Publication of Financial Schedules




450
THE NEW ZEALAND GAZETTE.
No. 30

FOURTEENTH SCHEDULE.
REGISTER OF CLAIMS RECEIVED.

Accounts Received for Approval. How Disposed of.
Departmental No. Date of Receipt of Account. Name of Claimant. Particulars of Claim. Date of Service or Supply.
£ s. d. £ s. d.

Fifteenth Form. -Register of Claims received.] [Regulation 58.

FIFTEENTH SCHEDULE.
ORDERS FOR PAYMENT TO AGENTS.

Special Authority.
NEW ZEALAND.
Not Transferable.

Date: , 18

I HEREBY authorize Mr. (whose signature appears in the margin) to obtain the counter-
signature of a cheque of the Paymaster-General for the sum of
payable to me, and to sign on my behalf a receipt for that amount.

Signature:

Signature and address of
authorized Agent:

General Authority.
NEW ZEALAND.
Not Transferable.

Date: , 18

I HEREBY authorize Mr. (whose signature appears in the margin) to obtain the counter-
signature of the proper officer to cheques of the Paymaster-General for all sums from time to time
payable to me, and to sign on my behalf receipts for the same.

Signature:

Sixteenth (a) Form.-General Authority for Payment
to an Agent.] [Regulation 63.

SIXTEENTH SCHEDULE.
FLY RECEIPT.

Voucher No.

NEW ZEALAND.
Date: , 18

I HEREBY acknowledge to have received from the Paymaster-General, by cheque No. , counter-
signed this day of , 18 , the sum of pounds shillings and pence
sterling, being
£ : :

Signature:
Seventeenth Form.-Fly Receipt.] [Regulation 67.

SEVENTEENTH SCHEDULE.
REQUISITION FOR IMPREST ADVANCE.

Departmental No. Treasury Voucher No.
, New Zealand,
Date: , 18

The Department, Wellington.
REQUIRED the sum of pounds shillings and pence sterling, as an advance for
To be transmitted through the Bank of New Zealand at
(Approval Stamp.)

Signature:
£ : : Official designation:
To be charged to Advances Miscellaneous. Station:
Vote

, New Zealand,
Date: , 18

I hereby acknowledge to have received from the Paymaster-General, through the Bank of New
Zealand at (by cheque No. ), the sum of pounds shillings and pence
sterling, being an advance for the purpose above stated: and for the expenditure of which sum I under-
take to furnish to the Paymaster-General true and satisfactory accounts and vouchers.

£ : :
Eighteenth Form. --Requisition for Imprest Advance.] Signature of Imprestee: [Regulation 87.



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VUW Te Waharoa PDF NZ Gazette 1883, No 30





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💰 Fourteenth through Seventeenth Schedules: Official Financial Forms (continued from previous page)

💰 Finance & Revenue
6 April 1883
Schedules, Financial forms, Claims register, Payment orders, Imprest advance, Regulations