1. FINANCIAL MANAGEMENT SCHOOL
UNITED STATES ARMY
FINANCIAL MANAGEMENT SCHOOL
U.S. ARMY SOLDIER SUPPORT INSTITUTE
Practical Exercise
FOR
Check Branch Operations

2. VERIFY PREPARED TREASURY CHECKS
PRACTICAL EXERCISE
GENERAL INFORMATION: This practical exercise simulates the
verification of prepared Treasury checks by a Deputy Finance Officer in a
disbursing office. The following information is provided:
Deputy Finance Officer: You
Finance Officer: John H. Cory, LTC, FC
Check writer: PFC Walters
Location: 23d FIN BN (FWD) APO AE 09808
DSSN:
Business Date: 10 AUG **
**All Contracts were pre-certified with Resource Management
INSTRUCTIONS:
a. Verify the 10 prepared Treasury checks against the supporting documents. Select one of the actions listed below that you would take for each check:
(1) Sign the check.
(2) Void the check.
(3) Have the check corrected. If the check needs to be corrected, use the blank check provided to annotate where the correction should be made.
b. Complete the check register and SF1219 for all checks.
c. You will have 30 minutes to complete this practical exercise.

3. PRIVACY ACT STATEMENT
PUBLIC VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL ) ( 1
When stated in foreign currency, insert name of currency.
If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the
approving officer will sign in the space provided, over his official title.
When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or
corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith,
Secretary," or "Treasurer," as the case JUL be.
Standard Form 1034
Revised October 1987
Department of the Treasury
1 TFM
The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal
money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will
hinder discharge of the payment obligation.
(Use continuation sheet(s) if necessary)
PAYEE'S
NAME
AND
ADDRESS
NUMBER
AND DATE
OF ORDER
DATE OF
DELIVERY
OR SERVICE
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
QUAN-
TITY
UNIT PRICE
COST
PER
AMOUNT
ACCOUNTING CLASSIFICATION
NSN
USAPPC V1.00
Previous edition usable 2 3
PAYMENT:
DIFFERENCES
TOTAL
(Signature or initials)
Amount verified; correct for
PROVISIONAL
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
APPROVED FOR =$
=$1.00
(Date)
(Authorized Certifying Officer)
(Title)
(Payee must NOT use the space below)
EXCHANGE RATE BY
TITLE X
DATE INVOICE RECEIVED
SHIPPED FROM
PAID BY
23rd FIN BN (FWD)
APO AE
DSSN: 8748
GOVERNMENT B/L NUMBER
DISCOUNT TERMS
PAYEE'S ACCOUNT NUMBER TO
WEIGHT
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION
DEPARTMENT OF THE ARMY
23rd Finance Battalion (FWD)
DATE VOUCHER PREPARED
VOUCHER NO.
SCHEDULE NO.
CONTRACT NUMBER AND DATE
REQUISITION NUMBER AND DATE
PAYEE
CHECK NUMBER
CASH $
ON ACCOUNT OF U.S. TREASURY ON
(Name of bank)
DATE
10 AUG **
29 JUL **
5/10 NET 30
0515
Per detailed bill herewith attached
dtd 29 JUL **
$20,000.00
Payment due date: 10 AUG ** HB
John H. Cory
LTC, FC, DAO
For$20,000.00
GARDEN CITY, GA 31418
101 N. WEST AVE
POLAR BEAR ICE, CO
DABT15-**-C-0121
10AUG**
26EB W91BNA* /A142 S09076
21*
750149

4. x /S/ SOLICITATION, OFFER AND AWARD DABT15 - ** C 0121 9 JUL **
12. In compliance with the above, the undersigned agrees, if thi
s offer is accepted within calend
ar days
(60 calendar days unless a different period
is inserted by the
offeror )
from the date for receipt of offers specified above, to furnish
any or all items upon which prices are offered at the price set
opposite each item,
delivered at the designated point(s), within the time specified
in the schedule.
POLAR BEAR ICE CO.
101 N. WEST AVE
GARDEN CITY, GA
10 CALENDAR DAYS
10 U.S.C. 2304(c) (
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:
PAGE OF
4. TYPE OF SOLICITATION
SEALED BID (IFB)
NEGOTIATED (RFP)
SOLICITATION, OFFER AND AWARD
1. THIS CONTRACT IS A RATED ORDER
UNDER DPAS (15 CFR 350)
RATING
2. CONTRACT NO.
DABT15 - ** C
0121
3. SOLICITATION NO.
5. DATE ISSUED
9 JUL **
6. REQUISITION/PURCHASE
NO.
PRC8AO1
7. ISSUED BY
1/91ST MECH INF
ATTN: CONTRACTING AND PROCUREMENT
APO AE
CODE
8. ADDRESS OFFER TO
(If other than Item 7)
PAGES
copies for furnishing the supplies or services in the Schedule w
ill be received at the place specified in
BLDG 10000
NOTE: In sealed bid solicitations "offer" and "
" mean "bid" and "bidder".
SOLICITATION 3
10. FOR INFORMATION
CALL:
A. NAME
I.M. BYER
B. TELEPHONE NO.
(Include area code) (NO COLLECT CALLS)
(803)555
6524
11. TABLE OF CONTENTS
SEC.
DESCRIPTION
PAGE(S)
PART I
THE SCHEDULE
PART II
CONTRACT CLAUSES I 2
PART III
LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
PART IV
REPRESENTATIONS AND INSTRUCTIONS J
LIST OF ATTACHMENTS K
REPRESENTATIONS, CERTIFICATIONS AND
OTHER STATEMENTS OF OFFERORS 1 L
INSTRS., CONDS., AND NOTICES TO OFFERORS M
EVALUATION FACTORS FOR AWARD
OFFER
(Must be fully completed by
NOTE: Item 12 does not apply if the solicitation includes the pr
ovisions at
16, Minimum Bid Acceptance Period.
13. DISCOUNT FOR PROMPT PAYMENT
(See Section I, Clause No 8)
20 CALENDAR DAYS %
30 CALENDAR DAYS
CALENDAR DAYS
14. ACKNOWLEDGMENT OF AMENDMENTS
(The
acknowledges receipt of amend
ments
to the SOLICITATION for
offerors
and
related documents numbered and dated:
AMENDMENT NO.
DATE
NAME
AND
ADDRESS OF
OFFEROR
FACILITY
16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN
(Type or print)
BARRY THATCHER
MANAGER
(X) A B D E F G H
SOLICITATION/CONTRACT FORM
SUPPLIES OR SERVICES AND PRICES/COST
DESCRIPTION/SPECS./WORK STATEMENT
PACKAGING AND MARKING
INSPECTION AND ACCEPTANCE
DELIVERIES OR PERFORMANCE
CONTRACT ADMINISTRATION DATA
SPECIAL CONTRACT REQUIREMENTS
9. Sealed offers in original and
Item 8, or if
handcarried
, in the depository located in
until
10:00 AM
(Hour)
local time
25 JUL**
(Date)
CAUTION
LATE Submissions, Modifications, and Withdrawals: Section L, Pr
ovision No
7 or
10.
All offers are subject to all terms and conditions contained in
this solicitation.
15B. TELEPHONE NO.
(Include area code)
(555)555
1827
15C. CHECK IF REMITTANCE ADDRESS
IS DIFFERENT FROM ABOVE
ENTER
SUCH ADDRESS IN SCHEDULE.
17. SIGNATURE
/S/
18. OFFER DATE
14 JUL **
AWARD
(To be completed by Government)
19. ACCEPTED AS TO ITEMS NUMBERED
0001
20. AMOUNT
$200.00
21. ACCOUNTING AND APPROPRIATION
21*
26EB W91BNA* /A142 S09076
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
(4 copies unless otherwise specified)
ITEM 25
24. ADMINISTERED BY
///////RECEIVED IN CUST SVC\\\\\\
///ACCOUNTS PAYABLE \
/////25 JUL **
25. PAYMENT WILL BE MADE BY
23RD FIN BN (FWD)
APO AE
26. NAME OF CONTRACTING OFFICER
27. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
28. AWARD DATE
7 JUL **
IMPORTANT
Award will be made on this Form, or on Standard Form 26, or by
other authorized official written notice.
STANDARD FORM 33
(Rev. 4
85)
Prescribed by GSA
FAR (48 CFR) (c)
NSN 7540 01
152
8064
PREVIOUS EDITION NOT USABLE
10 U.S.C. 253(c) (
15A.
PerFORM
(DLA) 4%
NET %
ATTN: ACCOUNTS PAYABLE x

5. CONTINUATION SHEET
POLAR BEAR ICE CO., 101 N. WEST AVE, GARDEN CITY, GA
ORDER NUMBER: DABT15-**-C-0121
$20,000.00
1.00
CWT
20,000
ICE, 10 lb BLOCKS
0001
AMOUNT
U/P
U/I
QTY
SUPPLY/SERVICE
ITEM
NOTE 1:
DELIVERIES: F.O.B. DESTINATION
SHIP TO: DIR, PUBLIC WORKS
BLDG 105
APO AE
NOTE 2:
PAYMENT TERMS: Payment will be made in partial payments if partial deliveries are made. Each payment will be made upon the receipt of goods and the receipt of an invoice. The invoice should contain:
Remit to Address (if other than the address given)
The Contract Number
Date of Invoice
Description
Terms
Extension/Footing
NOTE 3:
CONTRACT TYPE: This is a fixed price contract. The unit price will remain as offered.

