Form No. 1.3. 
CONVICT LABOR FOR ROAD WORK. 47 
Voucher No 
.CONVICT ROAD FORCE. 
{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. 
Quan- 
tity. 
Unit. 
Unit 
Amount. 
(Leave 
blank.) 
or au- 
thority. 
Dollars. 
Cts. 
Account. 
=-'-= 
I 
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 qualitv and quan- 
tity specified, or that the services were performed as stated. 
Signature Supt. 
Approved for S= 
Signature Warden. 
Paid bv check No , dated , 191... 
FORM 3. SIZE, 8 BY 10J 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 
(Dimensions, materials, etc.). 
Date of 
pur- 
chase. 
Date 
received 
here. 
Origi- 
nal 
value. 
Pres- 
ent 
value. 
Condi- 
tion. 
Totals, 
FORM 4. SIZE, 8 BY 10J INCHES. 
33577°— Bull. 
