Form I to, 
Approved by the Comptroller of 
the Treasury May 28, 1914. 
USE ONE SIDE ONLY, 
No. .. 
Subvoucher for Supplies, Lively and Miscellaneous Services, 
and Expenses. 
11 0. Srjrartmrnf nf Agrintlfttn?, 
TO „_„£ev4£_ .Dr. 
Address: 
T 
mj 
For 
...- „ J^&?**!**^^ _. 
-3-J- -l/*vC--. .yl 
Total, - - 
- - - - S 
TO BE COMPLETELY FILLED IN BEFORE SIGNATURE BY PAYEE, AND THERE 
MUST NOT BEANY ERASURE OR OTHER ALTERATION WHATEVER, 
Received in Cash this 
.23**.. 
_.»„day of 
., 19XJ »from 
Dollars, in full 
100 
of the above account, which I CERTIFY TO BE CORRECT. 
Do not sign in duplicate 
iicate. sP / f 0 _ _ 
(Signature) 
(Title)........ 
Witness to signature by mark. 
• «> m **. fr> «-> n 
(Name.) 
8—-270< 
(Address.) 