6. L.O. Hart MATERIAL INSPECTION AND RECEIVING REPORT L.O. HART PBO 0001
23. CONTRACTOR USE ONLY
0001
ICE, 10 POUND BLOCKS
//////RECEIVED IN CUST SVC\\\\\
//////ACCOUNTS PAYABLE \
///////29 JUL **
20,000.00
1.00
7. PAGE
* If quantity received by the Government is the
same as quantity shipped, indicate by (
4. B/L
20.
AMOUNT
18.
UNIT
CWT
16.
STOCK/PART NO.
DESCRIPTION
(Indicate number of shipping containers -
type of
container
container number.)
A. ORIGIN
15.
ITEM
Public reporting burden for this collection of information is es
timated to average 30 minutes per response, including the time f
or reviewing instructions, searching existing data sources, gath
ering
and maintaining the data needed, and completing and reviewing th
e collection of information. Send comments regarding this burde
n estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to
Department of Defense, Washington Headquarters Services, Directo
rate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 22202
4302, and to the Office of Management and Budget, Paperwork Redu
ction Project (0704
0248), Washington, DC
1. PROC. INSTRUMENT IDEN. (CONTRACT)
DABT15 ** C
0121
6. INVOICE NO./DATE
2. SHIPMENT NO.
0515
5. DISCOUNT TERMS
5/10, N/30
DD Form 250, NOV 92
USAPPC V1.00
Form Approved
OMB No. 0704
0248
8. ACCEPTANCE POINT
(ORDER) NO.
3. DATE SHIPPED
28 JUL **
TCN
13. SHIPPED TO
DPW
BLDG 105
APO AE
11. SHIPPED FROM
(If other than 9)
FOB:
14. MARKED FOR
12. PAYMENT WILL BE MADE BY
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE
APO AE
10. ADMINISTERED BY
CONTRACTING AND PROCUREMENT
9. PRIME CONTRACTOR
POLAR BEAR ICE, CO
101 N. WEST AVE
GARDEN CITY, GA 31418
Previous edition JUL be used.
19.
UNIT PRICE
17.
QUANTITY
SHIP/REC'D*
20,000
CONTRACT QUALITY ASSURANCE
21.
22.
RECEIVER'S USE
Quantities shown in column 17 were received
in apparent good condition except as noted.
DATE RECEIVED SIGNATURE OF AUTH GOVT REP
TYPED NAME
AND OFFICE
B. DESTINATION
has been made by me or under my super
vision and they conform to contract, except
as noted herein or on supporting documents.
CQA
ACCEPTANCE of listed items
has been made by me or under my supervision and
they conform to contract, except as noted herein
or on supporting documents.
AND TIITLE
CODE
DATE
SIGNATURE OF AUTH GOVT REP OF
if different, enter actual quantity received
below quantity shipped and encircle.
) mark,
PLEASE
DO NOT
RETURN YOUR COMPLETED FORM TO EITHER OF THESE ADDRESSES.
SEND THIS FORM IN ACCORDANCE WITH THE INSTRUCTIONS CONTAINED IN
THE DFARS, APPENDIX F
401.
L.O. HART
PBO
L.O. Hart

7. POLAR BEAR ICE, CO
101 N. WEST AVE
GARDEN CITY, GA 31418
29 JUL **
DATE:
0515
INVOICE NUMBER:
6/10, N/30
TERMS:
DABT15-**-C-0121
ORDER NUMBER:
//////RECEIVED IN CUST SVC\\\\\\\\\\
//////////ACCOUNTS PAYABLE\\\\\\\\\
////////////////29 JUL **\\\\\\\\\\\\\\\\\\\\\\\
BILL TO:
23RD FINANCE BN (FWD)
ATTN: ACCOUNTS PAYABLE/VENDOR
SERVICES
APO AE
$20,000.00
TOTAL DUE THIS BILL:
$1.00
20,000
10 POUND ICE BLOCKS
AMOUNT
UNIT COST
QTY
SUPPLIES ORDERED

8. Have the check corrected.
POLAR BEAR ICE, CO
101 N WEST AVE
GARDEN CITY, GA
John H. Cory, LTC, FC, FAO
$******
$20000AND00CENTS
DV # final
10 AUG **
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

9. 750150 /S/ PUBLIC VOUCHER FOR PURCHASES AND
PRIVACY ACT STATEMENT
PUBLIC VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL ) ( 1
When stated in foreign currency, insert name of currency.
If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over
his official title.
When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs,
must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case JUL be.
Standard Form 1034
Revised Augober 1987
Department of the Treasury
1 TFM
The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular
creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation.
(Use continuation sheet(s) if necessary)
PAYEE'S
NAME
AND
ADDRESS
NUMBER
AND DATE
OF ORDER
DATE OF
DELIVERY
OR SERVICE
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
QUAN-
TITY
UNIT PRICE
COST
PER
AMOUNT
ACCOUNTING CLASSIFICATION
NSN
USAPPC V1.00
Previous edition usable 2 3
PAYMENT:
DIFFERENCES
TOTAL
(Signature or initials)
Amount verified; correct for
PROVISIONAL
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
APPROVED FOR =$
=$1.00
(Date)
(Authorized Certifying Officer)
(Title)
(Payee must NOT use the space below)
EXCHANGE RATE
$-75.00 BY
TITLE
$1,425.00
PER DETAILED BILL HEREWITH
ATTACHED DATED 1 JUL **
2 AUG **
377
$1,500.00
HARDWARE SUPPLIES R US
3030 CANNADY AVE.
PEMBROKE, GA 31321
DATE INVOICE RECEIVED
8 AUG **
SHIPPED FROM
PAID BY
23RD Finance BN (FWD)
A Detachment
APO AE
DSSN: 8748
GOVERNMENT B/L NUMBER
DISCOUNT TERMS
5/10, N/30
PAYEE'S ACCOUNT NUMBER
NONE TO
WEIGHT
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION
DEPARTMENT OF THE ARMY
23rd Finance BN (FWD)
DATE VOUCHER PREPARED
10 AUG
VOUCHER NO.
SCHEDULE NO.
CONTRACT NUMBER AND DATE
DAFI01
-**-
C-4195
REQUISITION NUMBER AND DATE
PRC 6250
21* Z0-26EB W91DPW* /MJDF S09076 $1,425.00
PAYEE
CHECK NUMBER
CASH $
ON ACCOUNT OF U.S. TREASURY
FOR$1,425.00 ON
(Name of bank)
DATE
JOHN H CORY, LTC, FC
DEFENSE ACCOUNTING OFFICER
1st
/S/
750150
10 AUG **

