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Standard Eerm No. 1034—Rot. Form approved by Comptroller General, U. S. May 26, 1938 nended August 15,1941) GENERAL ACCOUNTING OFFICE PREAUDIT Certified for payment in the sum of $__________________________ Comptroller General of the United States By—................................ PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL Office c: lousing Expediter lent Control D. O. Vou. No................................. Lie NOe Bue Vou. U S.__________Office « (Department, bureau, or establishment) ... , j355 MARKET STREET Voucher prepared at _ _ _ _san. $ranges £^>- - -e a _______ Toi^e place ei'nti date) THE UNITED STATES, Dr., To LAS VEG-AS LAND & WATER COMPANY Address ..r.aS..I.egaS_l_.-eVada. Payee’s Account No................... (Payee) PAID BY (For use of Paying Office) No. and Date of Order Date of Delivery or Service April, May and June, 19 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 sheef (s) For water service at 127 South Main Street, Las Vegas Quantity 2,50 UNIT PRICE Cost Shipped from_______________________to. . Weight. . Government B/L No.______________________________Total Per Mo. I certify that the above bill is correct and just; that payment therefor has not been received; that all statutory requirements as to American production and labor standards, and all conditions of purchase applicable to the transactions have been complied with; and that State or local sales taxes are not included in the amounts billed. *Payee___ (Thu cei (Sign original only) LAND & WATER GO like oertifioate ie made by paye&^n attached bill or biile) (Payee must NOT use this space) Differences ____________________________ Account verified; correct for_ (Signature or initials)_______ AMOUNT Dollars Cts. 50 m Contract No.___________________________J__________ Date . Req. No. . Date________________ Invoice Rec’d . Pursuant to authority vested in me, I certify that the above articles were received in good condition, after due inspection, acceptance, and delivery prior to payment as required by law, or the services were performed as stated; that they were procured under the contract numbered above or the unnumbered contract attached hereto, or that they were procured without written contract, in open market, and with or without advertising, under the circumstances stated in No.-----------—---------of “Method of or Absence of Advertising” shown on reverse hereof, and were necessary for the public service; and that the prices charged are just and reasonable and in accordance with the agreement. t Approved for $_ (Sign original only) I Title . 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 Paid f Check No_________________________dated . id by < (.Cash, $______________________—, on_____ | 19—., for $_______ 19____, Payee. . f on Treasurer of the United States in favor of \ payee named above. (Sign original only) • When a voucher is signed or reeeipted in the name of a company or corporation, the name of the person writing thecompany or corporate name, as well as the eapacity in whioh he signs, must appear. For example: "John Doe Company, per John 8mith. Secretary”, or "Treasurer . ae 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 omoer will sign in the blank space below "Approved-for I.........___”, and over his official title. U. S. GOVERNMENT PRINTING OFFICE 16—22900 Per. Title.