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(When Filled In)
REQUEST FOR ADVANCE OF FUNDS
NAME OF ADVANCEE
DATE
AMOUNT
VOUCHER NO. (Finance use only)
MULTRA 52
7 December 1962
$500.00
329931 DEC2762
PAYABLE TO
ROOM
BUILDING (H)
TELEPHONE EXT.
See Attached Payment Inst. 121
PURPOSE
Advance to MULTRA 52 Invoice #19 for activity approved by Chief, TSD on 6 November 1961. Accounting for this advance will be in accordance with Attachment A of MULTRA Fiscal Annex.
The check should be forwarded to TSD/R&D, through TSD/Budget Officer, no later than 21 December 1962.
I agree that I will fully account for this advance by submission of vouchers and refund of any unexpended balance to the reporting point stated and by the due date checked below. In the event of my failure to so account and refund any unexpended balance, I authorize deduction from my salary to effect settlement.
STATUS OF OUTSTANDING ADVANCES