Form 41b. 
USE ONE SIDS ONLY. 
Approved "by the Comptroller of the 
Treasury May 28, 1914. 
No. 
Subvoucher for Supplies, Livery and Miscellaneous Services, 
and Expenses. 
uf Agrtrulturr, 
To 2 , Dr. 
Address: 
TO BE COMPLETELY FILLED IN BEFORE SIGNATURE BY PAYEE, AND THERE 
MUST NOT BE ANY ERASURE OR OTHER ALTERATION WHiVI^ER. 
Received in Cash this .. _ day of 
191 ^ from 

_!5J ^ ^ Dollars, in full 
100 
of the above account, which I CERTIFY TO BE CORRECT, 
Do not sign in duplicate. 
(Signature) __ 
(Title) ... 
Witness to signature by mark. 
(Name.) 
8 — 2707 
(Address.) 
