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_Jfe" j£&* Y&A 4 < M i ALIiIMoIOKL , New Zealand. Voucher Number. X , \ WORKING RAILWAYS, Jr. to J 5819 X ' Claimant,*] Kf /J• „ . —— 1 * j . Addrtu of f .-» ~-~ . . '~/ Authorised YfM, , y-,/ Z , JJ Z-— v . ■? * If p»yn le n« ii desired to be made to an acenl, the Tresiory neiral«Uone «pnl»iM ' .]>■>>» to such ca»es, m printed on lh. back lieim.f, mint lie ilri.'l, olwrTiir DIWMCT OtnCU. \'SS. \.

: i ' ____. / yQ,J: I ' \2 "V^ I certify that, to the best of my knowledge and belief, the foregoing account is true and Ay/ sw^"S correct m every particular; that the charges are reasonable; that the service has been duly per-—^pS=fe&& lormed; that all supplies set forth hereon have been duly delivered, and have been entered in my W ■ >f ' stores for Issue Ledger." TV -1 " ,, V /// N. I also \J . fiTjf (a(fMtaf. Of/Stryeeper [ccc note 7 overleaf), a l,/ i/ (Siffnatur. 0/ augj^' 04T \ Charge tVVote , Item V / I Entered in folio |T\ — y J^ Received from the by Cheque No. countersigned this £J*l day of *W*= 190*. by BUm of poundfl and VM./yx>c> pence sterling, in full payment of the above account. To credit of Imprest Account ' oi _t tm £| j Fourteenth Form—Abstract of Contingencies. . „ [SBg^SicSySr^ty.

.ir.; iorii 4 \ Date of Service or Supply. s 3 1 I IURS ;.\:rjuni , ;--■ " : - ' - i ■c Lodyor Folio. I Name of Section : Department : STORES IW I 190//f CJafzification : \ J r ?s 7 i » PARTICULABS IN PULL. sr - f* • .. e> & These p»rticulare to be given fty the officer authorised to certUy thu »oaoh«t Vide also note 3 overleaf. r . /*% I i>, i % 3 3 / / Amount. W P % •* /o 7 t 0 7 / 7 9 •". 1 r .. fv'-yf-tfowdb* . o a 6' \ I / /6 3 w 3t> 7J*--* 'iiSl ft,, o % ■/ "A, % *V <w n \ ♦ $f If * » ~^^« J x r.r- \ v OS i J f %

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