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WSmfSiMPUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL Comptroller Seoeral^u. S. • D.O.Vo«.No. (Amended August 15,1941) Bu.Vou.No... Contract No. ______________________________1........ Date_____________L_.l Req. No. ...—... . Date ---------Invoice Rec’d MEMORANDUM ACCOUNTING CLASSIFICATION (for completion by Administrative Office) Appropriation, limitation, or project symbol Appropriation title Limit’n or Proj*t Amount Appropriation Amount Allotment symbol Amount Obligations liquidated COST ACCOUNT OBJECTIVE CLASSIFICATION Symbol Amount Symbol Amount f Check No_______________JSC- <kted_____________________________, 19____, for $__________________________—-----------f on Treasurer of the United States in favor of Paid by < l payee named above. {.Cash, $__________________________, on _____sggMfcJaHi___ij___________ 19.___, Payee.---------------------------------------------------------------------------------------------------- (Sign original only) * When a voucher is signed or reoeipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: ‘‘John Doe Company, per John Smith. Secretary", or ‘‘Treasurer", as the case maybe. t If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the blank space below “Approved for •_____________and over his official title. U. 8. GOVERNMENT PRINTING OFFICE 16—22900a-l Tide