\ -V-- ,

I-ato t
“7.. ;y fiomiun
,••; chief, op- ‘sss :
;

(3) "It -la fcareiT-certified' ihTt^frisTlnwic^osplIoa cub- - to.


project 4 under iro'-tet fe'S/lTa-ctmicfr.^aS duly approval cad that
tbo project hao bsoo-oovried .cut in aceordunoo with %\ia l’*/?
pororandua to 1731 dated 3 ^ril l^SIcnd tho 001 oasowadun to
BB/a dated 13 "April- ISSSt^sy&ot la authorised and^iuostod*-. •.

Cato 5

i ‘oso a x c h pi ro c tor?

(3) Wrafey certified .foot ''tl^Ooepo ©f: tfco7pr0fB*3» v o#


*lfr la - wk?
project 4 of fvojoet »-7 AilAw »\ fcaa fceort"OWrotrcd» 7
1 :
, ; ; . •* ;
DRAFT -RVL/111
18 September 1953

MEMORANDUM FOR: THE RECORD


k
SUBJECT: Amendment to Project MfCUMPA, Subproject

a manual by*
Subproject 4 involves the production of

2. Tbe time period of the


original proposal

^^^
ab out 11 October 19 ^‘ T U 1
was six months , which would expire p tase!* 0 *
be a creative project
n,f„« «** km a manual demands that it
.| rather than a mere compilation
reason timeestimatesare
apparent at this vime that the
difficult to make in advance and it is
of this
catimlte was Sf short for the adequate preparation
Agency t o extend
It is in the best inte rests of the
poss ible manua l r athe r th an to hold«^@^gppj?^
and obtain the best
to the six month period. ; .

six months
3. It is requested that the original
is no change in the; original
extended An Additional six months. There
cost estimate or the -original agenda.

cal Division

APPROVED:

Original Only,
APPROVED FOR OBLIGATION
PROGRAM APPROVED AND
OF FUNDS:
RECOMMENDED:

Research Director
Research Chairman
I >

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5
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Lf'

-3
September 18 , 1953 . -m

This is at least, a partial^ ansver to tbs


-.questions you ashed the^ .*

last tine I saw you. ' According to my records, your initial estimate ’
was
.
six months, vMch would e^r^ I WiMtiat sThix 7
months extension of the originaljestisate,
which should nor© than take
caro of time factor. Thooriginal cost estimate was $3,000.00, of
4 which .

I
^^CO.OO is remaining as ofnov (this of coarse does not consider the
1 :
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invoice i expect to receive in a fey days) 1
'./•
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; '•
*;u. . Sincerely yours/

smmri oct?A33

i
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19 August ly?3

cais?, m\acs divkios


ct, Officer

SWWSCTft X^volco .\0. h$ Subyi’cjfccti 4, Placet MKK^M

Invoice Ko. 4 *oi* S’.f>pr©4e<st 4, 5roj«et fSUJffM la attach*

t% is yegtaftistaA that gayaattl; be. ,c&&3 byaha<& for >4$0.00 «sod© sv*.i

Tho oheefc. ahculd be neat to Chief* 09/N&* v.

ibreu^sss/sui^jet Off
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ht+W+Hai «V**V**»tf •.
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Chief
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,.;'•••

Chemical Division, ?33

; :
Attasheants* .



savoice .,
.-

Conifioati^s ^
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Distribution!
Ad-Srtweca ** Orig* & 4
Comptroller » \ '

£»»
TJ-7/;lS3lfltsV - 1
233/53 - *

AUG 2 0 EHT'O
' 0

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CSIff I?I^ATICJT3
(1)

"It la hereby certified that this la Invoice No. 4 applyin c^


suhpro.Wet h of Project hftQ&TBAr tliat tccJ^coX-^tXoiwanoe
.
^JH
qjfMtfjNittMhaa been satisfactory i that tha worh vaa acccnpUet^x in
cuscprthuica with tha mutual aKroesant reached with J
that this bill ia Just ard correct or.l that potent thereof hsa
not yofc beta sisde. : . , ... .
•'

(2)

. Chief , G ‘fST

"It la hereby certified that tMe invoice appUe 3 to subproject


k under ?»*> 4ftafc wwmk' chioh- ttaa duly approved and that tfco project
-

has been curried out in c^coraar.cejrlth theL^PD/Plmnsra&lisi to DO I •


(3)
dated 3 April 1953 sad the WITscsgoiisdua to B'D/A dated 13 April 1953
Payment la authorised and rcQuested. ;_: •_* : :•_-=: —

:
,
• :

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• Research Director

"It io hereby certi fied that tha ocopo of the progress of euhpro.jcct
4 of Project IffiyiTOA haa boon approysd. .
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; t t r\

Ixcct Gec’y.,

,
«rfe-
f 1 .