10. SOLICITATION, OFFER AND AWARD
12. In compliance with the above, the undersigned agrees, if thi
s offer is accepted within calend
ar days
(60 calendar days unless a different period
is inserted by the
offeror )
from the date for receipt of offers specified above, to furnish
any or all items upon which prices are offered at the price set
opposite each item,
delivered at the designated point(s), within the time specified
in the schedule.
HARDWARE SUPPLIES R US
3030 CANNADY AVE.
PEMBROKE, GA 31321
10 CALENDAR DAYS
10 U.S.C. 2304(c) (
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:
PAGE OF 1
4. TYPE OF SOLICITATION
SEALED BID (IFB)
NEGOTIATED (RFP)
SOLICITATION, OFFER AND AWARD
1. THIS CONTRACT IS A RATED ORDER
UNDER DPAS (15 CFR 350)
RATING
2. CONTRACT NO.
DAFI01 - ** C
4195
3. SOLICITATION NO. B
0025
5. DATE ISSUED
25 JUL **
6. REQUISITION/PURCHASE
NO.
PRC6250
7. ISSUED BY
DIRECTOR CONTRACTING AND PROCUREMENT
1/91ST MECH INF
APO AE
CODE
8. ADDRESS OFFER TO
(If other than Item 7)
PROCUREMENT DIVISION
BLDG 600, RM 7
APO AE
PAGES
copies for furnishing the supplies or services in the Schedule w
ill be received at the place specified in
BLDG 600
NOTE: In sealed bid solicitations "offer" and "
" mean "bid" and "bidder".
SOLICITATION 7
10. FOR INFORMATION
CALL:
A. NAME
JAMES A. ALEXANDER
B. TELEPHONE NO.
(Include area code) (NO COLLECT CALLS)
(803)555
6524
11. TABLE OF CONTENTS
SEC.
DESCRIPTION
PAGE(S)
PART I
THE SCHEDULE
PART II
CONTRACT CLAUSES I 2
PART III
LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.
PART IV
REPRESENTATIONS AND INSTRUCTIONS J
LIST OF ATTACHMENTS K
REPRESENTATIONS, CERTIFICATIONS AND
OTHER STATEMENTS OF OFFERORS L
INSTRS., CONDS., AND NOTICES TO OFFERORS M
EVALUATION FACTORS FOR AWARD
OFFER
(Must be fully completed by
NOTE: Item 12 does not apply if the solicitation includes the pr
ovisions at
16, Minimum Bid Acceptance Period.
13. DISCOUNT FOR PROMPT PAYMENT
(See Section I, Clause No 8)
20 CALENDAR DAYS %
30 CALENDAR DAYS
CALENDAR DAYS
14. ACKNOWLEDGMENT OF AMENDMENTS
(The
acknowledges receipt of amend
ments
to the SOLICITATION for
offerors
and
related documents numbered and dated:
AMENDMENT NO.
DATE
NAME
AND
ADDRESS OF
OFFEROR
FACILITY
16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN
(Type or print)
BRIAN P. NEGRON
PRESIDENT
(X) A D E F G H
SOLICITATION/CONTRACT FORM
SUPPLIES OR SERVICES AND PRICES/COST
DESCRIPTION/SPECS./WORK STATEMENT
PACKAGING AND MARKING
INSPECTION AND ACCEPTANCE
DELIVERIES OR PERFORMANCE
CONTRACT ADMINISTRATION DATA
SPECIAL CONTRACT REQUIREMENTS
9. Sealed offers in original and
Item 8, or if
handcarried
, in the depository located in
until
2:00 PM
(Hour)
local time
2 Jul**
(Date)
CAUTION
LATE Submissions, Modifications, and Withdrawals: Section L, Pr
ovision No
7 or
10.
All offers are subject to all terms and conditions contained in
this solicitation.
15B. TELEPHONE NO.
(Include area code)
(555)623
1229
15C. CHECK IF REMITTANCE ADDRESS
IS DIFFERENT FROM ABOVE
ENTER
SUCH ADDRESS IN SCHEDULE.
17. SIGNATURE
18. OFFER DATE
20 JUL **
AWARD
(To be completed by Government)
19. ACCEPTED AS TO ITEMS NUMBERED
0001
20. AMOUNT
$135,900.00
21. ACCOUNTING AND APPROPRIATION
21* Z0
26EB W91DPW* /MJDF
23. SUBMIT INVOICES TO ADDRESS SHOWN IN
(4 copies unless otherwise specified)
ITEM 25
24. ADMINISTERED BY
///////RECEIVED IN CUST SVC\\\\\\
///ACCOUNTS PAYABLE \
/////16 JUL **
25. PAYMENT WILL BE MADE BY
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE
26. NAME OF CONTRACTING OFFICER
GARY W. MC COY
27. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
28. AWARD DATE
31 JUL **
IMPORTANT
Award will be made on this Form, or on Standard Form 26, or by
other authorized official written notice.
STANDARD FORM 33
(Rev. 4
85)
Prescribed by GSA
FAR (48 CFR) (c)
NSN 7540 01
152
8064
PREVIOUS EDITION NOT USABLE
10 U.S.C. 253(c) (
15A.
PerFORM
(DLA) 5%
NET %
/S/

11. CONTINUATION SHEET
HARWARE SUPPLY R US, 3030 CANNADY AVE. PEMBROKE, GA 31321
ORDER NUMBER: DAFI01-**-C-4195
ITEM SUPPLY/SERVICE QTY U/I U/P AMOUNT
CONCRETE, READY MIX cu yd $135,900.00
Standard mix
NOTE 1:
DELIVERIES: F.O.B. DESTINATION
SHIP TO: Director of Public Works
BLDG. 400
APO AE
NOTE 2:
PAYMENT TERMS: Payment will be made in partial payments if partial deliveries are made. Each payment will be made upon the receipt of goods and receipt of an invoice. The invoice should contain:
Remit to address (if other than the address given).
The contract number.
Date of invoice.
Description.
Terms.
Extension/Footing.
NOTE 3:
CONTRACT TYPE: This is a fixed price contract. The unit-price will remain as offered.

12. MATERIAL INSPECTION AND RECEIVING REPORT
23. CONTRACTOR USE ONLY
OOO1
CONCRETE READY MIX, STANDARD
//////RECEIVED IN
CUST SVC\\\\\
//////ACCOUNTS PAYABLE \
///////8 AUG **
1,500.00
150.00
7. PAGE
* If quantity received by the Government is the
same as quantity shipped, indicate by (
4. B/L
20.
AMOUNT
18.
UNIT cu yd
16.
STOCK/PART NO.
DESCRIPTION
(Indicate number of shipping containers -
type of
container
container number.)
A. ORIGIN
15.
ITEM
Public reporting burden for this collection of information is es
timated to average 30 minutes per response, including the time f
or reviewing instructions, searching existing data sources, gath
ering
and maintaining the data needed, and completing and reviewing th
e collection of information. Send comments regarding this burde
n estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to
Department of Defense, Washington Headquarters Services, Directo
rate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 22202
4302, and to the Office of Management and Budget, Paperwork Redu
ction Project (0704
0248), Washington, DC
1. PROC. INSTRUMENT IDEN. (CONTRACT)
DAFI01 ** C
4195
6. INVOICE NO./DATE
2. SHIPMENT NO. 72 85
5. DISCOUNT TERMS
5/10, N/30
DD Form 250, NOV 92
USAPPC V1.00
Form Approved
OMB No. 0704
0248
8. ACCEPTANCE POINT
(ORDER) NO.
3. DATE SHIPPED
1 AUG **
TCN
13. SHIPPED TO
DPW
BLDG 400
APO AE
11. SHIPPED FROM
(If other than 9)
FOB:
14. MARKED FOR
12. PAYMENT WILL BE MADE BY
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE
APO AE
10. ADMINISTERED BY
CONTRACTING AND PROCUREMENT
9. PRIME CONTRACTOR
HARDWARE SUPPLIES R US
3030 CANNADY AVE.
PEMBROKE, GA 31321
Previous edition JUL be used.
19.
UNIT PRICE
17.
QUANTITY
SHIP/REC'D* 10
CONTRACT QUALITY ASSURANCE
21.
22.
RECEIVER'S USE
Quantities shown in column 17 were received
in apparent good condition except as noted.
DATE RECEIVED SIGNATURE OF AUTH GOVT REP
TYPED NAME
AND OFFICE
B. DESTINATION
has been made by me or under my super
vision and they conform to contract, except
as noted herein or on supporting documents.
CQA
ACCEPTANCE of listed items
has been made by me or under my supervision and
they conform to contract, except as noted herein
or on supporting documents.
AND TIITLE
CODE
DATE
SIGNATURE OF AUTH GOVT REP OF
if different, enter actual quantity received
below quantity shipped and encircle.
) mark,
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO EITHER OF THESE AD
DRESSES.
SEND THIS FORM IN ACCORDANCE WITH THE INSTRUCTIONS CONTAINED IN
THE DFARS, APPENDIX F
401.
Dennis Roman
PBO, GM13
3 AUG **
Michael Gordon
2 AUG **
MICHAEL GORDON
Contracting Agent

