[Rule 113.]
[Form E. 1
(COLONY).
53
REQUISITION TO INCUR EXPENDITURE.
[Rule 83.]
Governor.
- Place_
Head of Estimates
Date
19
Subhead
ORIGINAL. DUPLICATE.
(Treasurer's
No.
s. Strike out To THE HONOURABLE superfluous words.
THE TREASURER.
State. in detail, service or article, &c., on which the amount is to be expended.
State to whom the amount is to
Estimated Cost.
be paid.
You are hereby authorised and required to issue to the
in the subjoined Schedule, the amount entered against
designation, to be accounted for in the manner and at the date specified.
Person
Account
(his, its, their? respective
described
£ 8.
d.
SCHEDULE.
Description of Person or Account.
Purpose for which issued.
Amount.
£
8. d.
Particulars and Dates for Accounting
and Repayment.
N.B. When this space is insufficient, sheets
should be attached, but the sum total shown on this.
Total expenditure proposed
Vote on Estimates
Signature of
Officer
requisitioning
:
:
Expenditure)
authorised
:
:
to date
Balance available
*
Date
Signature of the Officer) submitting the Schedule Schedule
for Warrant.
19
(Imprest Warrants are to be prepared in triplicate, and copies to be filed in the Office of the Colonial Secretary and the Treasury, one copy being furnished to the Audit Office with the accounts.)
Date
Comments of
Treasurer in submitting
to Governor.
Decision of Governor.
Date
{
19. .
Signature of Head of Department
Date.
19
Governor.
19
Į
PUBLIC RECORD OFFICE
गय
Reference :-
C.O. 885
5 PUBLIC RECORD OFFICE, LONDON ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
54
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