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

VOUCHER No. 20[stamped] MEMORANDUM [double line]

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

In Favor of Stott, Ardenne A. 1st Lieut. Med. Sec. Me. N.G. Res. Rank and Organization DATE Jan. 22, 1918, Amt. $46.99 [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 17 [Dollars] 33 [Cts] Quarters and Subsistence 7 [Dollars] 76 [Cts] Carfare and Hackhire 90 [Cts] Incidentals Telegrams[handwritten] 75 [Cts] Miscellaneous Tips 14 [Dollars] 75 [Cts] Laundry 2[Dollars] 50 [Cts] Hypodermic syringe 3 [Dollars] 00 [Cts] [line] Justice's fee [line]

On account of Halifax relief [line] Approved for 46 [Dollars] 99 [Cents] [double line] Received A. G. O. Jan. 24, 1918. Filed with Auditor FEB 25 1918 [stamped] Paid [line] Check No. [line] Deduct for [line] 9-15-16 1000