52-22
(When Filled In)
ACCOUNTING BY INDIVIDUAL FOR ADVANCE
NOTE: Follow Instructions on Reverse
SUBMITTED BY
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 NUMBER
DATE
DESCRIPTION
AMOUNT
27 Dec. 1962
Advance Material Sub 52 Inv. 20
400.00
DISBURSEMENTS
VOUCHER NUMBER
DATE
DESCRIPTION
AMOUNT
Invoices
400.00
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 or material have been received, and further advances on my by directed by the Agency are warranted. The documents upon which this are based are maintained in the files of the for security reasons and will be made available for review by the Certifying Officer at his request.
TOTAL TO ACCOUNT FOR $ 400.00
TOTAL ACCOUNTED FOR $ 400.00
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO. CHARGE ALLOTMENT NO.
84/ 2225-2300-3002
APPROVED
DATE 8 - JAN 1963
SIGNATURE OF APPROVING OFFICER
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
CERTIFIED FOR PAYMENT OR CREDIT
DATE
SIGNATURE OF CERTIFYING OFFICER
SIGNATURE OF AUTHORIZING OFFICER
PREPARED BY
REVIEWED BY
Voucher No. 7-12
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
DESCRIPTION - ALL OTHER ACCOUNTS
23-39
40-42
45-46
47-52
53
54-57
59-67
68-70
71-80
DESCRIPTION - A/P ITEMS 13-33
DESCRIPTION - ADVANCE ACCOUNTS 13-24
EXPEND PER.
PAY LID.
CODE
OBLIG
REF. NO.
FI
GENERAL LEDGER ACCT. NO.
ALLOT. LEDGER ACCT. NO.
DUE DATE
AMOUNT
34-39
PAYABLE
VOU. NO.
CK. NO.
OBJECT CLASS
DEBIT
CREDIT
FORM 282 USE PREVIOUS EDITIONS.
6-57
(1)