1965-03-27
SH EE T
1
OF 1
SH E E T S
FO RM S~- iii . j....
(9-1-64)
U.S. DEPARTMENT OF COMMERCE 1. Special Census of:
BUREAU OF THE CENSUS
Y.
VOUCH ER FOR
HOURLY-RATE EMPLOYEES
(Crew leaders, clerks, field checkers, and
hourly- rate enumerators)
SPECIAL POPULATION CENSUS
3. Voucher No.
5. Crew leaders
tCL
1
) $ 294.78
$ 186.00
73.50
4. TOTAL AMOUNT DUE
7. Field checkers
I CLK $
IFC $
TO: (Sponsor)
6. Administrative clerk and clerks
Town of Wappinger, N. Y.
8. Enumerators
(Show ED in column (b))
9. Automobile mileage
(At 8 cents per mile) and other
IE
$
$ 35.28
The above-named Sponsor, pursuant to its agreement with the Bureau of the Census, is hereby requested to pay the
Hourly-Rate Employees of the Special Population Census as authorized at the rates shown, and as claimed and
certified below.
<1J Hour s Amount
<1J worked
>. Personal Total
0 Hourly services Automobile
Name and address - <1J Other amount
P-.-u R.eg. Over- rate mileage
S 0 TF-Traininl5 due
~u time time Fee
(a) (b) (e) (0 (g) (h) (i)
Patricia M. Dugan 2.00 134.00 22.72 156.72
38 Liss Road CL
Wappingers Falls, N.Y
CLK
2.00
52.00
12.56
64.56
Frisina
Rd. RFD #6
Falls, NY
CL
1.75
73.50
73.50
Sponsor
If.more space is required, use form SC-10A (Continuation sheet)