REQUEST FOR COVERT PAYMENT OTHER THAN CASH.
Originator: CIA
From: WH/B&F
To: FINANCE DIVISION
Document date: 12/23/1964
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

4.00000

104-10165-10020

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SECRET

:

FInance DiY1s10n

:FROM : 19/B9F

SUBJECT: Pequest for Covert Pargeat Other Thas Cash

DATE: 23 DaeRaber 290% -

It is regested that payuent autborized on dorents reflecting obligation reference

nurber (cz otber divisional rel. so.)

follorirE sanner:

1. Paysest to _

ROGalLO CLENASCO

DAME CF PAYIE (IRCA)

a checke a o0 a ent

STATUS (0.d-) CA: SA, CES INTEGREE

By:'

U.S. Treasury coec: (for official cover only)

_Bari cashier checi (check city)

BASMINSTON..D.C.

LASSTON

CHICAGO

"PMILADELPHIA

DALLAS

RICHMOMO

DETROIT

SAM FRANCISCO

Co.

- Deposit to pajee's bank account (couplete par. 2, below)

Barking Instructions (for use l Requestig Officer Il Instructions are not on.

file 1n Firance Dirision):

Account Ñare:

Bank:_

Bank Address:

3.

Paguest by other JEans: (Diaren oill Monesary Bronch Bandine Officer, Ext, 6925, Il parmene in so

ão maio dy jo or bi

8о-

_Paypent 1s to be originated by foreign bans. Specify requirerents:

:B.

Special instructios (Foreigi ad Dowestic Bank Drafts, Cover Story,

Traselers Checks, Letter of Credit, etc.) Specify:-

Esonest tro (2) checka be prepared both in the anpat at $200,00

4. For further

2 29t010103 tais regiest please contact. -

6153

SICAR::RE DE BEOVESTINE OFFICER

еят.

charles Va Asdarson

SIGMATURE

drard i.

PPROVING OFFICI

сит.

FOR

USS BY FIRANCE DIVISION ONLY

Payroll Jumber.

Roll Rumber _

Nethod of Payment

city

:1864

SECRET

RETURN TO CIA

Background Use Only

Do Not Reproduce

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## Page 2

14-00000

SECRET

(ahari filled 1a)

IDATE

VSUCHER NO. (FinRaCe aRe ORlY)

REQUEST FOR PAYHENT

OF

Burles i. Anderpon

CONFIDENTIAL FUNDS

то

FESTORE DILALOES

23 DACHiGer 2966

CONTIDEOTIAL FUDDS ARE RESUESTIO FOR OFFICIAL DUSIDESS DE A CONFIDENTIAL, EXTRACROUMADY OR CURGENCY ANTIAL

AgasEs to ASSAS l- JOT eetSTition 18 Buypart of IT/SA Covert dotion Prozane,

IATINDEO FOR USE AS FOLLOUS:

I exiley teal tus bast ensurer elects tabellas $600.00 u111 ba passed os

185%, GEd 1518 DO FErDES DOSOtAEE tIlI dO PeTIbECaLEs.

PATEE

PATRENT INSTRUCTIONS

AMOUNT

128147 1

THE

DiE

THE PATEE

IN ACIDOSANCE FITH

THE

TERNS

25

MIS

* =498

MENTS-

‹ To

viened

hen asslicable)

DATE

TITLE

Des attachal

IPTO AN E

EUTIES

CAL AGREE-

DATE

SIGRATURE

23 DE3 1503

CALIEATION REFIRENCE NO.

EB/5A/S0/CA

charles d. Anderam

I CEETIFY FLOOS

A=E AVAILAZLE

INADGE ALLOTIENT NO.

DATE

RIOIRVED

SIGNATLUE OF APPEIVINE OFFICER

50a854 d0.I

CERTIFICATE FCE FEYVENT OR CREDIT

SIGRATLRE DE CENTIFYINE OFFICER

RECEDET FOR FUNDS

I ACKMONLEDGE RECEIPT OF FURIS TO BE USED FOR THE PURPOSE

STATED. ABOVE

DATE

SIGNATURE

DATE

AMOUNT

¡SICHATURE OF PAYER

SEITE BELGE FOR ÉXCLUSIVE

USE

OF

FINANCE DIVISION

PREPARED BY

12rrr201e0k

TOJONES 49.7-12

DESCRIPTION-ALL OTHER

1ece4T.

19-33

""?

4-11

TATIC

$205

•" DESORSATION SONAACI ACCOUNTS I$- 11

ESPERA

CODE

as 'as-er!

PAY

РЕД.

LIQ.

COOt

47-52

1N-70

50-37

39

ICA!

GENERAL

LEDGER

та АСст. по.

ALLOT

лЕст.

CCST

78-80

AMOUNT

DATE

CREDIT

TOTALS

496

SECRET

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