46 BULLETIN 414, U. S. DEPARTMENT OF AGRICULTURE. 



Form No. 1.1. 



CONVICT ROAD FORCE. 



Requisition No. 

 Camp No 



{Name of County or State.) 



REQUISITION. 



Supplies to be sent to 



{Place.) 



Not later than , 191 . 



Date of Requisition , 191 . 



Quantity. 



Article. 



Quantity 



issued 



last 



month (or 

 week). 



Quantity 

 on hand. 



Order 

 number. 





. 







(Not to 

 be filled 

 by Supt.) 



I certify that the quantities on hand and issued are correctly reported, the above articles are required, 

 and the quantities are not excessive. 



Approved: - - - . , Warden. 



Supt. 



1. Use different colored sheets for requisitions for food supplies and general supplies. 



2. Whenever an emergency purchase is made locally, fill out tnis requisition form covering the purchase, 

 write the word " Emergency " on it and mail it with the bill to the warden. 



3. If the article is unusual explain the need for it on the requisition. 



FORM 1. SIZE, 8 BY 10| INCHES. 



Form No. 1.2. 



Order No. 



., CONVICT ROAD FORCE. 



( Name of County or State. ) 



PURCHASE ORDER. 

 To Fill Requisition No From Camp No. 



( Name of city or town. ) 



Firm name 



Address 



Please ship the following articles to . - 



, via 



and render the bill on the inclosed voucher form to 



Signature 



., 191. 



(Purchasing Agent or Official in Charge.) 



FORM 2. SIZE, 8 BY lOi INCHES. 



