[104-10245-10000.pdf — page 84]
# ACCOUNTING FOR FUNDSSECRET(When Filled In)AMBUD-3|                      | PERIOD             || -------------------- | ------------------ || Feor (and including) | To (and including) || 18 Dao 64            | 29 Dec 64          ||                      | CURRENCIES         || NO. | ITEM                                                                                             |               || --- | ------------------------------------------------------------------------------------------------ | ------------- || 1   | FUNDS AND ADVANCES ON HAND BEGINNING OF PERIOD (total of items Ss and 53 of previous accounting) |               || 2   | FUNDS RECEIVED DURING PERIOD                                                                     |               ||     | DATE 18 Dec 64                                                                                   | SOURCE JMHAVE || 3   | TOTAL TO BE ACCOUNTED FOR                                                                        | $2,295.00     || 4   | FUNDS DISBURSED (itemise on reverse side)                                                        | 2,295.00      || 5   | AMOUNTS ON HAND END OF PERIOD                                                                    | 2,295.00      ||     | A. FUNDS ON HAND                                                                                 |               ||     | B. OUTSTANDING ADVANCES TO OTHERS (attach schedule if necessary):                                |               || 6   | TOTAL ACCOUNTED FOR                                                                              | $2,295.00     |I CERTIFY THAT THE DISBURSEMENTS ITEMIZED ON THE REVERSE SIDE HERECF WERE NECESSARILY MADE BYME IN THE CONDUCT OF OFFICIAL BUSINESS OF A CONFIDENTIAL NATURE. THAT I HAVE NOT BEEN. NOR WILL IBE, REIMBURSED THEREFOR FROM ANY OTHER SOUPCE, AND THAT THIS ACCOUNTING AND ATTACHMENTS ARE TRUEAND CURRECT IN ALL RESPECTS.DATE 29 December 64SIGNATURE OF INDIVIDUAL RENDERING ACCOUNTEvalena S. VidalAPPROVED 29 December 64SIGNATURE OF APPROVING OFFICERTheodore O. ShackleyRECEIPTDATE 26 December 64SIGNATUREI HEREBY ACKNOWLEDGE REPLENISHMENTIN THE AMOUNT OF:| TYPE OF FUNDS |                                     |              | RATE | DOLLAR YVALUE || ------------- | ----------------------------------- | ------------ | ---- | ------------- ||               | FOR USE OF THE FINANCE OFFICER ONLY |              |      |               ||               | BLOCK NO.                           | NO. OF UNITS |      |               || GENERAL LEDGER ACCOUNT IDENTIFICATION | SUBSIDIARY IDENTIFICATION | OGLLAR VALUE | POSTED BY || ------------------------------------- | ------------------------- | ------------ | --------- ||                                       |                           | DEDIT        | CHEOIT    |TOTALS|                | DISTRIBUTION OF EXPENSES  || -------------- | ------------------------- || COST ACCT. NO. | OBLIGATION                || YODARK/1       | INCREASE    DECREASE      ||                | SUS-OBJECT CLASSIFICATION |REMARKSVOUCHER NO. 4693DATECERTIFIED FOR PAYMENT OR CREDITAUTHORIZED CERTIFYING OFFICERFORM 9-63 42 USE PECvious corriot.SECRET