52 BULLETIN 583, U. S. DEPARTMENT OF AGRICULTURE. 
Form 2.3. 
CONVICT ROAD FOECE. 
{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 davs to date 
Item. 
Last inventory value plus sub- 
sequent purchases to first of 
month 
S 
Date. 
Purchased during month. 
- 
Quantity. 
Unit 
cost. 
Total 
cost. 
T 
G 
3tal for month 
$ 
rand total 
I 
FORM 7. SIZE, 8 BY 12J EsCHES. 