S3 July 1953

xanRAZBXti for* caisp, pisaws 'sr/£3ien . .


i
- /*: ’Y" .

tS3/2a4Lg<it Officer
'

>-* • '
; '

VIA* • •

SiEJECT: Xwroloo Ko.“3i -Suhpro^ocfc h, Project; KHULmz :


V YY:_Y

Invoice Ho* 3 for Sx&srojoet k of Project J50JL*2RA. 18 attached* / , .

St i» requested that jgaycaaVbo aa ado hi? choe )t for 3500*03 cade out,

-t TI as c hock Quould bo cent to Chief > Ci)/?C& . .


; .

through sss/soiseV OSttwrcr^:^ t;‘ '


;7: 77.7 '
7.
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Y km^-<xmv&9
Chief
Chosicol Division^ T33

Mteiehsest: v '

Y-v;
Invoice :

> ;
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Cortif icatiosa ---.:• 7 7777777: .

Dlstrthutloci •

AMxti3Q9Ct » Q'’ 6 1
ekc-jToc *y « -
?3 ~/ 2u*£St - 1
VoS/CD - a
'
TS 3/Koslstry

3' 1 1953
JUL
» ; 1 t

1* VA
I
»'•«. . T...

;V

CSSTIFK/WMOna

(l) "It In hereby certified that this 13 Invoice No. 3 applying to

mmm 4 .of Project HKUL3&VJ' that tdtfcalcal porforcaf.co by


*3 satisfactory, that the work is beins occasplished in
accordance with the cutual agroeaent reached wi th ,

that tills bill is .just and correct arsd that pc^eiitj^^reoF aaa no
r
C4
et been cade

r)’ v. S K*
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.V?. , i'*: •>
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vj.-t/*

tc®c._oe

S ?av ‘>< '-.’ik 'V !

.-5
t.AVJf
v^a 'O *H*- tej- V 1

?-a
' *

\ ‘ t- «-* VJ
*•'*•/.:
Avgust 7, 19?3

Enclosed is a check for $300.00 In payment of your last invoice. ;

We would greatly appreciate receiving the receipt hy return Ball.

.

With host personal regards, X remain, i „ \ .
;i
r

•••
v-’ - . Sincerely yours*

SXDIE2Y. C-OJTLIEB

Enclosure
VIA? ?33/Budset Officer
" '
* V*
SUBJECT? Invoice Eo» 2, Subproject 4, Project ISCUITHA

levoica Ko, a for Subproject 4 of Projost KKULTRA is attached *


Gii-Ol

',
It is related that payment bo cade by.cheek for $300,00 cajo out
l _ . i

Tbs check should bo sent to' Chief, CO/733


.
,
•,

through T3S/3u4get Officer. \


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1
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. 3ieasif.C-0TTL3S3
Chief
Ciieaical Division, 733

AtiacbscatJ
Invoice -

Certifications*

Distribution!
Addresses - Crift.J’i 1
4
.'
Kxee. Seo’y^Y
TdO/dJciset - If?"
. T33/CD - Sr
7o3/r.e^istry - i

JUL 6 EHT‘0
czK2WJS?!dora

(!) "it io Seroby certified that this is Invoice tto. 2 applyletj


to
BubBTOisct h o? rro.’cot MirJtT?w\, that fcjchftioal parforaoaee
g^gPgfe is satlaf&ctciy* that .t&e work ia hair s f^a^l i sbod. i.a
.
.

c^ccrOoncc with tfco cutr-ol o;-ro«sent reached vith jj ji|i|^ fjj

that this 'oil! is just and correct cud that payaeat thereof Las not
yet been wide. •., • ..;•

r&tos
i" *' »* v- T\ji >' •
'TVJ ’2
VVi
*
Chief, CD/i S3
:
l

(2) ”It is hereby certified that this invoice


applies to subproject
4‘ wri5 S*'"?ro.is -3 % lhnj?xi vhieh vas duly approved sad that the pro loot
has been c err lei out in accordance vit-L tl^o Bp/i* sceorandvCi to £CX
dated % Abril 1933 and the PCI refflorandua to SO/A dated 13 April 1953

gg.V;
A'v'jb*
.

*•
,*
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V.t^
„V.^
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:»’«f ** t« V « *

Seseoreh Bireetor-

3) 'It ia hereby certified that the score of the pro^rcci of


ubprojoet 4 Project dCrumtU has been approved*-^....
July 10, 1953

of your last Invoice.


la a ehecS far $300.00 la payocnt
'
Closed

tbe receipt by return mall.
We would greatly appreciate receiving

With teat personal regards/ I rca&ia# ;

Sincerely yours,


.
v SIDNEY GOTTLIEB ' •

Enclosure ..
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9 Jaaa 1953

isia’Aasm roa* cats?, p I 'fl SIC it ,.