13. Thank You For Your Order!
HARDWARE SUPPLIES R US
3030 CANNADY AVENUE
PEMBROKE, GEORGIA
SOLD TO:
UNITED STATES ARMY
HQS, 1/91ST MECH INF
ATTN: ACCOUNTS PAYABLE/VENDOR SVCS
APO AE
NUMBER: 377
INVOICE 1 AUG **
DATE:
ORDER AUG **
DATE::
ORDER DAFI01 - ** C
4195
NUMBER:
INVOICE NUMBER
MUST APPEAR ON ALL
P.O., PACKING
SLIPS & PACKAGES
CUSTOMER NO:
USA11298
SHIP TO: DIRECTOR OF PUBLIC WORKS
BLDG. 400
APO AE
SALESPERSON: C. Atkins
TERMS: 5/10, N/ FOB:
DESTINATION DATE SHIPPED: 1 AUG.**
SHIP VIA: Semi Trailer
OTHER:
ITEM DESCRIPTION QUANTITY
UNIT UNIT PRICE AMOUNT
Thank You For Your Order!
NOTE: All documents are date stamped when
received. The vendor’s format JUL vary from this
example, however, regardless of the format, the same
basic information must be displayed
MERCHANDISE:
FREIGHT:
TOTAL DUE:
Concrete Ready Mix
cubic yards $ $
1,500.00
Received in
CUST SVC
Accounts Payable
8 AUG **
$1,500.00

14. Have the check corrected.
HARDWARE SUPPLIES R US
PEMBROKE, GA 31321
John H. Cory, LTC, FC, FAO
$******
$1500AND00/100
08 10 **
DV # partial
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

15. ORDER FOR SUPPLIES OR SERVICES
(Contractor must submit four copies of invoice.)
9. CONTRACTOR
39. DATE RECEIVED
(YYMMMDD)
Form Approved
OMB No
Expires Dec 31, 1**3
26. QUANTITY IN COLUMN 20 HAS BEEN
This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.
3. DATE OF ORDER
23.
AMOUNT
MARK ALL
PACKAGES AND
PAPERS WITH
CONTRACT OR
ORDER NUMBER
14. SHIP TO
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC
PLEASE
DO NOT
RETURN YOUR FORM TO EITHER OF THESE ADDRESSES.
SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED IN ITEM 6.
6. ISSUED BY
CODE
7. ADMINISTERED BY
(If other than 6)
8. DELIVERY FOB
DEST
OTHER
(See Schedule if
other)
FACILITY CODE
NAME AND
ADDRESS
11. MARK IF BUSINESS IS
SMALL
SMALL DISAD-
VANTAGED
WOMEN-OWNED
15. PAYMENT WILL BE MADE BY
16.
TYPE OF
ORDER
DELIVERY
PURCHASE
Reference your
furnish the following on terms specified
ACCEPTANCE.
THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT JUL PREVIOUSLY HAVE BEEN OR IS
NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.
If this box is marked, supplier must sign Acceptance and return the following number of copies:
NAME OF CONTRACTOR
SIGNATURE
TYPED NAME AND TITLE
DATE SIGNED
(YYMMDD)
20. QUANTITY
* If quantity accepted by the Government is same as
quantity ordered, indicate by X. If different, enter
actual quantity accepted below quantity ordered and
encircle.
24. UNITED STATES OF AMERICA
BY:
25. TOTAL
29.
DIFFERENC ES
30.
INITIALS
INSPECTED
RECEIVED
ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED
DATE
SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
27. SHIP. NO.
PARTIAL
FINAL
31. PAYMENT
COMPLETE
36. I certify this account is correct and proper for payment.
SIGNATURE AND TITLE OF CERTIFYING OFFICER
DD FORM 1155, JUL 93
PREVIOUS EDITION JUL BE USED.
CONTRACTING/ORDERING OFFICER
USAPPC V1.00
ACCEPTED*
18.
ITEM NO.
19.
SCHEDULE OF SUPPLIES/SERVICE
21.
UNIT
22.
UNIT PRICE
ORDERED/
A.N.
PURCELL
$5,000.00
28. D.O. VOUCHER NO.
32. PAID BY
23d FIN BN (FWD)
APO AE
DSSN: 8748
33. AMOUNT VERIFIED CORRECT FOR
34. CHECK NUMBER
35. BILL OF LADING NO.
42. S/R VOUCHER NO.
38. RECEIVED BY
(Print)
41. S/R ACCOUNT NUMBER
$4,000.00
38. RECEIVED AT
40. TOTAL CONTAINERS
12. DISCOUNT TERMS
NET 30
13. MAIL INVOICES TO
SEE ITEM 15
SSSC
BUILDING 20
AP AE
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE/VENDOR SVCS
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
21* ZO-26EB W91CMD* /NBAH S $5,000.00
001
Paper, Computer 8 1/2” x 11”
//////RECEIVED IN CUST SVC\\\\\\
/////VENDOR SERVICES\\\\
///////////// 2 AUG **
\\\\\\\\\\\
1,000 PK
4.00
PAGE 1 OF
1. CONTRACT/PURCH ORDER NO.
DAFI01 -* *- C-1290
2. DELIVERY ORDER NO.
0012
4. REQUISITION/PURCH REQUEST NO.
PRC 0463
5. PRIORITY
DIR, CONTRACTING AND PROCUREMENT
1/91st MECH INF
APO AE
TANDY ELECTRONICS CORP.
1011 EAST STREET
NEW YORK, NY
10. DELIVER TO FOB POINT BY
(Date)
JUL26
A.N. Purcell
002
Blank Disks, 3.5”
$1,000.00
100
10.00
/s/
John H. Cory, LTC, FC
MNT
10 AUG **
750151

16. J Johnson ORDER FOR SUPPLIES OR SERVICES PLEASE DO NOT
(Contractor must submit four copies of invoice.)
9.CONTRACTOR
39. DATE RECEIVED
(YYMMMDD)
Form Approved
OMB No
Expires Dec 31, 1**3
26. QUANTITY IN COLUMN 20 HAS BEEN
This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above
numbered contract.
3. DATE OF ORDER
23.
AMOUNT
MARK ALL
PACKAGES AND
PAPERS WITH
CONTRACT OR
ORDER NUMBER
14. SHIP TO
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions,
searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC
PLEASE
DO NOT
RETURN YOUR FORM TO EITHER OF THESE ADDRESSES.
SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED IN ITEM 6.
6. ISSUED BY
CODE
7. ADMINISTERED BY
(If other than 6)
8. DELIVERY FOB
DEST
OTHER
(See Schedule if
other)
FACILITY CODE
NAME AND
ADDRESS
11. MARK IF BUSINESS IS
SMALL
SMALL DISAD-
VANTAGED
WOMEN-OWNED
15. PAYMENT WILL BE MADE BY
16.
TYPE OF
ORDER
DELIVERY
PURCHASE
Reference your
furnish the following on terms specified
ACCEPTANCE.
THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT JUL PREVIOUSLY HAVE
BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO
PERFORM THE SAME.
If this box is marked, supplier must sign Acceptance and return the following number of copies:
NAME OF CONTRACTOR
SIGNATURE
TYPED NAME AND TITLE
DATE SIGNED
(YYMMDD)
20. QUANTITY
* If quantity accepted by the Government is same as
quantity ordered, indicate by X. If different, enter
actual quantity accepted below quantity ordered and
encircle.
24. UNITED STATES OF AMERICA
BY:
25. TOTAL
29.
DIFFERENCES
30.
INITIALS
INSPECTED
RECEIVED
ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED
DATE
SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
27. SHIP.
NO.
PARTIAL
FINAL
31. PAYMENT
COMPLETE
36. I certify this account is correct and proper for payment.
SIGNATURE AND TITLE OF CERTIFYING OFFICER
DD FORM 1155, JUL 93
PREVIOUS EDITION JUL BE USED.
CONTRACTING/ORDERING OFFICER
USAPPC V1.00
ACCEPTED*
18.
ITEM NO.
19.
SCHEDULE OF SUPPLIES/SERVICE
21.
UNIT
22.
UNIT PRICE
ORDERED/
A.N.
PURCELL
$5,000.00
28. D.O. VOUCHER NO.
32. PAID BY
33. AMOUNT VERIFIED CORRECT FOR
34. CHECK NUMBER
35. BILL OF LADING NO.
42. S/R VOUCHER
38. RECEIVED BY
(Print)
41. S/R ACCOUNT NUMBER
$4,000.00
38. RECEIVED AT
40. TOTAL CONTAINERS
12. DISCOUNT TERMS
NET 30
13. MAIL INVOICES TO
SEE ITEM 15
SSSC
BUILDING 20
APO AE
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE/VENDOR SVCS
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
21*
ZO-26EB W91CMD* /NBAH S09076
001
Paper, Computer 8 1/2” x 11”
//////RECEIVED IN CUST SVC\\\\\\
/////VENDOR SERVICES\\\\
///////////// 3 JUL **
\\\\\\\\\\\
1,000 a PK
4.00
PAGE 1
1. CONTRACT/PURCH ORDER NO.
DAFI01 -
**-
C-1290
2. DELIVERY ORDER NO.
0012
4. REQUISITION/PURCH REQUEST NO.
PRC 0463
5. PRIORITY
DIR, CONTRACTING AND PROCUREMENT
1/91st MECH INF
APO AE
TANDY ELECTRONICS CORP.
1011 EAST STREET
NEW YORK, NY
10. DELIVER TO FOB POINT BY
(Date)
JUL26
A.N. Purcell
002
Blank Disks, 3.5”
$1,000.00
100
10.00
29 JUl
J Johnson
BLDG 20 R.
Rankin
JUL24

