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Standard Form No. l&34a—Rev. Form approved by Comptroller General, U. S. k May 26, 1638 amended August 16,1941) PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL Office of Housing Expediter D .O .V o u .N o .. Bu. Vou. N o .__ GENERAL ACCOUNTING OFFICE PREAUDIT Certified for payment in the sum of $_______ U. S. Office,of Kent’ Control (-Department, bureau, or establishment) Voucher t>ret»ared at s a m co a r r. >» PAID BY (Give place and date) THE UNITED STATES, Dr., Comptroller General of the United States By__________________________ To______________________ (Payee) Address ... Payee’s Account No. (For use of Paying Office) No. and Date of Order Date of Delivery or Service Articles or Services (Enter description, item number of contract or general supply schedule, and other information deemed necessary) Terms--------------------% Discount Cash_______________days Brought forward from continuation sheet(s) Quantity UNIT PRICE Cost Shipped from------------------------------to________________________Weight____________________Government B/L No.. Per Total. (Payee must NOT use this space) Differences____________________________ Account verified; correct for. (Signature or initials)_______ AMOUNT Dollars Cts. Contract No. Date -_____________ 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 COST ACCOUNT OBJECTIVE CLASSIFICATION liquidated Symbol Amount Symbol Amount f Check No.------------------------------dated ____________________________, 19____, for $_______________________________________/ on Treasurer of the United States in favor of Paid by < \ payee named above. LCash, $---------------------------------- on__________________________________ 19____, Payee_________________________________________________________________________________ (Sign original only) * When a v oucher is signed or receipted in the name of a company or corporation, the name of the person writing the company Vw> as the oapaeity m which he eigne, most appear. For example: “John Doe Company, per John Smith. Secretary*’, or “Treasurer”, at the oaee t If the ability to certify and authority to approve are oombined in one person, one signature only ia necessary; otherwise the approvii sign in the blank space below “Approved for S______________", and over his official title. corporate name, as well may be. approving officer wiQ U. S. GOVERNMENT PRINTING OFFICE ID—22900a-l Per Title