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SECRET# REQUEST FOR PAYMENT OF CONFIDENTIAL FUNDSTO: US Division (AMBIDDY)Secretary Division 13 July 1965CONFIDENTIAL FUNDS ARE REQUESTED FOR OFFICIAL BUSINESS OF A CONFIDENTIAL, EXTRAORDINARY OR EMERGENCY NATURE AND ARE INTENDED FOR USE AS FOLLOWS: Deposit to AMBIDDY/1 INLOVE Account for extraordinary expenses for July 1965.I certify to the best of my knowledge and belief that subsidy funds previously made available to AMIDDY have been or are being expended for authorized objectives of the activity and further support is warranted.Carl E. JenkinsDATE-VOUCHER NO. 2-12PAYEE: AMBIDDY/1 AMOUNT: $12,000.00SIGNATURE OF PAYEEDATESIGNATURE OF AGENT## AGENT INSTRUCTIONSOn file in Monetary DivisionTHE AMOUNT REQUESTED IS PAY THE PAYEE FOR SATISFACTORY PERFORMANCE OF DUTIES IN ACCORDANCE WITH THE TERMS OF HIS CONTRACT OR OTHER WRITTEN OR ORAL AGREEMENTS.APPROVEDSIGNATURE OF APPROVING OFFICERDATESIGNATURE: WH/C/CA/EACarl E. JenkinsDATE: POWED/CCERTIFICATE FOR PAYMENT OR CREDITSIGNATURE OF CERTIFYING OFFICERI CERTIFY FUNDS ARE AVAILABLEOBLIGATION REFERENCE. NO.: CHARGE FAN ACCOUNT NO. C135-1176## RECEIPT FOR FUNDSI ACKNOWLEDGE RECEIPT OF FUNDS TO BE USED FOR THE PURPOSE STATED ABOVEDATE: 7/13/65SIGNATURE OF AUTHORIZING OFFICER: WH/BAPDATE AMOUNTSIGNATURE OF: PAYEE AGENTSPACE BELOW FOR EXCLUSIVE USE OF OFFICE OF FINANCE| DESCRIPTION-ALL OTHER ACCOUNTS 13-33 || ------------------------------------ || DESCRIPTION: ADVANCE ACCOUNTS 13-27  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || ...                                  || 34-38 RTATION CODE || ------------------ || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || 39-40 V/A 20. || ------------- || ...           || ...           || ...           || ...           || ...           || ...           || ...           || ...           || ...           || ...           || ...           || ...           || 40-41 IC PO ED || -------------- || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || 42-47 OBLIG. REF. NO. ADVANCE || ----------------------------- || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || 48 PER. LIG. CODE || ----------------- || ...               || ...               || ...               || ...               || ...               || ...               || ...               || ...               || ...               || ...               || ...               || ...               || 49-50 CA OR COST YR. || -------------------- || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || ...                  || 51-54 GENERAL LEDGER ACCT. NO. || ------------------------------ || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || ...                            || 55-66 COST FAN ACCOUNT SYMBOL || ----------------------------- || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || ...                           || 67-70 OBJECT CLASS || ------------------ || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || ...                || 68-70 DUE DATE || -------------- || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || ...            || 71-80 AMOUNT || ------------ || ...          || ...          || ...          || ...          || ...          || ...          || ...          || ...          || ...          || ...          || ...          || ...          || DEBIT || ----- || ...   || ...   || ...   || ...   || ...   || ...   || ...   || ...   || ...   || ...   || ...   || ...   || CREDIT || ------ || ...    || ...    || ...    || ...    || ...    || ...    || ...    || ...    || ...    || ...    || ...    || ...    |DATE: DATE: REVIEWED BY: TOTALS:FORM 496 OBSOLETE PREVIOUS EDITIONSSECRET