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�[this is a form with handwritten and stamped notation]

VOUCHER No. 21[stamped] MEMORANDUM [double line]

Ledger No. 18 Page 38 [vertical line] APPROPRIATION: War Purposes [double line]

In Favor of Ames, O.B. 108 Main St. Waterville, Me. Rank and Organization DATE Feb. 16, 1918, Amt. $4.75 [double line] CLASSIFICATION OF CLAIM PERSONAL SERVICES:

G.O. No. [line] Series [line] S.O. No. [line] Series [line] Instructions dated [line] 191[line] Sect. [line] The Military Law [two columns headed:] Dollars Cts. [line] days at $ [line] per day Allowance as [line] from [line] to [line] Examination of [line] recruits

EXPENSES AND SUPPLIES: Transportation [line] Quarters and Subsistence 4 [Dollars] 75 [Cts] Carfare and Hackhire [line] Incidentals [line] Miscenllaneous [line]

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[line] Justice's fee 25 [Cts]

On account of Halifax relief [line] Approved for 5 [Dollars] 00 [Cents] [double line] Received A. G. O. Feb. 25, 1918. Filed with Auditor FEB 25 1918 [stamped] Paid [line] Check No. [line] Deduct for [line] 9-15-16 1000