Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM 4-2000 1034-122 VOUCHER NO. PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL U*S* DEPARTMENT BUREAU OR ESTABLISHMENT AND LOCATION DATE VOUCHER PREPARED SCHEDULE NO. CONTRACT NUMBER AND DATE PAID BY REQUISITION NUMBER AND DATE PAYEE S NAME AND ADDRESS DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE S ACCOUNT NUMBER SHIPPED FROM NUMBER AND DATE OF ORDER TO DATE OF DELIVERY OR SERVICE WEIGHT ARTICLES OR SERVICES...
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