CONVICT LABOR FOR ROAD WORK. 



47 



Form No. 1.3. 



.CONVICT ROAD FORCE. 



Voucher No. 



{Name of County or State.) 

 VOUCHERS FOR SUPPLIES AND SERVICES FURNISHED. 



Date, , 



., 191.. 



.Dr. 



(Name of County or State.) 



To 



Goods supplied on 



Purchase Order No Address 



For Camp No 



(Consult instructions on other side before preparing voucher.) 



Contract 

 reference 



Articles or service. 



Qiian- 



tity. 



Unit. 



Unit 

 price. 



Amount. 



(Leave 

 blank.) 



thority. 



Dollars. 



Cts. 



Account. 





































1 





I certify that the above bill is correct and just, and that payment therefor has not been received. 



(Payee sign here) 



Title 



I certify that the above articles have been received by me in good condition and in the quality and quan- 

 tity specified, or that the services were performed as stated. 



Signatiure Supt. 



Approved for $= 



Signature Warden. 



Paid by check No , dated , 191. .. 



FORM 3. SIZE, 8 BY lOi INCHES. 



Form No. 1.4 



Camp No. 



.CONVICT ROAD FORCE. 



Sheet No. 



{Name of County or State.) 



INVENTORY OF PROPERTY. 



Place , Date. 



Listed by 



.,191.. 



Quantity. 



Item. 



Description 

 (Dimeasions, materials, etc.). 



Date of 

 pur- 

 chase. 



Date 



received 



here. 



Origi- 

 nal 

 value. 



Pres- 

 ent 

 value. 



Condi- 

 tion. 



















Totals, 





K(»i'..M i. Hi:4i';, H uy lO-i inche.s. 

 I'.iill.4M— 10 1 



