NITIALS OF SHIPPER S AGENT__ AME OF TRANSPORTATION JMPANY B/L NO. M-2999849 CRN CARTRIGHT (FELDITER) JATE OF RECEIPT OF SHIPMENT 14 J1 20 NATURE GF AGENT A TARIFF OR SPECIAL RATE AUTHORITIES (CL TL or Vol only) FOR USE OF ISSUING OFFICE CONTRACT OR PURCHASE ORDER NO. OR OTHER AUTHORITY- Jo £17005962__ PER CUT. DATED 22-5-30 F.O.B. POINT NAMED GENERAL SERVICES AD LISARANTIERI INITIAL CARIER'S AGENT BY SIGNATURE BELOW, CERTIFIES DATE-10-7-30TITLE_TRANS OFF. HE RECE THE CRIGINA, BILL OF LADING. PER ISSUING OFFICE ——— (Street address) TRANS OFF.. CHIEF CPPSO-EKT APO NY 09757. (State or cowry) (ZIP coday (City CERTIFICATE OF CARRIER BILLING FOR CHARGES-CONSIGNEE MUST NOT PAY ANY CHARGES ON THIS SHIPMENT 8/11/80 Fairfax Va Cartwright International Van Lines LIVERED THIS COSS-GNMENT COMPLETE AND IN APPARENT GOOD ORDER EXCEPT AS MAY BE INDICATED HEREAFTER (Name of delivering carrier CARRIER FURNISHED DELIVERY RAP CAR SERVICE AT DESTINATION PUBLIC VOUCHER FOR TRANSPORTATION CHARGES DEPARTMENT OR AGENCY, BUREAU OR SERVICE, AND LOCATION SHOWN ON SUBVOUCHERS See FPMR (41 CFR) 101-41 for Instructions on Completing this Form. U.S. ARMY FINANCE CENTER, TRANS. DIV., INDIANAPOLIS, IND. 100. VOU. NO. BUR. VOU, NO. SCHED. NO. I certify that the account stated hereon, as evidenced by the attached subvouchers, is correct and just; that services have been rendered or tickets furnished as indicated; that payment has not been received; and that the charges are not in excess of those applicable thereto under (1) tariffs lawfully on file with any Federal or State transportation regulatory agency or (2) rates, fares and charges established pursuant to section 22 of the Interstate Commerce Act, as amended, or other equivalent contract, arrangement, or exemption from regulation. When a voucher is signed in the name of a company or corpora tion, the name of the person writing the company or corporate name, as well as the capacity in which the person signs, must appear. For example: "A.B.C. Railway Co., per John Doe, Con troller," or "Auditor," as the case may be. DIFFERENCES 27.70 AMOUNT VERIFIED CORRECT FOR VERIFIED BY (Sigmorure [or ininals) PAID BY CHECK NO. ACCOUNTING CLASSIFICATION AMOUNT STANDARD FORM 1113 (Rev. 3 77 PRESCRIBED BY GSA, FPMR 141 CFR) 101 41 R- CERMANY 0- VIRGINIA CARRIER'S BILL NUMBER 40179 A BUR VOU NO. SCHED. NO. PAID BY CARRIER'S SCAC NUMBER CRHV 11 702 SERVICES FURNISHED (Check one) FREIGHT PASSENGER For payment of services rendered as evidenced by attached subvouchers. PAYEE'S CERTIFICATE I certify that the account stated hereon, as evidenced by the attached subvouchers, is correct and just; that services have been rendered or tickets furnished as indicated, that payment has not been received; and that the charges are not in excess of those applicable thereto under (1) tariffs lawfully on file with any Federal or State transportation regulatory agency or (2) rates, fares and charges established pursuant to section 22 of the Interstate Commerce Act, as amended, or other equivalent contract, arrangement, or exemption from regulation. PAYEE. CARTWRIGHT INTERNATIONAL MAN-LINES Dead Kitte PER (Signature) $569.4 AMOUNT VERIFIED - CORRECT FOR VERIFIED BY Segmatory or initials) PAID BY CHECK NO. SIFICATION ACCOUNTING CLASSIFICATION 08 JAN 380V 1960 0 6 FE3 1981 5 NOV SEU 50f,ic༦ས 19 SEP 1990 17 OCT 1980 9 STANDARD FORM 11177) (SUPERSEDES S# 1171) PRESCRIBED BY GSA, FPMR (41 CFR) 101 41 1113 108 2 |