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OCR Page 1 of 5WAR DEPARTMENT
Form No. 336.
WAR DEPARTMENT
Form approved by the Comptroller of
Voucher No.
the Treasury May 5, 1915
QUARTERMASTER CORPS.
OFFICER'S PAY VOUCHER.
APPROPRIATION: PAY, ETC., OF THE ARMY, 191
Symbol
THE UNITED STATES,
To
Harry S. Truman
Captain 129th Field Artillery, AEF U. s. ARMY, DR.
For over
5.
years' service. Station
A.P.O. #743
, Zone No
Certificate of service filed with Disbursing Officer, 35th
AMOUNT.
OBJECT
U. s.
SYMBOL:
Division at Camp Doniphan, January, 1918.
CTS.
NOTATIONS.
DOLLARS.
For back pay as Captain from June 12, 1918 to oct 8, 1918
For pay from
191
to
191
)
from
, 191
, to
191
I was suitably mounted at my own expense, and was the actual and exclusive owner
of the mount
charged for, during the period stated on this voucher, and said mount
was
maintained at
were
(Officers temporarily mounted must make the additional certificate required by par. 1273, A. R. 1913.)
For com. quarters from
, 191
to
191
For com heat and light for
rooms from
, 191 to
191
(Under authority of S. o. No.
Hdqrs
\
19 .)
Deduct for Insurance
S
Total
Deduct Bonds leav. of (absence. Left station
191 , under
sick
DJeducts Adlotment, p or 1259 1/2 AR S
191
S
Bly
H'dqrs
191
TOTAL
S.
Returned to duty
'191
Deduct half pay for
days' leave of absence.
Balance
EXAMINED B1
I CERTIFY that the feregoing account is correct ; that payment therefor has not been received that I have not
been absent on leave, either sick or ordinary, during the period covered by this voucher, except/as abowe stated ;
and that neither I; my family, nor anyone dependent upon me has occupied public quaters, nor been furnished heat
or light by the United States during the period for which commutation is charged.
1 further certify that during the period for which commutation of heat and light is charged I actually occupied
as quarters at
rooms, exclusive of baths, closets, halls
pantries and storage rooms, and of parlors, lobbies, dining rooms, sitting rooms, halls and kitchens used in com-
mon with other tenants or guests (not guests of officer's family) and that during the period of leave, as stated
above, said quarters were occupied actually and exclusively by myself, or self and family; or some one dépendent
upon me.
(DO NOT sign in duplicate.)
Capt 129. Ga
Deduction on account of Income Tax, $
Balance of $
paid by
check. dated
, 191
, on the Treasurer U. S.
No.
in favor of
, for $
,
No.
;
in favor of
for $
No.
in favor of
for $
,
OR
(To be completely filled in before signature by payee, and no alte ation or erasure is permitted).
Received
191
of
Quartermaster, U. S. A., in cash,
Dollars,
100
in full payment. of the above account.
$
(DO NOT sign in duplicate.)
Capt. 19Fa
Officer will not sign receipt except when payment is to be made in cash.
Fortin et Cie, Nevers-Paris 3400
Terms
Subject
World War, 1914-1918
Relations
belongs_to