17. BILL TO: 71029 DATE INVOICE NUMBER 24 JUL ** ORDER NUMBER DAFI01 -**-
DISCOUNT
NET 30
TANDY ELECTRONICS CORP.
1011 EAST STREET
NEW YORK, NEW YORK 10167
BILL TO:
23RD FIN BN (FWD)
ACCOUNTS PAYABLE/VENDOR SVCS
APO AE
///RECEIVED IN CUST SVC\\\
////VENDOR SERVICES\\\\
///////28 JUL
**\\\\\\\\
SUPPLIES ORDERED
QTY
UNIT COST
AMOUNT
Paper, Computer 8 1/2”x11”
1,000pk
4.00
$4,000.00
Blank Disks, 3.5”
100pk
10.00
$1,000.00
*NOTE: this is D.O. 0012*
Total Due This Bill
$5,000.00

18. Have the check corrected.
TANDY ELECTRONICS CORP
John H. Cory, LTC, FC, FAO
$******
$5000AND00CENTS
08 10 **
DV # partial
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

19. 20JUL MC
17. DURATION OF TDY TRAVEL
18. REIMBURSABLE EXPENSES
TRAVEL VOUCHER OR SUBVOUCHER
Read Privacy Act Statement, Penalty Statement, and Instructions on back before completing
form. Use typewriter, ink, or ball point pen. PRESS HARD. DO NOT use pencil. If more
space is needed, continue in remarks.
28. AMOUNT PAID
19. GOVERNMENT/DEDUCTIBLE MEALS
3. FOR D.O. USE ONLY (6
) Reimbursable Expenses (7
) Total (8
) Less Advance (9
) Amount Owed
(10) Amount Due
Exception to SF 1012 approved by GSA/IRMS
Electronic Fund Transfer (EFT)
1. PAYMENT
15. ITINERARY
21.a.
APPROVING OFFICER SIGNATURE
14. HAVE HOUSEH
OLD
GOODS BEEN SHIPPED?
(X one) (1
) Per Diem (2
) Actual Expense Allowance (3
) Mileage (4
) Dependent Travel (5
) DLA
2. TYPE OF PAYMENT
(X as applicable)
Member/
Employee
a. DATE
b. PLACE
(Home, Office, Base, Activity, City and
State
; City and Country, etc.)
FT POLK, LA PA c.
MEANS/
MODE OF
TRAVEL d.
REASON
FOR
STOP e.
LODGING
COST f.
POC
MILES
ACCOMPANIED
b. RELATIONSHIP
c. DATE OF BIRTH
OR MARRIAGE
UNACCOMPANIED
8. DAYTIME TELEPHONE NUMBER &
AREA CODE
4446
9. TRAVEL ORDER NUMBER
4-111
12.
DEPENDENT(S)
(X and complete as applicable)
11. ORGANIZATION AND STATION
1/92ND MECH INF FT STEWART GA 31314
10. PREVIOUS GOVERNMENT PAYMENTS/
ADVANCES
NONE
13. DEPENDENTS' ADDRESS ON RECEIPT OF
ORDERS (
Include Zip Code)
QTRS, 911-B
FORT POLK, LA 71459
7. ADDRESS.
a. NUMBER AND STREET
1/92ND MECH INF BOX
b. CITY
FT STEWART
4. NAME
(Last, First, Middle Initial) (Print or type)
WALLACE, CHESTER C.
5. GRADE
E9/SGM
c. STATE GA
d. ZIP CODE
31314
6. SSN
TDY
Other
b. NATURE OF EXPENSE
c. AMOUNT
d. ALLOWED
d. COMPUTATIONS
a. D.O. VOUCHER NUMBER
800001
c. PAID BY
23RD FIN BN (FWD)
DETACHMENT A
APO AE 09807
DSSN 8748
10 AUG **
b. DATE
a. DATE
b. NO. OF MEALS
20.a.
CLAIMANT SIGNATURE
/S/
30 JUL **
16. POC TRAVEL
X one)
OWN/OPERATE
PASSENGER
24. COMPUTED BY
/I/
23. COLLECTION DATA
25. AUDITED BY
26. TRAVEL ORDER
POSTED BY
27. RECEIVED
(Payee Signature and Date or Check No.)
AUG **
22. ACCOUNTING CLASSIFICATION
21* P1442 S****9 SA $136.16
21* P1442 S****9 SA $228.60
21* P1442 S****9 SA $180.32
a. NAME
(Last, First, Middle Initial)
b. SUBVOUCHER NUMBER
Dependent(s)
ARR
DEP
FT STEWART, GA
e. SUMMARY OF PAYMENT
YES NO (E
xplain in Remarks)
DLA
PCS **
DD FORM , JUL 2004 (EG)
18JUL
WALLACE, MARGARET
WALLACE, JOANN
WALLACE, MARK
WALLACE, RICHARD
SPOUSE
DAU
SON
1 Aug **
18 JUL **
26 MAR **
PREVIOUS EDITIONS OF DD FORM AND
JUL BE USED UNTIL SUPPLY IS EXHAUSTED.
Split Disbursement:
Amt to
Govt
Tvl Charge Card $
Payment by Check
12 HOURS OR LESS
MORE THAN 12 HOURS
BUT 24 HOURS OR LESS
MORE THAN 24 HOURS
USAPA V1.00
= $136.16
136.16
228.60
545.08
STUDENT NOTE
: Paid in U.S. Dollars
DLA =
= $180.32
180.32
$545.08

20. Have the check corrected.
CHESTER C WALLACE
John H. Cory, LTC, FC, FAO
$*****545.08
$545AND08/100
DV #800001
10 AUG **
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

