i 
Account of 
A. ZAPPONE, 
DISBURSING CLERK 
MAIL THIS VOUCHER 
DIRECT TO YOUR 
BUREAU. 
I>ept. Form No. 101. 
Comptroller of Treasury, Feb. 24, 1921. 
S. DEPARTMENT OF AGRICULTURE. 
'WM • / 
DUPLICATE. 
Voucher No... 
DO NOT SIGN IN DUPLICATE 
OFFICIAL STATION. 
TEMPORARY STATION. 
_Aji_----- 
(Bureau, Division, or Office.) f 
J J 
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. 
Bureau No. 
APPROPRIATION : 
cIl* 
/ri 
L.jLS± 
s 
f 
% r U*5(p 
Amount due the United States per previous account....----- 
Amount advanced to me since previous account —------------ 
Total,------- 
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 — .—-A- ' ..., 192 i, 
to ......5__-., 1921., under written authorization from the Secretary of Agriculture, No- 
dated_ .—. _, 192w , a copy of which is on file in the Treasury Department. 
Amount Claimed___ 
Balance now due the United States ------—---- 
AMOUNT. 
i ii 
DUPLJCATE 
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 
/ 
^7% S/ 
Official title — 
k-k —.. 
7j , J , /* ’ / 
_ i—4i —--- ' f 
7 
Address —..— r — ~4 -~—— ----- 
MEMORANDUM OF ACTION TAKEN BY DISBURSING CLERK 
Funds advanced by check No. 11.6.2A8.—, dated- ...-Marj3.il— 1 7...., 1923 , drawn on the Treasurer of the 
United States in favor of payee named above. 
Differences as follows: ....-.-.-.....-.-. 
Balance due the United States 
4?a 
Kindly correct your record accordingly and enter this amount as due the United States at the head of your next expense account. 
Respectfully, 
f u 
8—2849 
& 
Disbursing Cleric. 
