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Form H7B-N. Y.
5
AMERICAN NATIONAL RED CROSS
Paid by the Fiscal Officer at
NEW YORK VOUCHER
New York by check on Chatham &
Phenix National Bank of New York.
AMERICAN NATIONAL RED CROSS
New York Voucher No.
To
Mary Agnes Bartley
DR.
Check No.
ADDRESS
DATE
DETAILS
AMOUNT
Oct.22,'19-
Salary Feb.l, 1919-sept.19,1919, - chergeable to the
Polish Commission by order
$ 545.70
Maintenance in New York, one day, Oct. 21, @ $4.00
4.00
Baggage in New York
2.50
552.20
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 expenses
Payment received for above account
listed were incurred by me in the, performance of official
duties. Name and Title
Oct.22
19
19
Returning Personnel
May Signature Keatter
APPROVED
FUNDS AND APPROPRIATIONS CHARGEABLE
(FOR Use OF DEPARTMENT 6F ACCOUNTS, WASHINGTON
Olis Ja anthes
SYMBOL
AMOUNT
ORGAN, UNIT, ACTIVITY, OBJECT
AMOUNT
Gen 140
Associate Director
Poland
$545.70
Department of Porsonnel
Title
WIC 32
6.50
NOTE: If used for listing several invoices to be covered by one payment, supporting invoices shall be attached.
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"ocrText": "B\nMan\nlart\n+\n/\nD\nForm H7B-N. Y.\n5\nAMERICAN NATIONAL RED CROSS\nPaid by the Fiscal Officer at\nNEW YORK VOUCHER\nNew York by check on Chatham &\nPhenix National Bank of New York.\nAMERICAN NATIONAL RED CROSS\nNew York Voucher No.\nTo\nMary Agnes Bartley\nDR.\nCheck No.\nADDRESS\nDATE\nDETAILS\nAMOUNT\nOct.22,'19-\nSalary Feb.l, 1919-sept.19,1919, - chergeable to the\nPolish Commission by order\n$ 545.70\nMaintenance in New York, one day, Oct. 21, @ $4.00\n4.00\nBaggage in New York\n2.50\n552.20\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 expenses\nPayment received for above account\nlisted were incurred by me in the, performance of official\nduties. Name and Title\nOct.22\n19\n19\nReturning Personnel\nMay Signature Keatter\nAPPROVED\nFUNDS AND APPROPRIATIONS CHARGEABLE\n(FOR Use OF DEPARTMENT 6F ACCOUNTS, WASHINGTON\nOlis Ja anthes\nSYMBOL\nAMOUNT\nORGAN, UNIT, ACTIVITY, OBJECT\nAMOUNT\nGen 140\nAssociate Director\nPoland\n$545.70\nDepartment of Porsonnel\nTitle\nWIC 32\n6.50\nNOTE: If used for listing several invoices to be covered by one payment, supporting invoices shall be attached."
}