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

VOUCHER No. 22[stamped] MEMORANDUM [double line]

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

In Favor of Merrill, P.S., M.D. Waterville, Me. Rank and Organization DATE Apr. 26, 1918, Amt. $15.91 [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 6 [Dollars] 50 [Cts] Carfare and Hackhire 50 [Cts] Incidentals Tips [handwritten] 3 [Dollars] 75 [Cts] Miscellaneous 2 [Dollars] 75 [Cts] Telegrams [handwritten] 41 [Cts] Medical Supplies [handwritten] 2 [Dollars] 00 [Cts] [line] Justice's fee [line]

On account of Halifax relief [line] Approved for 15 [Dollars] 91 [Cents] [double line] Received A. G. O. Apr. 26, 1918. Filed with Auditor MAY 15 1918 [stamped] Paid [line] Check No. [line] Deduct for [line] 9-15-16 1000