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DOC 0000017453
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TRAVEL VOUCHER
-(Wtt&fi FifUd In)
Submit an or*****/ t nu V»r.a copy Sub, nit «n addition*! cupv »/
tha originating office cfcairas an audited copy of the- wtjchtt
returned.
OFFICIAL DUTY $YaTiGN
PERIOD COVEREO BY THIS VOUCHER
IX Decsaber 1955 15 Eaeesber 1955
SUMMARY OF EXPENSES ClAJMED BY TRAVELER
THIS SPACE FOR FINANCE USE ONLY
TRAN5K9NTATION
LESS ADVANCES AND TICKETS FURNISHED
BALANCE DUE TRAVELER
EXCESS ADVANCED TO BE REFUN0E.0 - ^ •- -
{Attach copy of refund receipt)
PAYMENT INSTRUCTIONS'
_
£*70.
join i gCO, 5*3
i^QO 09 I LESS ADJUSTMENTS:
79*41
I certify that this voucher oad ony oltachirents art correct, the ex-
penses were incurred on official business of a confidential nature,
payment a r credit has not been received all quarters or meals fur-
nished without charge ore stated with appropriate deduction from
per diem,- and ony leave taken has been noted in the itinerary.
4 Jan 1956
SIGNATURE OF FAYES
APPROVED
SIGNATURE or APPROVING OFFICER
(ft)
dajtt //£
SPACE BELOW FOR FINANCE USE ONLY
(53-57)
GENCRAL
LEDGER
ACCT. NO.
<5«M7)
ALLOTMENT LEOOE* ACCt. NO,
X VOUCHER NO.
fO»»S» h % OO USF PREVIOUS EDITION OF TMiS FORM.
I SIR *5 RtPLACtS FORM 33- « WHICH ISOSyOUTE
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