[104-10163-10176.pdf — page 102]
# ACCOUNTING BY INDIVIDUAL FOR ADVANCENOTE: Follow Instructions on Reverse## RECEIPTS1. CASH ON HAND BEGINNING OF PERIOD|     || --- ||     |2. | RECEIPT NUMBER | DATE | DESCRIPTION     | AMOUNT || -------------- | ---- | --------------- | ------ || 2087           | July | AMCIVIC subsidy | 12,000 || 2199           | Aug  | AMCIVIC mubsidy | 12,000 ||                |      |                 |        |TOTAL TO ACCOUNT FOR $24,000I CERTIFY FUNDS ARE AVAILABLE| OBLIGATION REFERENCE NO. | CHARGE ALLOTMENT NO. | DATE || ------------------------ | -------------------- | ---- ||                          |                      |      |SUBMITTED BY Carl Z. JenkinsSECRET(When Filled In)PERIOD OF ACCOUNTING| FROM    | TO     || ------- | ------ || July 65 | Sep 65 |VOUCHER NO. (Finance use only)DISBURSEMENTS| VOUCHER NUMBER | DATE  | DESCRIPTION                                                                                                                        | AMOUNT || -------------- | ----- | ---------------------------------------------------------------------------------------------------------------------------------- | ------ ||                | 4 Sep | See attached translations and accountingsfor July & Aug AMCIVIC subsidies. (In Sept no subsidy was furnished althonga ra acok, sa. |        ||                |       |                                                                                                                                    |        ||                |       |                                                                                                                                    | 24,000 |TOTAL EXPENSES| 3a.                           | 4. REFUNDED HEREWITH | CASH | CHECK | MONEY OSoge || ----------------------------- | -------------------- | ---- | ----- | ----------- || 5. CASH ON MAND END OF PERIOD |                      |      |       |             || TOTAL ACCOUNTED FOR           |                      |      |       |             |APPROVEDSIGNATURE OF APPROVING OFFICERI certify that the expenditurco listed hereor end on any attachments were incurred for official purposes of a confidential nature, that payment or credit therefor hoo not been, receivea, and thai thie accounting is true and correct.SIGNATURE OF PAYEEDATESIGNATURE OF AUTHORIZING OFFICERCERTIFIED FOP PAYMENT OR CREDITDATESIGNATURE OF CERTIFYING OFFICERSPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISIONVOUCHER NO. 7-12REVIEWED BY| DESCRIPTION ALL OTHER ACCOUNTS 13-33 | 28-33 ٥٥٠ T/٨           | 34-39 STATION CODE | 40-42 EXPEND CODE | 43 U N S | 45-46 PAY PER. CODE | 47-52 OBLIG REF. NO. ADVANCE ACCT. BO | 53 GENER CA LEDGER YR ACCT, NO | 56-67 ALLOT. OR COST ACCT. NO. | 68-70 DUE DATE | 71-80 AMOUNT || ------------------------------------ | ----------------------- | ------------------ | ----------------- | -------- | ------------------- | ------------------------------------- | ------------------------------ | ------------------------------ | -------------- | ------------ || DESCRIPTION ADVANCE ACCOUNTS 13.27.  | OP. NO ٠١٧٠ PROJECT RO. |                    |                   |          |                     |                                       |                                |                                |                |              || !!!                                  | !!!                     |                    |                   |          |                     |                                       |                                |                                |                |              || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            || 1                                    | 1                       | 1                  | 1                 | 1        | 1                   | 1                                     | 1                              | 1                              | 1              | 1            ||                                     |                            |                    |                     |          |                     |                                      |                                     |                                | TOTALS          |               |FORM 282 USE PREVIOUS EDITIONS.SECRET(1)