Form 861 

 (Revised June 1, 1910.) LETTER OF TRANSMITTAL 



See other side for instructions read carefully. 



, 191.. 



National Bank 



United States Depository, 



There is inclosed herewith a (l){Sj y rder } for 



dollars, 



drawn payable to your order, to be placed to the credit of the Treasurer of the United 

 States. This deposit is 



(First, second, or third payment; payment in full; to cover advertisement; to accompany bid, etc.) 



on account of 



(Timber sale, special use, settlement for trespass, cooperative agreement, etc.) 



National Forest. 



(2) 



* (Signature of payer.) 



(3) 



(Post officp.) 



(Signature of Forest officer.) 



(Date in designation.) (Title.) 



Designate transaction in accordance withinstuctions in the Use Book. 



(Name.) 



Deposit on account of 



(Timber sale, special use, settlement for trespass, cooperative agreement, etc.) 



- National Forest. 



$ 



[Reverse side of Form 861.] 



INFORMATION FOR PERSONS MAKING PAYMENTS. 



Indicate in the space marked (1) the character of your remittance, in (2) your name, 

 and in (3) the address to which you wish the receipt sent. Failure on your part to make 

 payments in the following manner will delay business: Make payments oy postal or 



express money orders or by national-bank drafts, drawn payable to 



National Bank Do not send personal local checks. Send 



payment with the copy of this form furnished you by the Forest officer to 



National Bank 



INSTRUCTIONS TO FOREST OFFICERS. 



Furnish this form to persons making payments for timber and for the use of land or 

 other resources of the National Forests except grazing. Enter in the spaces provided 

 the amount of the remittance and the designation of the transaction on account of 

 which the payment is made. 



Do not use this form for grazing permits. 



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