STATEMENT OF TRAVEL PERFORMED FOR WHICH REIMBURSEMENT IS NOT CLAIMED 
BY TRAVELER 
DATE OF 
TEAVEL 
1939 
Mar»l& 
NO. OF TEANS- 
POETATION 
BEQUEST OE 
SPEEDOMETEE 
EEADINQ 
S.I.S771 
16 S. I. 3778 
18 
20 
29 
Apr, 39 
May B 
3,1.2773 
S. 1.2774 
S. I. 2775 
5.1.2776 
B. I. 2777 
FROM- 
TO- 
Wash 
If It 
B08ton,l4ass 
|jew ^ork.N.y. 
Cristobal, C.Z. 
Balboa. C«Z. 
Bew YorkjH.Y. 
Boston, Mass. 
#f If 
m York.K.Y, 
g C • iZi « 
Oo 
Crlstobai^CoSo 
»Uo 
VIA 
(Kind of carrier 
or vehicle)* 
PaBU® 
FuUmaB 
JJoYoHoHoa; H 
Pwmm E 0 E 0 
0 
S. 3, line 
do 
ft 
CLASS OR. 
MILEAGE t 
1 
1 
1 
1 
A 
AMOUNT 
14.50 
3.00 
5.73 
100.00 
1.40 
1.40 
S.70 
*Railroad, .steamship, airplane, bus, etc. 
tAbbreviate class of service or accommodations used. Railroad: F, first class; I, intermediate class; M, mixed class; C, coach; P, Pullman accommodations; DR, drawing room; 
CP, compartment; BR, bedroom; SOS, single occupancy section; SEC, section; LB, lower berth; UB, upper berth; S, seat. By other mode: Number of miles traveled. 
INSTRUCTIONS 
A f *’ 
1. The provisions of the travel regulations must be strictly observed in order to avoid suspensions and disallowances in the accounts. 
2. When more space is required for itemization of the account, use continuation sheets (standard forms 1012b — Revised and 
1012c — Revised) and fasten together in upper left-hand corner. 
3. As many copies of the approved memorandum voucher may be made as required for administrative purposes. 
U. S. OOVERNMRNT miNTINQ OFFICB 
10 — 1664 a 
