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Form H 7 B-S. F.
a
AMERICAN NATIONAL RED CROSS
AMERICAN NATIONAL RED CROSS
s/s "o.n." 4/28/20
they
A
SAN FRANCISCO VOUCHER
S. F. Voucher No.
To
MISS ANNTE las WILLIAMS
DR.
Check No. 385
117 W. 96th st.
ADDRESS
NEW YORK CITY. N.Y.
DATE
DETAILS
AMOUNT
4/28/20
Selmey
April 1 a so
"
90.00
May 1 - 6
90.00
15.00
Haintenance
1 day 8.F.
5.00
a
6 " Traveling
4.00
24.00
134.00
As per letter to Sen Frencisco from Burle D. Bremhell,
dated Visdivostol: Merch 25, 1920.
Payment for this total supported by receipted bills, attached hereto or by certified statement below.
I certify that this statement is correct and that the ex-
Payment received for above account
penses listed were incurred by me in the performance of
official duties.
19
Name and Title
Signature
Approved
Funds and Appropriations Chargeable
(For Use of Department of Accounts, Washington)
SYMBOL
AMOUNT
ORGAN, UNIT, ACTIVITY, OBJECT
AMOUNT
Title
140
Siberia
Title
NOTE: If used for listing several invoices to be covered by one payment, supporting invoices shall be attached.
23,
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"ocrText": "Form H 7 B-S. F.\na\nAMERICAN NATIONAL RED CROSS\nAMERICAN NATIONAL RED CROSS\ns/s \"o.n.\" 4/28/20\nthey\nA\nSAN FRANCISCO VOUCHER\nS. F. Voucher No.\nTo\nMISS ANNTE las WILLIAMS\nDR.\nCheck No. 385\n117 W. 96th st.\nADDRESS\nNEW YORK CITY. N.Y.\nDATE\nDETAILS\nAMOUNT\n4/28/20\nSelmey\nApril 1 a so\n\"\n90.00\nMay 1 - 6\n90.00\n15.00\nHaintenance\n1 day 8.F.\n5.00\na\n6 \" Traveling\n4.00\n24.00\n134.00\nAs per letter to Sen Frencisco from Burle D. Bremhell,\ndated Visdivostol: Merch 25, 1920.\nPayment for this total supported by receipted bills, attached hereto or by certified statement below.\nI certify that this statement is correct and that the ex-\nPayment received for above account\npenses listed were incurred by me in the performance of\nofficial duties.\n19\nName and Title\nSignature\nApproved\nFunds and Appropriations Chargeable\n(For Use of Department of Accounts, Washington)\nSYMBOL\nAMOUNT\nORGAN, UNIT, ACTIVITY, OBJECT\nAMOUNT\nTitle\n140\nSiberia\nTitle\nNOTE: If used for listing several invoices to be covered by one payment, supporting invoices shall be attached.\n23,"
}