, 2STew Voucher Numbers. / J■■ • M ,' N On the above line state the nune of the District Offiee_om which «hi> TwiASPBY - / f __ • v vonoher emanates, as, for instance, Anokland, Nelson, Dunedln, &o. . j> \ ■S*±S\\\V V 2ir( Name and 1 TLlXihjfLCZct' AWU€€47 %~1 <h f* ent; ' —- H payment is desired to be made to an agen*, the Treasury Kegnlatione applying r)T B TRirr Ottioh to euoh cases, as printed on the back hereof, must be strictly obaorved. district urncn.
foLiBTiFT that, to the best of my knowledge and belief; the foregoing account is true •' *-)§£, 4t a correct in every particular; that the charges are reasonable; that; the service has been duly IT a <v formed; that all supplies set forth hereon have been duly delivered, and have been entered m my pTy .', , ' /' J " Stores for Issue Ledger." A tijM I also certify that the charges are according to contract. 1/ . • 11111 /^ —~*yV //' —■>» I'^f J+ajj&f/if St&ekeever [see note 7 overleaf }()&</4#t£) IL • (Signature of (Officer authoritePtotfierHfy , olio date.) / /„ , T , / / Entered in folio ' Charge to Vote____ 2 ___, Item__/ xx /_ , Receded from the Paymaster GenWroyCheque <*&** this ______>y of ___________ by of . t£CU>»*-/vv/-<y pounds shilliiags and > penoe sterling, in full payment of the above account. tLLtf %___t| To credit of Imprest Account | _ l|j_Hl «- — [ jfaytf- i.£ffip> Fourteenth Form—Abstract of Contingencies. f -~™J^^—-^7^ 30,oct>/i/J9o3— 815] r 1
Authority ■eg a §■§&_?! if Date of Service or Supply. ! J 1 _-^ M - HURUNVJ ST /fP-l S UIM-^' Deportment: ; Bate. Led| Folio. CioMi/ieatton: These particolare to be given by the officer authorised to certify th» vooebar. tide also note 3 overlsef. Amount. 190//: 'f^r Mou/fLf PABTICULABS IN JTOIiIi. / 3 ft </ S/ / 3i^ 3 1 d /§- • t/ ftfe 35, . w s / srr 3 * y^• 62 /r *• '*/<? 0 f 1 f « /?■ / '^jt «. / 3if^ / / 2 • ✓ 'tiq fc f>f 7' fte, a <2j rn cj i / V - m V m ■ : a..' V » I / I fc y 111* • (pV/tA- t> / 1 /* '-' • » <?■ &v 4 / /