52-22
(When filled in)
Voucher No. (Finance use only)
ACCOUNTING BY INDIVIDUAL
FOR ADVANCE
SUBMITTED BY
MULTRA Sub. 52 Inv. 19
PERIOD OF ACCOUNTING
FROM 7 December 1962 TO 28 December 1962
NOTE: Follow Instructions on Reverse
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 MULTRA Sub 52
500.00
1962 Inv. 19
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 as may be directed by the Agency are warranted. The documents upon which this statement is 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 $ 500.00
TOTAL ACCOUNTED FOR $ 500.00
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO.
CHARGE ALLOTMENT NO.
225-1390-3902
APPROVED
SIGNATURE OF APPROVING OFFICER
CERTIFIED FOR PAYMENT OR CREDIT
SIGNATURE OF CERTIFYING 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
DATE
REVIEWED BY
Voucher No. 7-12
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
40-42
45-46
47-52
53
54-57
59-67
68-70
71-80
EXPEND PER.
PAY
OBLIG
GENERAL
ALLOT. LEDGER
DUE
AMOUNT
CODE
REF. NO.
FI
LEDGER
ACCT. NO.
DATE
ACCT. NO.
YR
ACCT. NO.
CK. NO.
OBJECT
EMP. NO.
X VOU. NO.
CLASS
23-38
34-39
34-39
34-39
34-39
34-39
34-39
34-39
DESCRIPTION - ALL OTHER ACCOUNTS
PAYABLE
YR. NO.
DESCRIPTION - A/P ITEMS 13-33
DESCRIPTION - ADVANCE ACCOUNTS 13-24
MULTRA Sub 52 Inv 19
" " " " "
882.1 841 601.0 25 13903902/52 500.00 500.00
85.090019 841 142.9
FORM 282 USE PREVIOUS
6-57 EDITIONS.
(1)