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?????I PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL May 26, 19381 (Amended August 15,1941) D. O. You. No. Bu. You. N o ._ — GENERAL ACCOUNTING U. S._______ PAID BY OFFICE PREAUDIT (Department, bureau, or establishment) Certified for payment in the Voucher prepared at 1 (Give place and date) sum of $_______________ THE UNITED STATES, Dr., Comptroller General of the To______ United States (Payee) 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------------------------------to-------------------------------Weight____________________Government B/L No.. Per Total. 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. *Paye< (Thia certificate not required when a like oertifioate is made by payee on attached bill or bills) Per------------------------------------------1__________Title.................. (Sign original only) (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. 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. fApproved for $. (Sign original only) t- 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 by | f Check No._________S_____________dated______________________________ 19____, for $_______ Cash, $________________ ..________, on__________________________________ 19_____ Payee. f on Treasurer of the United States in favor of If l payee named above. (Slcn original only) * When a voucher is signed or receipted in tbename of a company or corporation, the name of the person writing the company or corporate name, as well as tho capacity m wbioh he signs, must appear. For example: “John Doe Company, per John Smith. Secretary", or “Treasurer", as the case may be. .... - — •• * *- ?*-. .inn*... ~>e combined in one person, one signature only is necessary; otherwise the approving officer will “«r his official title. t If the ability to certify and authority to approve a.. a in the blank space below "Approved for I..........and o U. S. GOVERNMENT PRIN TIN G OFFICE Per. Title.