50 
Form 2.3. 
CONVICT ROAD FORCE. 
( Name of County or State.) 
REPORT OF SERVICES AND SUPPIJES 
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 
Date. 
Item. 
Total for month. 
Grand total 
Last inventory value plus sub- 
sequent purchases to first of 
month 
Purchased during month. 
Quantity. 
Unit 
cost. 
Total 
cost. 
FOEM 7. SIZE, 8 BY 12i INCHES. 
