MEMORANDUM of Travel performed upon Transportation Requests during the period covered by this account. 
(When Pullman is used, state whether seat, upper or lower berth.) 
NUMBER. 
DATE 
USED. 
FROM— 
TO— 
VIA R. R. 
AMOUNT. 
SEAT. 
UPPER 
OR 
LOWER 
BERTH. 
Payee must 
not us* this 
column. 
Dollars. 
Cents. 
Notations. 
i .... i 
1 1 
1 1 

INSTRUCTIONS. 
1. This blank should be used exclusively for claiming reimbursement of traveling, station, and field expenses, per diem allowances, and 
for other necessary expenses incurred under stress of urgent and unforeseen public necessity. 
2. Prepare in accordance with Fiscal Regulations and sample forms contained therein and avoid having the account returned for amendment 
or explanation. 
3 Employees of the U. S. Department of Agriculture are entitled to reimbursement for their actual necessary traveling expenses while 
traveling under competent authority, or may be granted a per diem allowance. They are not entitled to reimbursement for any other 
expenditures made from their private funds, except those incurred under stress of urgent and unforeseen public necessity. Before using private 
funds for other than purely personal traveling expenses, they should ascertain whether it is feasible to forward vouchers to the Department for 
payment. The measure of feasibility of so making payment should not be their own convenience or desire. 
4. The address to which claimant desires check mailed should be given in full in the space provided for that purpose. 
5. The accounting officers of the Treasury will not accept vouchers containing explanations, additions, alterations, or changes of any kind as 
evidence in supporting claims for payment, except such us may be made by the claimant over his signature or initials. 
* 
