50 



BULLETIN 414, U. S. DEPARTMENT OF AGRICULTURE. 



Form 2.3. 



CONVICT ROAD FORCE. 



{Name of County or State.) 



REPORT OF SERVICES AND SUPPLIES 

 OTHER THAN FOOD. 



Camp No 



Place 



Signature 



Supt. 



Account 



Month of , 191, . 



Number of convict days since last inventory to first 

 of month. 



Number of convict days this month . . 

 Total number of convict days to date 





Item. 



Last inventory value plus sub- 

 sequent purchases to first of 

 month 



S 









Date. 



Purchased during month. 







Quantity. 



Unit 

 cost. 



Total 

 cost. 























1 



































































i 









1 1 





,T( 

 G 



)tal for month 



$ 



'and total 





$ 







FOEM 7. SIZE, 8 BY 12i INCHES. 