21. /I/ FOR INSTRUCTIONAL PURPOSES ONLY TRAVEL VOUCHER OR SUBVOUCHER
YES
$0.00 f.
POC
MILES
$37.50
DEP
$560.00
ARR
$22.50
$620.00
$42.00
$662.00
b. NO OF MEALS
d. DATE
b. DATE
21* P T2 S12123
FOR INSTRUCTIONAL PURPOSES ONLY
28. AMOUNT PAID
TRAVEL VOUCHER OR SUBVOUCHER
Read Privacy Act Statement, Penalty Statement, and Instructions on back before completeing form.
Use typewriter, ink or ball point pen. PRESS HARD. DO NOT use pencil . If more space is needed,
continue in remarks.
1. PAYMENT
2. TYPE OF PAYMENTS
3. FOR D.O. USE ONLY
a. D.O. VOUCHER NUMBER
4. NAME
(Last, First, Middle Initial)
5. GRADE
6. SSN
b. SUBVOUCHER NUMBER
SAULSBURY, HENRY S.
E7/SFC
7. ADDRESS.
a. NUMBER AND STREET
c. CITY
c. STATE
d. ZIP CODE
c. Paid by
4500 Stonebridge
Hinesville GA
31312
8. DAYTIME TELEPHONE NUMBER &
9. TRAVEL ORDER NUMBER
10. PREVIOUS GOVERNMENT PAYMENTS
AREA CODE
4-27
ADVANCES
11. ORGANIZATION AND STATION
NONE
HHC 1/51st FA, Ft Stewart, GA 31313
12. DEPENDENT(S)
(X AND COMPLETE AS APPLICABLE)
13. DEPENDENTS' ADDRESS ON RECEIPTS OF
ACCOMPANIED
UNACCOMPANIED
ORDERS
(Include Zip Code)
a. NAME
b. RELATIONSHIP
c. DATE OF BIRTH
OR MARRIAGE NO
(Explain in Remarks)
14.HAVE HOUSEHOLD GOODS BEEN SHIPPED?
d. COMPUTATIONS
15. ITINERARY
TRANSPORTATION
a. Date
c. MEANS/
MODE OF
TRAVEL d.
REASON
FOR
STOP e.
200*
LODGING COST
14 JUL
FT STEWART, GA CA TP
SAVANNAH A/P, GA AT
$255.00
1 AUG
FT POLK, LA TD MC
e. SUMMARY OF PAYMENT
(1) Per Diem
(2) Actual Expense Allowance
(3) Mileage
16. POC TRAVEL
(X ONE)
OWN/OPERATE
PASSENGER
17. DURATION OF TDY TRAVEL
(4) Dependent Travel
12 HOURS OR LESS
(5) DLA
a. DATE
b. NATURE OF EXPENSE
c. AMOUNT
d. ALLOWED
(6) Reimbursable Expenses
$19.50
18. REIMBURSABLE EXPENSES
MORE THAN 12 HOURS
(7) Total
14 JUL 0*
Tip to Driver
$2.00
(8) Less Advance
Taxi - Ft Stewart to A/P
1 AUG 0*
Taxi - A/P to Ft Stewart
$19.00
$1.50 X
MORE THAN 24 HOURS
19. GOVERNMENT/DEDUCTABLE MEALS
(9) Amount Owed
(10) Amount Due 1
20.a. CLAIMANT SIGNATURE
c. SUPERVISOR SIGNATURE
/ S /
3 AUG 0*
21. a. APPROVING OFFICER SIGNATURE
22. ACCOUNTING CLASSIFICATION
23. COLLECTION DATA
24. COMPUTED BY
AUDITED BY
26. TRAVEL ORDER
////// //
?////
POSTED BY
27. RECEIVED
(Payee Signature and Date or Check No.)
TJO
JUL
(X one)
Member/
Employee
Dependent(s)
Electronic Fund Transfer (EFT)
Payment by Check
Split Disbursement: Amt to Govt Tvl Charge Card $____________
DD FORM , JUL 2004
PREVIOUS EDITIONS OF DD FORM AND
JUL BE USED UNTIL SUPPLY IS EXHAUSTED.
Exception to SF 1012 approved by GSA/IRMS,
b. PLACE
( Home, Office, Base, Activity, City
State; City and County, etc.)
Other
TDY
DLA
PCS
/I/
AUG **
400001
23rd Finance Battalion (FWD)
Detachment A
APO AE
DSSN: 8748
10 AUG **

22. Have the check corrected.
HENRY S SAULSBURY
John H. Cory, LTC, FC, FAO
$*****662.00
$662AND00CENTS
DV #400001
10 AUG **
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

23. /I/ FOR INSTRUCTIONAL PURPOSES ONLY TRAVEL VOUCHER OR SUBVOUCHER
YES
$0.00 f.
POC
MILES
$79.50
DEP
$575.00
ARR
$47.25
$701.75
$56.90
$758.65
b. NO OF MEALS
d. DATE
b. DATE
FOR INSTRUCTIONAL PURPOSES ONLY
28. AMOUNT PAID
26 JUL 0*
22. ACCOUNTING CLASSIFICATION
/ S /
27 JUL 0*
21. a. APPROVING OFFICER SIGNATURE
23. COLLECTION DATA
24. COMPUTED BY
AUDITED BY
26. TRAVEL ORDER
////// //
?////
POSTED BY
27. RECEIVED
(Payee Signature and Date or Check No.)
JRB
a. DATE
MORE THAN 24 HOURS
(9) Amount Owed
Tip to Driver
$1.00
(10) Amount Due X
Taxi - Train Station to New PDS
$51.00
(7) Total
15 JUL 0*
(8) Less Advance
Taxi - Qtrs to Train Station
$3.90
(5) DLA
b. NATURE OF EXPENSE
c. AMOUNT
d. ALLOWED
(6) Reimbursable Expenses
18. REIMBURSABLE EXPENSES
(3) Mileage
16. POC TRAVEL
(X ONE)
OWN/OPERATE
PASSENGER
17. DURATION OF TDY TRAVEL
(4) Dependent Travel
(1) Per Diem
(2) Actual Expense Allowance
ATT:
e. SUMMARY OF PAYMENT
ET:
26 JUL TR
STUTTGART, GE MC
15 JUL
MUNICH, GE TD
$165.00
200*
LODGING COST
a. Date c.
MEANS/
MODE OF
TRAVEL d.
REASON
FOR
STOP e.
14.HAVE HOUSEHOLD GOODS BEEN SHIPPED?
P. O. Box
Stuttgart
APO GE
09107
a. NAME
(Last, First, Middle Initial)
b. RELATIONSHIP
c. DATE OF BIRTH
OR MARRIAGE
20.a. CLAIMANT SIGNATURE
c. SUPERVISOR SIGNATURE
12 HOURS OR LESS
MORE THAN 12 HOURS
KASSEL, GE NO
(Explain in Remarks)
d. COMPUTATIONS
15. ITINERARY
TRANS
8. DAYTIME TELEPHONE NUMBER &
9. TRAVEL ORDER NUMBER
10. PREVIOUS GOVERNMENT PAYMENTS
AREA CODE
290-10
12. DEPENDENT(S)
(X AND COMPLETE AS APPLICABLE)
13. DEPENDENTS' ADDRESS ON RECEIPTS OF
ACCOMPANIED
11. ORGANIZATION AND STATION
NONE
HHC 54TH INF DIV (MECH) FWD, Stuttgart, GE
ADVANCES
UNACCOMPANIED
ORDERS
(Include Zip Code)
c. Paid by
PRICE, DENNIS E.
O3/CPT
7. ADDRESS.
a. NUMBER AND STREET
b. CITY
c. STATE
d. ZIP CODE
4. NAME
5. GRADE
6. SSN
b. SUBVOUCHER NUMBER
a. D.O. VOUCHER NUMBER
TRAVEL VOUCHER OR SUBVOUCHER
Read Privacy Act Statement, Penalty Statement, and Instructions on back before completeing form.
Use typewriter, ink or ball point pen. PRESS HARD. DO NOT use pencil . If more space is needed,
continue in remarks.
1. PAYMENT
2. TYPE OF PAYMENTS
3. FOR D.O. USE ONLY
21* P T2 S****9
19. GOVERNMENT/DEDUCTIBLE MEALS
21* P P4 S****9
JUL
(X one)
Member/
Employee
Dependent(s)
Electronic Fund Transfer (EFT)
Payment by Check
Split Disbursement: Amt to Govt Tvl Charge Card $____________
DD FORM , JUL 2004
PREVIOUS EDITIONS OF DD FORM AND
JUL BE USED UNTIL SUPPLY IS EXHAUSTED.
Exception to SF 1012 approved by GSA/IRMS,
b. PLACE
( Home, Office, Base, Activity, City
State; City and County, etc.)
Other
TDY
DLA
PCS
/I/
AUG **
800002
23rd Finance Battalion (FWD)
Detachment A
APO AE
DSSN: 8748
10 AUG **

24. Have the check corrected.
DENNIS E PRICE
John H. Cory, LTC, FC, FAO
$*****758.65
$758AND65/100
08 10 **
DV #800002
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

