Account of 
A. ZAPPGNE, 
DISBURSING CLERK 
MAIL THIS VOUCHER 
DIRECT TO YOUR 
BUREAU. 
OFFICIAL STATION. 
Wl l)'C ■ 
temporary Ration. 
Dept. Form No. 101. 
Comptroller of Treasury, Feb. 24/1921. 
U. S. DEPARTMENT OF AGRICULTURE. 
-V- 
(Bureau, Division, or Office 
e.) (J 
DUPLICATE, 
93672 
Voucher No. 
DO NOT SIGN IN DUPLICATE 
Bureau No. 
SCHEDULE OF FUNDS ADVANCED UNDER ACT OF JUNE 3, 1902 (32 STAT., 303), 
AND VOUCHER FOR TRAVELING, STATION, AND FIELD EXPENSES, AND 
FOR PER DIEM, PAID FROM FUNDS SO ADVANCED. 
APPROPRIATION : 
Amount due the United States per previous account__________ 
Amount advanced to me since previous account___ 
Total,___ 
7 
Expenditures from funds advanced for traveling, station, and field expenses, and for payment of per diem allowance, as per 
itemized statement herein set forth, incurred in the discharge of official duty from_ —. ...XImjM . _, 192*, 
to _ . /v a. . ., 192 funder written authorization from the Secretary of Agriculture, No.__ 
dated ---> 192 ^ a copy of which is on file in the Treasury Department. 
* Amount Claimed_____ 
Balance now due the United States__________ __ ____ 
DUPLICATE 
REFERENCE MEMORANDUM 
This MEMORANDUM is for reference purposes only. The employee submitting the voucher should make above a literal transcript 
of the account before forwarding the voucher for settlement. DO NOT DETACH THIS DUPLICATE. It will be returned to you 
by the Disbursing Clerk with such notations as may be necessary. 
Name 
Official title ___ 
Address__ 
MEMORANDUM OF ACTION TAKEN BY DISBURSING CLERK 
_ Funds advanced by check No.., dated_...., 192^ , drawn on the Treasurer of the 
United States in favor of payee named above. 
Differences as follows:.. Er ror in 'bringi ng forwa rd, balance ... 
AMOUNT. 
L2 
V-J- 
? 
y_z 
7-z,- 
U 
7 * 
20 
Balance due the United States 
95 
Kindly correct your record accordingly and enter this amount as due the United States at the head of your next expense account. 
Respectfully, 
8—2849 
, Disbursing Cleric. 
