RECEIPTS DISBURSEMENTS
1. CASH ON HAND BEGINNING OF PERIOD $ 3. VOUCHER NUMBER DATE DESCRIPTION AMOUNT
1a. INVOICE $ 500.00
2. RECEIPT NUMBER DATE DESCRIPTION
7 Dec. Admon. Mohta Sub 52 500.00
1962 Dec. 19
I certify that to the best of my knowledge and belief the amount above was disburred to or for Agency authorized and services or material have been received, and further advances as may be directed by the Agency are warranted. The document upon which this statement is based are maintained in the files of ZCD for security reasons and will be made available for review by the Certifying Officer at his request.
4. REFUNDED HEREWITH CASH CHECK MONEY ORDER
5. CASH ON HAND END OF PERIOD
TOTAL TO ACCOUNT FOR $ 500.00 TOTAL ACCOUNTED FOR $ 500.00
I CERTIFY FUNDS ARE AVAILABLE APPROVED 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.
OBLIGATION REFERENCE NO. CHARGE ALLOCATION NO. DATE SIGNATURE OF APPROVING OFFICER
2025-1390-3002
DATE SIGNATURE OF AUTHORIZING OFFICER CERTIFIED FOR PAYMENT OR CREDIT SIGNATURE OF PAYEE
DATE SIGNATURE OF CERTIFYING OFFICER
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
ARED BY REVIEWED BY VOUCHER NO. 7.12
23-39 DESCRIPTION • ALL OTHER ACCOUNTS 40.42 EXPEND CODE 45.48 PAY PER. CODE 47.52 OBLIG REF. NO. ADVANCE ACCT. NO. EMP. NO. 53 FIYR 54.57 GENERAL LEDGER ACCT. NO. 59.67 ALLOT. LEDGER ACCT. NO. 68.70 DUE DATE OBJECT CLASS 71.80 AMOUNT
DESCRIPTION • A/P ITEMS 13-33 34-39 PAYABLE YOU. NO. 882 1 841 601.0 25 1390 390/752 500.00 DEBIT CREDIT
DESCRIPTION • ADVANCE ACCOUNTS 13-24 841 142.9 500.00
MULTRA SUB 52 INV 19 25.090019 841 142.9 500.00
FORM 282 USE PREVIOUS
6-57 EDITIONS.