7 .

*33/EalL^t. Officer
7^
via:
1
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/
Invoice Koi 1, S'ibjrojecfe 4, Fro’®**
xzmxzh
g^jsc?:

Invoice ». 1 fW ^rojee* 4 of r»J«* WSUVX 1* &«*«»&' 7

1* la req^stei thfct-s^s*
.

;
^«^^y.a d>e?^ *» T
$453.00 *>

,© CUIe£# CD/133 » tiisougli-


ijfee c'?5-a'i ahculd.v-o sent

: ‘ — ~ “v- "
Stsig^ ®ffi«r/'!j3»'' “.“t'—; •
;

... SEJSSjC uCCTl»132


CSief
.Cfcraical Division, 533'

Attachments :
• •

invoice .;

•:

Ccittficntea
' " :

DIstrIl>utioriS
Acldtessa© - erig. & 1
*;see. foe '/.
5$3/3ti&jOt Of f iss r >. 1 jkfT.

T33/?jesi»try - 1

•rr«» *•£? -*
CSZ?T?I2fi?IC'-3

"It la hsct'oy certified that this is Invoice Vo, 1 cr>o^ar


(i)
to^gwa^ee^of^leat KJO&TRA, that technical perfeRs»ee*by - -
BaBgMwJpiiwKGffii-O-3 tsen s3visi&cioi^j^thzi?r the
vorI» vas accctoll shod
In accordance vith thc.ssttual fc^eszant
that this hiU is just &n<l correct and that
*
potent thJreofSnS
yet toon sale. .

Date:
tfEXSlf OVjfTwEB.
Chief, CD/7$3*

(^) I'-* Is feerec-y certified' that this invoica


__
epplios to eueprojoct
4 under Project JSULT3A vhich v&o duly approved a^d tbat=tivc^ero'eet Jiaa
haea carried cat in^cacMasea vitS the i5/T metz-ovsxdim to DCI dated
3 April 1-53 and the DC t reaorandua to ay/A dated 13 April 1253'.
PayEast is authcrls^d aM i^equec ted. ’
:

, JUr^ -•’

Research Director'’
f
(3) ‘lt is hereby certified that the scope of the prcwca of
stfbprojoct k of Project S€OE.TM has VManppmvea . - - - : : - -
j

..June 1C, 1953

I have enclosed-* check for. ^50. 00 to cover your latest voucher.


Please sign the enclosed receipt and return It to no.

I oil working oi^e^ta. you repeated, and I will" get it to you


f

In a day or two. vi .
.

Very sincerely yours*

~
-
V. SIDNEY GCTTLISB 7-~ :

'

Attachment! .
.

DRAFT I

4 May 1953

1.
MEMORANDUM FOR TEE RECORD
*

SUBJECT: '
Project MKULTRA , Subproject 4

The scope, of this subproject .^is ^the__col_lection i


;
-in the form
*n
of a concise

&g*&fflg§$gg' liquid, solid, or gaseous substances to 4S^j^S»- subjects

2. The information will be collected principally from the previous


studies made by connection with various
problems he has considered. seems well qualified to .

execute this study. _: He has been a successful of a11 forms ° r


He has made a careful' and exhaustive study of
^^ Msto^' of urestidigitation and is-the -possessor of on extensive
library of old volumes in this field. Re has farther seriously studied
the psychology of ha s instructed
graduate students in ps ychology at

3. The period of time covered by this request covers six montns


from -the date of commencement of work by Mr. Hulbolland and the costs
will not exceed $3,000. The proposal covering the vork is attached to
thi s memorandum . - u ^
Jy*
SIDNEY GOTITIE 3
.... Chief
Chemical Division, TS3

PROGRAM APPROVED AND APPROVED FOR OBLIGATION:


RECOMMENDED: OF FUNDS:
r —
: v' 7>f

4 Hay 1253

j&josiAHS&s ?oai ccstPEfc&tsR v ::r

A2SEICI0H* Finance p tvi olcA «,. .


.

'
*>
SU3J3CT*. Project

l&4or the authority granted la the mserasl'Ji dated 13

.and the, -further authority


April 1953 froa tie DQI to'_th«_j?p/A
* ia5
grated t» the asserai^ ua fatsl 17 April 12>3 f«a to

the Ccapt+oHor- on the ou\!cot> "PD/p^Tjo Project > T

fP^mrojtvat U hag Vson approved end ^3#000*W-of-the oyer-all

ouh* -
Pro tect tcafLl^'Cte^o .hays teen ohUgated' to cover the

project *s expenaaa. . V;\- v v

.. sese* Go^rtKa^^
:
'-/ ... .: . Chief. .

