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upr000059-054
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University of Nevada, Las Vegas. Libraries

Stflndard Form No. 1034a—Rev. rForm approved by Comptroller General, u. S. May 26,1938 ^mended August 15,1911) PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL Office of Housing Exneri D . O. Vou. N o_______ ____ Bu. Vou. N o. _Ct_Z-Z.A- GENERAL ACCOUNTING IJ. S. Office of Rent Control PAID BY OFFICE PREAUDIT (Department, bureau, or establishment) Certified for payment in the Voucher prepared at_____s/;.u frau : uco, caw,-___________ (Give place and date) sum of $ iHt ujhy31p & COUPANX Comptroller General of the To__________ . ...................... ........... . United States La« Vegas, By----------- ------------------ Address_________________________ _____ __________ Payee’s Account No.....8881____-____ (For use of Paying Office) Contract No. Date _1_____...______ 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.________________________dated______BWMpa_____________ 19!____, for $__________________________!____________f on Treasurer of the United States in favor of Paid by < \ payee named above. (.Cash, $______________iSSR____, on__________________________________ 19-----, Payee—^-------------------------------------------------------------------------------------------------- (Sign original only) * * When a voucher it signed or receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the oapaoity in which he eignt. mutt appear. For example: "John Doe Company, per John Smith. Secretary”, or "Treasurer”, as the cate may be. t If the ability to certify and authority to approve are combined in one person. one signature only la necessary; otherwise the approving omoer will sign in the blank space below "Approved for S____________”, and over his official title. U. GOVERNMENT PRINTING OFFICE 16—22900a~l Per_________ Title