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Standard m?approved by' PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL Comptroller General, U. S. May 28,1038 gnded August 15,1941) D. O. Vou. No.. Bu. Vou. No. ... GENERAL ACCOUNTING OFFICE PREAUDIT Certified for payment in the U. S.___________________________________________----- (Department, bureau, or establishment) Voucher prepared at______......----------------------------------- (Give place and date) THE UNITED STATES, Dr., To_______________________________________________ (Payee) PAID BY Comptroller General of the United States By--------------------------------------- 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------------------------------t° - . Weight. . Government B/L No. ---------------------------—— Total. Per AMOUNT Dollars (Payee must NOT use this space) Differences _________________________— Account verified; correct for_ (Signature or initials)---------- Cts. Contract No. Date ______ Req. No._________- Date ,.—i. 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 — g . .. .... ----- Allotment symbol Amount Obligations - liquidated COST ACCOUNT OBJECTIVE CLASSIFICATION Symbol Amount Symbol Amount ' -- ------ f Check No. 7 _ dated ___________t9______for$-------------------------------------------------f on Treasurer of the United States in favor of Paid by < —t--- - \ payee named above. 1 Cash, $---------------------------------- on-------------------------------------------19-------- Payee..------------------------------------------------------------------1------------------------------ • When a voucher M the oapaoity in which be signs. is signed or receipted in the name of a company or corporation, the name of the person writing the company or corporate h be signs, must appear. For example: “John Doe Company, per John Smith. Secretary”, or Treasurer .as tne case corporate name, as well n iuudv»j ? " —----------- . ---- - - t If the ability to certify and authority to approve are combined m one person, os in the blank spaoe below “Approved for 8......-.-.-.”. and over his official title. U. S. GOVERNMENT PRINTING OFFICE 16—22900S-1 llOflDU.w a .. ww v-™ ---- -_. otherwise the improving officer will Per_____...____________________________ Tide_____________________________