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stA&dard Form >o. 10^3 anproTOd by ComptoS^ 1 Se^tembe? 2®* l^K ' memorandum PUBLIC VOUCHER FOR REFUNDS Serial No. . D. O. Voucher No. ...... PAID BY Interior, 0. ». P*ologl.«l »9MU- »*«V» - - l7. S. JkE£222H£-==- A «.»*..«». furmi of o®«) j 25 i D» C« ^ i , ~ loa&tion: - := -™ lKSo^B^ StirVeya, Investigations St faiob ^ Kesearch 03 19&, - Appropna H onor tuna - - ~ - - Address tor Deposit received from the above-named depositor on £ .,.. (TOR USE OF PAYING OFFICE) February 1? hM *.» «*«*«W» •*<-- *• Mh“'J h ,e,mn‘d t h3Q— Amount of deposit- Applied as explained in "Remarks" below-. . - . Balance authorized to he refunded — — - ?- l.io Remarks: Amount of chock. ..*...•••• Cost of material requested. Amount of rofuw* * 43.30 ; $2.20 ;ir.!o ; ^*r\A 4 j , 1 0 duiyS Check No, Rotund by Cash, # - (Memorandum— *•- ' _ IP_JS Do not 6f£n) : — rule .-MuLoi«trAtiEA.As«t. f on Treasurer o/ the t/. \ y '' .. # ~ ;- -I •" '*"» t*”" "* ; ' V * (^nature . >. ... ...... . O/her method. I (Peaxto) . ^ tf. fc, ft’HlS** arrtft ir 4** ‘ . ^ x .. ' . * * ” ”* * . . - < ?'i4‘ - . \ v .