Standard Form No. 1166a 
7 GAO 5000 
1166—207 
ad 
a oHITH: SONI: 
BUREAU OR OFFICE 
» ves 
aA TIONAL 
Be 
2 GLOGS Les - whe PA RE. 
SH] (MEMORANDUM) 
F 
7 
ise 
AND SCHEDULE OF PAYMENTS 
An INSTITUTION 
~ (DEPARTMENT OR ESTABL !SHMENT) 
Schedule No. 
a oe Soe ee etl ee 
PAID BY 
POR i “20009 
LOCATION OF TRANSMITTING OFF ae 
tee SH 
APPROPRIATION SUMMARY 
© ey} 
age 
3398046 $246.21 
AGENCY STATION NO. 
_33 OL COCR 
PAYEE, AND IF NECESSARY, ADDRESS 
VOUCHER NO, 
OR OTHER IDENT! FICATION 
INVOICE NO. 
D.O. CHECK NO. 
AMOUNT 
JOH SEAGO 
c/o BR ARC LAYS RA ax 
P.O. BOX 30011 
rk A 
eS eee % “ET 
EAST Ar 
L975 
ee B 
PReiIGA 
MEMORANDUM 
Auguat 20, 1969 
21,620 
GRAND TOTAL 
yy U.S. GOVERNMENT PRINTING OFFICE: 1967—264-123 
