Department Form Vo. 3. 
(Special Agriculture.) 
ACCOUNT OF 
A. ZAPPONE, 
DimuiitiNO Cten«. 
mailthis account 
FOR SETTLEMENT 
DIRECT TO YOUR 
BUREAU. 
U. S. DEPARTMENT OF AGRICULTURE. 
logu a' buniwi 
(Bureau, Division, or Office.) 
Voucher no 
(IM > NOT «i<n la dupllcala.l 
PAY VOUCHER FOR PERSONAL SERVICES. 
APPROPRIATIONS: 
The United States, 
to 
Uhi. 
Address : 
BUREAU NO. 
(The submission of accounts on this form without consulting infractions on the back hereof may delay payments.) 
For SERVICES rendered as.. 
in the * , IT. S. Department of Agriculture, 
UA>-y — 1 
dated 
under 
from lva/vtx / , \\\Vo , to . 
inclusive, V. 3^ days, at %/0 O per _ — 
Plus “increase compensation ” at p er mit .^LQ. 
Remarks: 
Amount claimed 
amount. 
DOLLARS. 
Ji, oo 
lo 
/ 
/- — 
/ 
Ck.vts. 
O O 
o o 
Payee must 
not use this 
column. 
I»HTEB- 
EXCES. 
(Bill must bo completely filled in before certification b 
* I certify that the above bill is corre 
been received. 
(DO NOT sign in duplicate.) 
and thero must not bo any erasure or other alteration whatever.) 
d just, and that payment thereof has not 
Ex vmivlh 
BY — 
(Signature) 
T certify that the foregoing account is correct ; that it appears from the records of my office that the person named hereon was legally 
appointed and that he has performed the service required by law and the regulations of the Department of Agriculture during the 
period mentioned; that such service, except as otherwise indicated under “Remarks,” above, has been performed under niv supervi- 
sion; that the person whose name appears in the foregoing voucher is not paid for any period of absence in excess of that allowed by 
law; that he is entitled to the amount of pay stated above, and that any detail is indicated under “Remarks,” above. 
I also certify that per diem service on Sundays and legal holidays, where charged above, was actually performed and necessary. 
Account submitted for $ 
Differences: .. . .. 
(Signature) ... .. . CUL j j 
— J0.U 
4 (Title (^••rtifyaMOfiloor.) *- 
(Signature) 
Approved for 
vVU 
(Tttl« of Approving Officer.) 
> Paid by check No. 
favor of payeo named above. 
, dated .. 
.,19 , on the Treasurer of the United States, in 
l*ye.s 
•V ouchers fur personal servic® rendered under the Immediate personal supervision of some administrative officer and so certified by him need not be certified by tbo 
e«\ provided the voucher describes specifically the pod t Ion, tlie rate of compunction, .uni the poiiod covered. •— »n» 
