F'orm 41t). 
USE ONE SIDE ONLY. 
No. 
Approved by the Comptroller of the 
Treasury May 28, 1914. 
Subvoucher for Supplies, Livery and Miscellaneous Services, 
and Expenses. 
M, Srpartm^nt uf Agrirulturr, 
To ■«— - ) 
Address: 
TO BE COMPLETELY FILLED IN BEFORE SIGNATURE BY PAYEE, AND THERE 
MUST NOT BE ANY ERASURE OR OTHER ALTERATION WHATEVER. 
Received in Cash this 
of the above account, which I CEjRJIFY TO BE CORRECT. 
Do not sign in duplicate. 
(Signature 
(Title) > 
Witness to signature by mark. 
(Name.) 
S — 2707 
(Address.) 
