ACCOUNTING BY INDIVIDUAL
FOR ADVANCE
NOTE: Follow Instructions on Reverse
SUBMITTED BY
(When Filled In)
PERIOD OF ACCOUNTING
FROM 7 December 1962 TO 20 December 1962
Voucher No. (Finance use only)
RECEIPTS
1. CASH ON HAND BEGINNING OF PERIOD
2. RECEIPT NUMBER
3. VOUCHER NUMBER
4. REFUNDED HEREWITH
5. CASH ON HAND END OF PERIOD
DISBURSEMENTS
DATE
DESCRIPTION
AMOUNT
7 Dec. Advance payment Sub 52
500.00
500.00
1962 Inv. 19
TOTAL TO ACCOUNT FOR $ 500.00
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO. CHARGE ALLOTMENT NO.
841 2125-1330-1322
I certify that to the best of my knowledge and belief the amount shown above was disbursed to or for Agency authorized activities and services on material here been received, and further advanced as may be directed by the Agency are warranted. The documents upon which this statement is based are maintained in the files of TSO for security purposes and will be made available for review by the Certifying Officer at his request.
APPROVED
SIGNATURE OF APPROVING OFFICER
CERTIFIED FOR PAYMENT OR CREDIT
SIGNATURE OF CERTIFYING OFFICER
SIGNATURE OF PAYEE
I certify that the expenditures listed hereon and on any attachments were incurred for official purposes of a confidential nature, that payment or credit therefor has not been received, and that this accounting is true and correct.
SIGNATURE OF PAYEE
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
PREPARED BY
REVIEWED BY
Voucher No. 7-12
23-39
40-42
43-46
47-52
53
54-57
59-67
68-70
71-80
DESCRIPTION - ALL OTHER ACCOUNTS
EXPEND. PER.
PAY. OBLIG
REF. NO.
GENERAL LEDGER
ALLOT. LEDGER
DUE DATE
AMOUNT
DESCRIPTION - A/P ITEMS 13-33
LIQ. CODE
ADVANCE ACCT. NO.
FI YR ACCT. NO.
ACCT. NO.
62-67
DESCRIPTION - ADVANCE ACCOUNTS 13-24
PAYABLE VOU. NO.
EMP. NO.
CK. NO.
OBJECT CLASS
DEBIT
CREDIT
FORM 282 USE PREVIOUS
6-57 EDITIONS.
(1)
52-22