[104-10245-10000.pdf — page 16]
To: FINANCE OFFICERSECRET (When Filed in)# DISBURSEMENT VOUCHERFrom: Alice R. CanonongREQUEST FOR STATIUNDSDate: 5 Aug 65AMOUNT REQUESTEDCOST ACCOUNT NOADVANCE ACCOUNTING OUR DATEREIMBURSEMENT- OFFICIAL DISBURSEMENTS ALREADY MADE$1,901.25YOPOLL-11X 25 Aug 65IF ADVANCE IS PUURSTED COMPRENNUK CERTIFICATICA. I AGE THAT I WIFI FALL ACCENT FOR THIS ADVANCE BY SUBANSSION OF ACCENTRIC AND REFUND ANY UNPAPERATED BALANCE BY THE DATE TAIED ABOVE IN THE EVENT OF MY FARURE 10 SO ACCOUNT AND HEFUND ANY UNESPENERANCE, I AUTORIZE DEDUCTION PROM MY SALARY TO EFFECT SETTLEMETETSignature: Alice B. Caponong| Date     | RECEIPT NO | DESCRIPTION                             | COST ACCOUNT NO | AMOUNT    || -------- | ---------- | --------------------------------------- | --------------- | --------- || 5 Aug 65 |            | AMBABAL-1 radio program on-ANTHIGH, Aug |                 | $ 676.00- ||          |            | AMEUD-3 radio program on-ANTHIGH, Aug   |                 | 1,316.25  ||          |            |                                         |                 |           ||          |            |                                         |                 |           |AUTH: COSTOTAL: $1,901.29Invoices-attached, Request two CASHIER'S-CHECKS, EACH MADE PAYABLE TO: Radio-New-York-Worldwide.CERTIFICATIONI CERTIF THAT THE DISBURSEMENTS TEMIZED ABOVE WERE NECESSARILY MADE BY ME THE COMEDUCT OF UMICIAL BUSINESS OF A CONFIDENTIAL FIAT, THAT I HAVE NCIS BEEN NOR MILES BERTHEIM ANY C SOURCE, AND THAT THIS CLAIM AN ATTACHMENTS/S TRUE AND COBELECT THE ALL PESPECISSIGNATUREAPPROVEDDATE: 5 August 65SIGNATURE OF APPROVIDES CAPICER: Phillip G.EimardRECEIPTI HEIDI ACEHOWS FORM OF THE FUNDS PEQUESTED ABOVEDATE: 5 August 65SIGNATURE: Alice B. CaponongFOR USE OF THE FHIANCE OFFICER OHILY| TYPE OF FUNDS | BLOCK NG | NUMBER CA UNITS | RATE | CHAJAD VAHIA || ------------- | -------- | --------------- | ---- | ------------ ||               |          |                 |      |              ||               |          |                 |      |              ||               |          |                 |      |              || GENERAL LEDGER ACCOUNT IDENTIFICATION | SUBSIDIARY IDENTIFICATION | DOLLAR VALUE | POSTED BY || ------------------------------------- | ------------------------- | ------------ | --------- ||                                       |                           | DEBIT        | CREDIT    ||                                       |                           |              |           ||                                       |                           |              |           ||                                       |                           |              |           |TOTALS| COST ACCOUNT NO | OBLIGATION | DISTRIBUTION OF EXPENSES | SUB-OBRCT CLASSIFICATION || --------------- | ---------- | ------------------------ | ------------------------ ||                 | NO         | INCREASE                 |                          ||                 |            | DECREASE                 |                          ||                 |            |                          |                          |REMARKSVOUCHER NUMBERDATECERTIFIED HOR PAYMENT OR CREDITAJTAZED CEDITING CAMICERFORM 41 10-63 USE PREVIOUS ECYTIONSSECRET11-3 (6-49)