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SH147, 647
Good Until
19
U. S. GOVERNMENT
REQUEST FOR TRANSPORTATION
SH147, 647
CARRIER'S STUB-TRAVELER MUST NOT DETACH
( Bill to) The
FEDERAL SECURITY AGENCY
Public Health Service
Washington, D. C.
Carrier's
TO BE FILLED IN BY AGENT
(Department and Bureau or Service)
(City)
Audited . $$
Value
Office or
Agency No.
Ticket Form
Ticket Nos.
Requests the
Company to furnish transportation
For use of
and
at the lowest fare
From
Trans-
Seat or Sleeper Accommodations
portation
Standard
Tourist
Total Value
To
FOR USE OF AUDIT OFFICE
Route:
Bill No.
Value
(Show classes of service between junctions on mixed travel)
Class
Number of
Persons
Upper
Lower
Upper
Lower
3 Tier Bed
Seats
Troop Sleeper
Lbs. of Excess
Baggage
Station Stamp
Appropriation
Authorization
or object.
TO BE FILLED IN BY AGENT
Ticket Form
Ticket Nos.
Place of Issue.
19
I certify that the transportation requested above is for official business and that ticket or service therefor has been
furnished except as noted on reverse hereof.
Signature of
Issuing officer-
Title deccal Consulless
Agent's
traveler
Value
AGENTS: Do not detach this stub.
Type A
NOT TRANSFERABLE - PENALTY FOR FRAUDULENT USE
IMPORTANT
Source: https://www.industrydocuments.ucsf.edu/docs/Inwg0227

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