Sample form of semiannual return of furniture and fixtures. [To be rendered semiannually, June 30 and December 31.] CAT. 171 A. UNITED STATES COURT-HOUSE AND POST-OFFICE BUILDING, Columbus, Ohio, December 31, 1894. This is to certify that the following statement embraces all acquisitions to the furniture and fixtures in the United States building in my custody, as well as all articles authorized to be sold, dropped, transferred, or otherwise disposed of, for the period ended December 31. 1894; and that all the property received from my predecessor, as shown by my receipt to him (authorized changes excepted), is still in my custody, and, ordinary wear and tear excepted, in the same condition as therein set forth: 11177-06 M-4 Form of request for the transfer of furniture. OFFICE OF CUSTODIAN, U. S. CUSTOM-HOUSE, Albany, N. Y., January 10, 1900. The Honorable the SECRETARY OF THE TREASURY (Chief Clerk). SIR: I hereby request authority to make the following-described transfers of furniture in the building in my custody: From the office of the collector of customs to the office of the clerk of United States circuit court.-One wardrobe, No. 50, quartered white oak, purchased May 27, 1891, cost $42.50; condition good. From the United States District court room to the office of the assistant postmaster.-Four chairs, No. 164, oak, at $4.88, purchased June 20, 1899; condition The Honorable the SECRETARY OF THE TREASURY. SIR: I hereby request authority to sell and drop, or to drop from the records of my office, the following-described articles of public property which are charged to the building in my custody: Office of the marshal.-One 3-gallon water cooler, purchased June 8, 1888, cost $4.50, broken and worthless. Office of the circuit court judge.-Twenty-one yards Brussels carpet, cost $20.07; 18 yards Brussels border, cost $16.31; 24 yards carpet lining, cost $5.18; purchased November 21, 1890; worn out and useless. One chair, No. 164, oak, cost $5.70; purchased October 12, 1899; broken and useless. HENRY BENNETT, Custodian. Respectfully, [Indicate here "Original" or "Duplicate."] [Cat. No. 114 B.] APPROPRIATION: "Pay of assistant custodians and janitors, 1895." a All pay rolls must be footed up and the total placed at the bottom of the roll, ruling out all blank lines between the names and the total. I certify that the employment of the above-named persons, at the rates stated, has been duly authorized by the United States Treasury JOHN DOE, Jr., Custodian. Original.] [Cat. No. 114. 66 APPROPRIATION: 'Pay of assistant custodians and janitors, 190-." The United States to Dr. Amount. ending b For services a per 189 a Insert nature of services, thus: Sprinkling streets, removing snow, ice, and rubbish, washing towels, etc. Insert period of service. I certify that the services above charged for have been performed in accordance with the authority referred to. Custodian. Approved: TREASURY DEPARTMENT, 190-. Chief of Appointment Division. Received from GEORGE A. BARTLETT, disbursing clerk, Treasury Department, check No. on the ment of the above account. for the sum of Receipt, a Tōō dollars, in full pay Amount of receipt should be inserted in writing and figures before forwarding to the Department. Original.] [Cat. No. 117. Form of voucher for miscellaneous items (color, light green). APPROPRIATION: "Fuel, lights, and water for public buildings, 1907." Date of delivery. The United States to Francis G. Bliss, jr., Boston, Mass., Dr. Miscellaneous items, ice, and removal of ashes. Amount. a The name should be the same as that used in the heading. If receipted in the name of a company or corporation, the name of the person writing the company or corporation name, as well as the capacity in which he signs, must appear. Example: "Chicago Edison Company, per John Smith, secretary, or treasurer, or member of firm." I certify that the articles as above stated have been furnished for use of the United States post-office and subtreasury building at Boston, Mass.; that they are necessary for, and have been or will be applied to, use in the said building; that the prices charged are just and reasonable, and authorized by Department's letter of June 3, 1894. Approved : Assistant Secretary. JEREMIAH W. COVENEY, Custodian. Received from THOMAS J. HOBBS, disbursing clerk, Treasury Department, Washington, D. C., the sum of twenty-four and 25 dollars, in full payment of the above account. $24.25. FRANCIS G. BLISS, Jr.. Paid by check on assistant treasurer United States, New York, No. dated 189-. Receipt should be filled out in writing and figures before forwarding to the Department. Original.] 66 [Cat. No. 117. Form of voucher for fuel, lights, power, and water. (Color, white.) NOTE.-Vouchers for gas, electric light, motors, and water should give the readings of meters at commencement and close of the time covered by the vouchers. I certify that the articles as above stated have been furnished for use of the United States court-house and post-office building at Philadelphia, Pa.; that they were necessary for, and have been or will be applied to, use in the said building; that the prices charged are just and reasonable, and authorized by Department's letter of April 27, 1899 Approved: P. A. MCCLAIN, Custodian. Assistant Secretary. Received from THOMAS J. HOBBS, disbursing clerk, Treasury Department, Washington, D. C., the sum of one thousand five hundred seventy-six and 10% dollars in full payment of the above account. $1,576.16. a GEORGE H. HUDDELL & Co., By ALFRED E. ERRAC, Secretary. a Where a bill is receipted in the name of a company or corporation, the name of the person writing the company or corporation name, as well as the capacity in which he signs, must appear. Example: "Chicago Edison Company, per John Smith, member of firm, or secretary, or treasurer." |