25. ORDER FOR SUPPLIES OR SERVICES
(Contractor must submit four copies of invoice.)
9. CONTRACTOR
39. DATE RECEIVED
(YYMMMDD)
Form Approved
OMB No
Expires Dec 31, 1**3
26. QUANTITY IN COLUMN 20 HAS BEEN
This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.
3. DATE OF ORDER
23.
AMOUNT
MARK ALL
PACKAGES AND
PAPERS WITH
CONTRACT OR
ORDER NUMBER
14. SHIP TO
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC
PLEASE
DO NOT
RETURN YOUR FORM TO EITHER OF THESE ADDRESSES.
SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED IN ITEM 6.
6. ISSUED BY
CODE
7. ADMINISTERED BY
(If other than 6)
8. DELIVERY FOB
DEST
OTHER
(See Schedule if
other)
FACILITY CODE
NAME AND
ADDRESS
11. MARK IF BUSINESS IS
SMALL
SMALL DISAD-
VANTAGED
WOMEN-OWNE
15. PAYMENT WILL BE MADE BY
16.
TYPE OF
ORDER
DELIVERY
PURCHASE
Reference your
furnish the following on terms specified
ACCEPTANCE.
THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS
NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.
If this box is marked, supplier must sign Acceptance and return the following number of copies:
NAME OF CONTRACTOR
SIGNATURE
TYPED NAME AND TITLE
DATE SIGNED
(YYMMDD)
20. QUANTITY
* If quantity accepted by the Government is same as
quantity ordered, indicate by X. If different, enter
actual quantity accepted below quantity ordered and
encircle.
24. UNITED STATES OF AMERICA
BY:
25. TOTAL
29.
DIFFERENC ES
30.
INITIALS
INSPECTED
RECEIVED
ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED
DATE
SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
27. SHIP. NO.
PARTIAL
FINAL
31. PAYMENT
COMPLETE
36. I certify this account is correct and proper for payment.
SIGNATURE AND TITLE OF CERTIFYING OFFICER
DD FORM 1155, APR 93
PREVIOUS EDITION MAY BE USED.
CONTRACTING/ORDERING OFFICER
USAPPC V1.00
ACCEPTED*
18.
ITEM NO.
19.
SCHEDULE OF SUPPLIES/SERVICE
21.
UNIT
22.
UNIT PRICE
ORDERED/
I.M.BYER, GS-12
$2,500.00
28. D.O. VOUCHER NO.
32. PAID BY
23d Fin BN (FWD)
APO AE
DSSN: 6348
33. AMOUNT VERIFIED CORRECT FOR
34. CHECK NUMBER
35. BILL OF LADING NO.
42. S/R VOUCHER NO.
38. RECEIVED BY
(Print)
41. S/R ACCOUNT NUMBER
$500.00
38. RECEIVED AT
40. TOTAL CONTAINERS
12. DISCOUNT TERMS
2/10, NET 30
13. MAIL INVOICES TO
SEE ITEMS 15
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE VENDOR SVCS
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
001
SCREWS, 1/4” X 2”
100 BX
$5.00
PAGE 1 OF
1. CONTRACT/PURCH ORDER NO.
DAFI01 -* *- F-2200
2. DELIVERY ORDER NO.
4. REQUISITION/PURCH REQUEST NO.
PRC 11447
5. PRIORITY
DIR, CONTRACTING AND PROCUREMENT
1/91st MECH INF
APO AE
10. DELIVER TO FOB POINT BY
(Date)
25 JUL **
I.M. BYER
002
DRILL BIT SET
$2,000.00
200 EA
$10.00
BELL CONSTRUCTION OUTLET
212 E 1ST STREET
CLAXTON, GA
Logistics PBO
21* EB W914DPW* /MJHF S $2,500.00
D.O. 0017
MNT
750152 X
/s/
John H. Cory, LTC, FC
10 AUG **

26. [ X J. Daniels ORDER FOR SUPPLIES OR SERVICES PLEASE DO NOT
(Contractor must submit four copies of invoice.)
9. CONTRACTOR
39. DATE RECEIVED
(YYMMMDD)
Form Approved
OMB No
Expires Dec 31, 1**3
26. QUANTITY IN COLUMN 20 HAS BEEN
This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.
3. DATE OF ORDER
23.
AMOUNT
MARK ALL
PACKAGES AND
PAPERS WITH
CONTRACT OR
ORDER NUMBER
14. SHIP TO
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC
PLEASE
DO NOT
RETURN YOUR FORM TO EITHER OF THESE ADDRESSES.
SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED IN ITEM 6.
6. ISSUED BY
CODE
7. ADMINISTERED BY
(If other than 6)
8. DELIVERY FOB
DEST
OTHER
(See Schedule if
other)
FACILITY CODE
NAME AND
ADDRESS
11. MARK IF BUSINESS IS
SMALL
SMALL DISAD-
VANTAGED
WOMEN-OWNE
15. PAYMENT WILL BE MADE BY
16.
TYPE OF
ORDER
DELIVERY
PURCHASE
Reference your
furnish the following on terms specified
ACCEPTANCE.
THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS
NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.
If this box is marked, supplier must sign Acceptance and return the following number of copies:
NAME OF CONTRACTOR
SIGNATURE
TYPED NAME AND TITLE
DATE SIGNED
(YYMMDD)
20. QUANTITY
* If quantity accepted by the Government is same as
quantity ordered, indicate by X. If different, enter
actual quantity accepted below quantity ordered and
encircle.
24. UNITED STATES OF AMERICA
BY:
25. TOTAL
29.
DIFFERENC ES
30.
INITIALS
INSPECTED
RECEIVED
ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED
DATE
SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
27. SHIP. NO.
PARTIAL
FINAL
31. PAYMENT
COMPLETE
36. I certify this account is correct and proper for payment.
SIGNATURE AND TITLE OF CERTIFYING OFFICER
DD FORM 1155, APR 93
PREVIOUS EDITION MAY BE USED.
CONTRACTING/ORDERING OFFICER
USAPPC V1.00
ACCEPTED*
18.
ITEM NO.
19.
SCHEDULE OF SUPPLIES/SERVICE
21.
UNIT
22.
UNIT PRICE
ORDERED/
I.M.BYER, GS-12
$2,500.00
28. D.O. VOUCHER NO.
32. PAID BY
33. AMOUNT VERIFIED CORRECT FOR
34. CHECK NUMBER
35. BILL OF LADING NO.
42. S/R VOUCHER NO.
38. RECEIVED BY
(Print)
41. S/R ACCOUNT NUMBER
$500.00
38. RECEIVED AT
40. TOTAL CONTAINERS
12. DISCOUNT TERMS
2/10, NET 30
13. MAIL INVOICES TO
SEE ITEMS 15
23RD FIN BN (FWD)
ATTN: ACCOUNTS PAYABLE VENDOR SVCS
APO AE
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
001
SCREWS, 1/4” X 2”
100 [ BX
$5.00
PAGE 1 OF
1. CONTRACT/PURCH ORDER NO.
DAFI01 -* *- F-2200
2. DELIVERY ORDER NO.
4. REQUISITION/PURCH REQUEST NO.
PRC 11447
5. PRIORITY
DIR, CONTRACTING AND PROCUREMENT
1/91st MECH INF
APO AE
10. DELIVER TO FOB POINT BY
(Date)
25 JUL **
I.M. BYER
002
DRILL BIT SET
$2,000.00
200 X EA
$10.00
/////RECEIVED IN CUST SVC\\\\\
/////VENDOR SERVICES\\\\\
///////////////10 AUG
**\\\\\\\\\\\\\\
8 AUG
1 AUG J.
Daniels
B.E. Hale GM-13
BELL CONSTRUCTION OUTLET
212 E 1ST STREET
CLAXTON, GA
Logistics PBO
21* EB W914DEH* /MJHF S09076
D.O. 0017

27. Total Due This Bill SUPPLIES ORDERED QTY UNIT COST AMOUNT
BELL CONSTRUCTION OUTLET
212 E. 1st STREET
CLAXTON, GA
23RD FINANCE BN (FWD)
ATTN: ACCOUNTS PAYABLE VENDOR SVCS
APO AE
BILL TO:
91396
DATE
8 AUG **
ORDER NUMBER
DISCOUNT TERMS
2/10, NET 30
////RECEIVED IN CUST SVC\\\\
////VENDOR SERVICE\\\\
///////1 AUG **\\\\\\\\
Screws, 1/4” x 2”
100
5.00
500.00
Total Due This Bill
$2,500.00
INVOICE NUMBER
Drill Bit Set
200
10.00
2,000.00
DO 0017

