Date

To whom paid

Sub-Voucher

Conitnge abstract.

DETAILED HEADS OF BUDGET

Sub-divisions of detailed heads as may be convenient. If the appropriation be not ordinarily allotted among the sub-divisions of a detailed head, they should be linked by a brace and the amount placed below. Each of these spaces represents a money column.

Appropriation for each head

No. of

Right-hand page.

DETAILED HEADS

Unusual charges

Total of each contingent abstract

Total of each month’s bill

Date of detailed bill

Date of admission with initials

Remarks

Sub-division of detailed heads

Description

Amount