8.—4.

14

FOURTEENTH SCHEDULE. Register of Claims Received.

Fifteenth Form.—Register of Claims received.] [Regulation 58.

FIFTEENTH SCHEDULE. S> Oedees eoe Payment to Agents.

g Special Authority. •§ -g NEW ZEALAND. 6 §, Not Transferable. a^ Date: ,18 . I I heeeby authorize Mr. (whose signature appears in the margin) to obtain the counter- £"£ signature of a cheque of the Paymaster-General for the sum of payable to me, and to sign ■» tg on my behalf a receipt for that amount. s s Signature : t§ Sixteenth Form.—Special Authority for Payment to an Agent.] [Regulation 63.

*£> ' General Authority. % :•.:.:. • ■ ■ NEW ZEALAND. S_ - ■si -g Not Transferable. eg, Date: 1 i I heeeby authorize Mr. (whose signature appears in the margin) to obtain the counterel. signature of the proper officer to cheques of the Paymaßter-General for all sums from time to time £'£ payable to me, and to sign on my behalf receipts for the same. ■I «a Signature: |^ | Sixteenth (a). Form.—General Authority for Payment [Regulation 63. c§ to an Agent.]

SIXTEENTH SCHEDULE. Fly Receipt. Voucher No. NEW ZEALAND. Date: ,18 . I heeeby acknowledge to have received from the Paymaster-General, by cheque No. , countersigned this day of ,18 , the sum of pounds shillings and pence sterling, being £ : : Signature: Seventeenth Form.—Fly Receipt.] [Regulation 67.

SEVENTEENTH SCHEDULE. .. Requisition eoe Impeest Advance. Departmental No. . Treasury Voucher No. , ... , New Zealand, Date : ,18 . The , Department, Wellington. Required the sum of pounds shillings and pence sterling, as an advance for . To be transmitted through the Bank of New Zealand at (Approval Stamp.) Signature: , Official designation: , £ : : Station: To be charged to Advances Miscellaneous. Vote , New Zealand, Date : ,18 . I hereby acknowledge to have received from the Paymaster-General, through the Bank of New Zealand at (by cheque No. ), the Bum of pounds shillings and pence sterling, being an advance for the purpose above stated : and for the expenditure of which sum I undertake to furnish to the Paymaster-General true and satisfactory accounts and vouchers. £ I : . Signature of Imprestee: Eighteenth Form. —Requisition for Imprest Advance.] [Regulation 87. *

.ccouni deceive* for L pproval .ow dsposei , d is Pg °-e a -e 53 o ij S o P ® 2 O fl a> g Particulars . | .§... of Claim. *5 Date oJ Service < Supply 4- 4B<u 2 5s! Date of Approval. HowCharged. Vote. Item. Remarks. £ s. d. £ s. d. ' ■