. Cheat col Di>d3ton> *03jp

FRQ53AM APPdOVSD:
^ - APP30 PCS 09I.J3A2I0N:
AID imJ&dSiSJDs w FUKSl

Aeso&reh Coat nasa


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V
»***!:
t »
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/
I

Kay 5* 1953
• .

The project outlined in your letter of April £0 has teen


approved by, us, and you ore hereby authorized to spend up .to
$3*000 in the next^ix months in the execution of this vork.

Enclosed find a cheek for $150.00 to cover the last voucher :

you submitted to us,; HsasT^ipc^h^SRClosed receipt and


return it to me* •

: A very crowded schedule of travel mkes it necessary for


U3 to delay until June 8tb our next visit with you. An effective
alternative to this would be for you to
on Kay 13 * 14* dr 15 t o di sous a the current status oil taevork '

IS thl 8 pOOSible S i
:i iu_ •

_
. Very sincerely: yours*

Enclosure

rifre**5-r
1 A .

X tfuna 1553 •

•-••-,
cars?# ?u&S28 ©i?isi03
-••

hsmosashm yoa* •

vxAt •mfmm o??EBa .


. . . :

Project .WCULTA\
EIQ0/5T1 Payaant of Invoice oa Subproject 3#

ths attache* ievoicc. The pay^a*/;..:.


U FsyjaoA* Is roasted for
to
of $4X32.27 should bo «aa3o- la cam, eai poysonh ylll to ssais

CD/JS3. -
by’ Dr. Sidney Gottlieb# Chief#
- -

gggggfe. '

refe rred to above bo Kalo


2. It is yetr-tast^i that the fuada
oa Friday Juno V
available to Dr* Gottlieb by 4:3 O P.M.-
'

SXMEX GOTTLm
;

Chief
Chetsic&l Divioica, '133

Distribution I :-
7V.— ?-
Addressee - foil; i*
EK.ec* 3cclyf#4SHPEP»
* ,1
-
933/5n&8»t Off lews* “1
^ "
T33/CD - 2 •

*K3/Ro3l3try_ -
MEMORANDUM RECEIPT
4 Juaa 1953
Sidney Gottlieb

from:

SUBJECT: MEUX/HtA

I hereby acknowledge receipt of the following:

Cash ia tho aaount of $4*132.27 for MKJMBA,

Pleat* return. etgned eopytUi) of tM* receipt " £* T


sWisy GO'nmi> t( ° r R£c,f
itj ’

Ji^~e (Tt /9(T )


To _jmJ3fe22 DATE RECE'VEO
FORM NO. 3tfS
MAR lt«»
MEMORANDUM RECEIPT
i
8 April 1951
TO • f . DA
Sidney Gottlieb
FROM? Budget Offico, TSS

SUBJECT: $150,00 '

.
.
i

I hereby acknowledge receipt of the following:

One check for the amount of $150.00 for the purchase of servicos
and information in come ctioa with
. —

Plaasa ratura algnaJ capy(let) of tM« racalpt


0F R£c p (HT
SIGJEf 1 '

39- $6 .
DATE fieceiVEO
,9 ?
p r<- prt]i&

MEMORANDUM RECEIPT
24 April 1953
" OAT E

to: Sidney Gottlieb

from: Budget Office , iSS

subject: $150,00

I hereby acknowledge receipt of the following:

One check for the amount of $150.00 for the purchase


_rM
of service
_• •
_ .... S

^ and informticn in connection with;


!

pi,..« r.tnr. 1' alaaad MPyd*») af thii racalpl i/RE Of RECIPIENT


SIDNEY OOTfl/S®
To
0-ffj gft « 3SS hoom 2319 QIkOaJMsl DAff RCCE'VEO
FORM NO . ..
,6 '**
MAR U4»
t. REIMBURSEMENT OR PAYMENT IS HEREBY C
ARE PROPERU CHARGEABLE TO:

RS CEH

d/or attached documents were necessa


that the exs« re, and that have not been, nor wi
I

,
with officia this voucher and attachments, if any
iany source,
aspects.

3. APPROVED;

A. is mouther ^s^e^ined y «*: ‘hat


ur e
such d^athlT
?the
nished wo, or a sat sfactory explanation made -or
i
f r
° [ie , essary official purposes, reimbursement or pay-
lhal SuCh expenditures are properly
chargeaole :o
^nt^fhiM
available appropriations as indicated below.

'
_2SH-ia_^
allotment authorized certifying officer
oate APPROPRIATION
5. ACKHOWLEDGMEHT OF RECEIPT

RECElPl IS HEREBY ACKNOWLEDGED OF S,

for the purpose as stated above.

signatus

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