Accounting Division. 
Form 5215. 
iproved by the Comptroller of the 
Treasury February 13, 1913. 
Ed. 75,000— F. C., Mar. 24-17. 
STATEMENT OF DISBURSING ACCOUNT. 
Treasury Department, 
Office of the Treasurer of the United States. 
GAS 
It. 
J Vashiugton, D. C., p*- 
Sir: The following is a statement of your Disbursing Account for the month of 
dease reconcile your check-book balance ah tlio close of tlio inontli \v Itii tlio balance sliown 
>elow, faking into consideration outstanding clxecks and deposits in transit, and advise mo 
itiiont delav if any discrepancy in balance, clieck amounts, or numbers is found. 
Respectfully, / ,.1 
ALEXANDER WET MORE. 72500 "* Treasurer of the United States. 
TEMP. S.D.A. , 
'% A ZAP PONE By 
[DPT AGRICULTURE. 
WASHINGTON, D . C . 
Dr. 
/-» 4 o 1 CR ft/ilrO Tl o ? /T o c nftf A Kot T**'’ A i Knl At XT 
i 
5 6 1.0 7 - 
1 
Balance from last Statement 
2,2 6 5.5 1 
i Ola! vUCCKo J- cUU | uS per xvosi/raui/ utiu w ———————— — 
1,7 0 4.4 4 J 
Deposits Received, as par Abstract below 
Total 
2,2 6 .5 . 5 1 * 
Total 
2,2 6 5.5 1 # 
Treasury Department, 
Office of the Treasurer of the United States 
Accounting Division. 
Kespcctfully referred to the Auditor for the Department. 
Assistant Treasurer U. S. 
ABSTRACT OF CHECKS PAID. 
DATE. 
NUMBER. 
AMOUNT. 
DATE 
DEPOSIT 
DEPOSITED 
CREDITED. 
NUMBER. 
WITH. 
1^21 VAR. 
2 2 3,0 8 
1 4 9.4 1 
1 8 B.5 8 
5 6 1.0 7 * 
ABSTRACT OF DEPOSITS RECEIVED. 
AMOUNT. 