28. Have the check corrected.
BELL CONSTRUCTION OUTLET
CLAXTON, GA
John H. Cory, LTC, FC, FAO
$*****
$2500AND00CENTS
08 10 **
DV # final
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

29. PUBLIC VOUCHER FOR PURCHASES ANDON
(Name of bank)
The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular
creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation.
When stated in foreign currency, insert name of currency. 1
PUBLIC VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
EXCHANGE RATE
NUMBER
AND DATE
OF ORDER 3
PAYEE
PRIVACY ACT STATEMENT ) (
If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title.
When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs,
must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case JUL be.
Standard Form 1034
Revised Augober 1987
Department of the Treasury
1 TFM
(Use continuation sheet(s) if necessary)
PAYEE'S
NAME
AND
ADDRESS
DATE OF
DELIVERY
OR SERVICE
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply
schedule, and other information deemed necessary)
QUAN-
TITY
UNIT PRICE
COST
PER
AMOUNT
ACCOUNTING CLASSIFICATION
NSN
USAPA V4.00
Previous edition usable 2
PAYMENT:
DIFFERENCES
TOTAL
(Signature or initials)
/S/
Amount verified; correct for
PROVISIONAL
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.
APPROVED FOR =$
=$1.00
(Date)
(Authorized Certifying Officer)
(Title)
(Payee must NOT use the space below)
$589.02
TITLE
Payment for damaged household goods
JOY BULL
502nd FB, 2d AR DIV
FORT HOOD, TX 76545
DATE INVOICE RECEIVED
SHIPPED FROM
PAID BY
23rd FINANCE BN (FWD)
APO AE 09808
ADSN: 8748
10 AUG **
GOVERNMENT B/L NUMBER
DISCOUNT TERMS
PAYEE'S ACCOUNT NUMBER TO
WEIGHT
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION
DEPARTMENT OF THE ARMY
23RD FINANCE BATTALION (FWD)
DATE VOUCHER PREPARED
VOUCHER NO.
750153
SCHEDULE NO.
CONTRACT NUMBER AND DATE
REQUISITION NUMBER AND DATE
21* P S09076 $589.02
CHECK NUMBER
ON ACCOUNT OF U.S. TREASURY
DATE
/S/ FOR: W. CORY, LTC,FC
FINANCE OFFICER BY
FOR$589.02 X

30. Have the check corrected.
JOY BULL
John H. Cory, LTC, FC, FAO
$*****589.20
$589AND02/100
DV # final
10 AUG **
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

31. 800003 25JUL 5 Aug AT LV MC TRAVEL VOUCHER OR SUBVOUCHER $282.55
17. DURATION OF TDY TRAVEL
18. REIMBURSABLE EXPENSES
TRAVEL VOUCHER OR SUBVOUCHER
Read Privacy Act Statement, Penalty Statement, and Instructions on back before completing
form. Use typewriter, ink, or ball point pen. PRESS HARD. DO NOT use pencil. If more
space is needed, continue in remarks.
28. AMOUNT PAID
$282.55
19. GOVERNMENT/DEDUCTIBLE MEALS
3. FOR D.O. USE ONLY
(6) Reimbursable Expenses
(7) Total
(8) Less Advance
(9) Amount Owed
(10) Amount Due
Exception to SF 1012 approved by GSA/IRMS
Electronic Fund Transfer (EFT)
1. PAYMENT
15. ITINERARY
21.a.
APPROVING OFFICER SIGNATURE
14. HAVE HOUSEH
OLD GOODS BEEN SHIPPED?
(X one)
(1) Per Diem
(2) Actual Expense Allowance
(3) Mileage
(4) Dependent Travel
(5) DLA
2. TYPE OF PAYMENT
(X as applicable)
Member/
Employee
a. DATE
b. PLACE
(Home, Office, Base, Activity, City and
State; City and Country, etc.)
FT CARSON, CO CA c.
MEANS/
MODE OF
TRAVEL d.
REASON
FOR
STOP e.
LODGING
COST f.
POC
MILES
ACCOMPANIED
b. RELATIONSHIP
c. DATE OF BIRTH
OR MARRIAGE
UNACCOMPANIED
8. DAYTIME TELEPHONE NUMBER &
AREA CODE
9. TRAVEL ORDER NUMBER
195-17, HQ FT CARSON
12. DEPENDENT(S)
(X and complete as applicable)
11. ORGANIZATION AND STATION
HHC 1/50th FA FT STEWART, GA 31314
10. PREVIOUS GOVERNMENT PAYMENTS/
ADVANCES
NONE
13. DEPENDENTS' ADDRESS ON RECEIPT OF
ORDERS (
Include Zip Code)
7. ADDRESS.
a. NUMBER AND STREET
b. CITY
4. NAME
(Last, First, Middle Initial) (Print or type)
BOCKANKAMP, PAUL F.
5. GRADE
E-7/SFC
c. STATE
d. ZIP CODE
6. SSN
TDY
Other
b. NATURE OF EXPENSE
c. AMOUNT
d. ALLOWED
d. COMPUTATIONS
a. D.O. VOUCHER NUMBER
c. PAID BY
b. DATE
a. DATE
b. NO. OF MEALS
20.a.
CLAIMANT SIGNATURE
/ S /
8 Aug **
16. POC TRAVEL
X one)
OWN/OPERATE
PASSENGER
24. COMPUTED BY DD
23. COLLECTION DATA
25. AUDITED BY
26. TRAVEL ORDER
POSTED BY
27. RECEIVED
(Payee Signature and Date or Check No.)
22. ACCOUNTING CLASSIFICATION
21* P P4 S**** $282.55
FOR INSTRUCTIONAL PURPOSES ONLY
a. NAME
(Last, First, Middle Initial)
$4.20
$1.00
$15.00
$3.00
TAXI-QTRS TO AIRPORT
TIP TO SKYCAP-COL SPRGS
( 2 BAGS)
TIP TO SKYCAP ATL(2 BAG)
TAXI-A/P TO FT STEWART
25 JUL **
5 Aug **
TRNSP
CTG:
P/D
5 Aug
ET: 10
ATT: 1
b. SUBVOUCHER NUMBER
Dependent(s)
ARR
DEP
COLORADO SPRINGS, CO
ATLANTA, GA
SAVANNAH, GA
FT STEWART, GA CP
e. SUMMARY OF PAYMENT
YES NO (E
xplain in Remarks)
DLA
PCS
20**
DD FORM , JUL 2004 (EG)
PREVIOUS EDITIONS OF DD FORM AND
MAY BE USED UNTIL SUPPLY IS EXHAUSTED.
Split Disbursement:
Amt to Govt Tvl Charge Card $
Payment by Check
12 HOURS OR LESS
MORE THAN 12 HOURS
BUT 24 HOURS OR LESS
MORE THAN 24 HOURS
USAPA V1.00
$19.50
$262.05
/MNT/
Aug **
800003
23rd Fin BN (FWD)
Detachment A
APO AE
DSSN: 8748
10 Aug **
HHC 1/50th FA FT STEWART GA

32. Have the check corrected.
PAUL F BOCKANKAMP
John H. Cory, LTC, FC, FAO
$*****282.55
$282AND55CENTS
08 10 **
DV #800003
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

33. Check For Cash (CFC) Request Form
Date: 9 AUG **
Cashier/CCO: PFC WALTERS
Organization Requesting CFC: AAFES, CAMP BUSTER
Denominations:
100’s: $2,700
50’s: $3,250
20’s: $3,420
10’s: $1,930
5’s: $ 655
1’s: $
Total: $12,049
Cash Verified by: PFC WALTERS
CFC Received by: AMY FITZHUGH, AAFES Manager
Check #: Date: 10 AUG **

34. Have the check corrected.
AAFES, CAMP BUSTER
John H. Cory, LTC, FC, FAO
$*****
$12049AND00/100
08 10 **
FOR TRAINING PURPOSES ONLY
/S/
Sign the check.
Void the check.
Have the check corrected.
FOR TRAINING PURPOSES ONLY

35. CHECK REGISTER DATE CHECK NUMBER EXPLANATION CHECKS FOR CASH PAID ON
VOUCHERS
CUMULATIVE
TOTAL
10 AUG**
Columnar Totals
Totals Checks Issued