52-22
ACCOUNTING BY INDIVIDUAL
FOR ADVANCE
NOTE: Follow Instructions on Reverse
SUBMITTED BY
MOUTA Sub 52 Inv. 20
PERIOD OF ACCOUNTING
FROM 27 December 1962 TO 7 January 1963
Voucher No. (Finance use only)
RECEIPTS
1. CASH ON HAND BEGINNING OF PERIOD
2. RECEIPT
3. NUMBER
4. DATE
5. DESCRIPTION
6. AMOUNT
27 Dec. 1962 Inv. 20
Advance MOUTA Sub 52
400.00
400.00
DISBURSEMENTS
Voucher
3. NUMBER
DATE
DESCRIPTION
AMOUNT
Invoices
400.00
TOTAL TO ACCOUNT FOR
$ 400.00
TOTAL ACCOUNTED FOR
$ 400.00
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO. CHARGE ALLOTMENT NO.
2125-1390-3902
DATE
8 - JAN 1963
SIGNATURE OF AUTHORIZING OFFICER
(A)
APPROVED
SIGNATURE OF APPROVING OFFICER
STANLEY GONZALEZ, DC/DCP/TSO
CERTIFIED FOR PAYMENT OR CREDIT
SIGNATURE OF CERTIFYING OFFICER
(A)
I certify that the expenditures listed hereon and
on any attachments were incurred for official pur-
poses of a confidential nature, that payment or
credit therefor has not been received, and that
this accounting is true and correct.
SIGNATURE OF PAYEE
(A)
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
REVIEWED BY
Voucher No. 7-12
40-42 45-46 47-52 53 54-57 59-67 68-70 71-80
EXPEND. PER. PAY. OBLIG. FI GENERAL ALLOT. LEDGER DUE
CODE LIO. REF. NO. ADVANCE LEDGER ACCT. NO. DATE
CODE ACC. NO. YR ACCT. NO. CK. NO. OBJECT
EMP. NO. CLASS
DESCRIPTION - ALL OTHER ACCOUNTS
23-39
DESCRIPTION - A/P ITEMS 13-33
34-39
DESCRIPTION - ADVANCE ACCOUNTS 13-24
VOL. NO.
PAYABLE
VOL. NO.
CREDIT
DEBIT
AMOUNT
FORM 282 USE PREVIOUS
6-57 EDITIONS.
(1)