Fillable Printable Sf1081
Fillable Printable Sf1081
Sf1081
STANDARD FORM 1081
Revised September 1982
Department of the Treasury
I TFRM 2-2500
VOUCHER AND SCHEDULE
OF WITHDRAWALS AND CREDITS
Transaction Date
CHARGE AND CREDIT WILL BE REPORTED ON
CUSTOMER AGENCY STATEMENT OF TRANSACTIONS
FOR ACCOUNTING PERIOD ENDING
Document No.
CUSTOMER AGENCY BILLING AGENCY
Agency Location Code (ALC) Customer Agency Voucher No. Agency Location Code (ALC) Billing Agency Voucher No.
DEPARTMENT
BUREAU
ADDRESS
DEPARTMENT
BUREAU
ADDRESS
SUMMARY SUMMARY
APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT
(MUST AGREE WITH BILLING
AGENCY TOTAL)
TOTAL TOTAL
Details of charges or reference to attached supporting documents
BILLING AGENCY CONTACT:
PREPARED BY
APPROVED BY
TELEPHONE NO.
CERTIFICATION OF CUSTOMER OFFICE
I certify that the items listed herein are correct and proper for payment from and to the appropriation(s) designated.
(Date)
(Telephone No.)
(Authorized administrative or certifying officer)
NSN 7540-00-634-4234
PREVIOUS EDITION NOT USABLE
(MUST AGREE WITH BILLING
AGENCY TOTAL)
STANDARD FORM 1081
Revised September 1982
Department of the Treasury
I TFRM 2-2500
VOUCHER AND SCHEDULE
OF WITHDRAWALS AND CREDITS
Transaction Date
CHARGE AND CREDIT WILL BE REPORTED ON
CUSTOMER AGENCY STATEMENT OF TRANSACTIONS
FOR ACCOUNTING PERIOD ENDING
Document No.
CUSTOMER AGENCY BILLING AGENCY
Agency Location Code (ALC) Customer Agency Voucher No. Agency Location Code (ALC) Billing Agency Voucher No.
DEPARTMENT
BUREAU
ADDRESS
DEPARTMENT
BUREAU
ADDRESS
SUMMARY SUMMARY
APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT
(MUST AGREE WITH BILLING
AGENCY TOTAL)
TOTAL TOTAL
Details of charges or reference to attached supporting documents
BILLING AGENCY CONTACT:
PREPARED BY
APPROVED BY
TELEPHONE NO.
CERTIFICATION OF CUSTOMER OFFICE
I certify that the items listed herein are correct and proper for payment from and to the appropriation(s) designated.
(Date)
(Telephone No.)
(Authorized administrative or certifying officer)
NSN 7540-00-634-4234
PREVIOUS EDITION NOT USABLE
(MUST AGREE WITH BILLING
AGENCY TOTAL)
STANDARD FORM 1081
Revised September 1982
Department of the Treasury
I TFRM 2-2500
VOUCHER AND SCHEDULE
OF WITHDRAWALS AND CREDITS
Transaction Date
CHARGE AND CREDIT WILL BE REPORTED ON
CUSTOMER AGENCY STATEMENT OF TRANSACTIONS
FOR ACCOUNTING PERIOD ENDING
Document No.
CUSTOMER AGENCY BILLING AGENCY
Agency Location Code (ALC) Customer Agency Voucher No. Agency Location Code (ALC) Billing Agency Voucher No.
DEPARTMENT
BUREAU
ADDRESS
DEPARTMENT
BUREAU
ADDRESS
SUMMARY SUMMARY
APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT
(MUST AGREE WITH BILLING
AGENCY TOTAL)
TOTAL TOTAL
Details of charges or reference to attached supporting documents
BILLING AGENCY CONTACT:
PREPARED BY
APPROVED BY
TELEPHONE NO.
CERTIFICATION OF CUSTOMER OFFICE
I certify that the items listed herein are correct and proper for payment from and to the appropriation(s) designated.
(Date)
(Telephone No.)
(Authorized administrative or certifying officer)
NSN 7540-00-634-4234
PREVIOUS EDITION NOT USABLE
(MUST AGREE WITH BILLING
AGENCY TOTAL)
STANDARD FORM 1081
Revised September 1982
Department of the Treasury
I TFRM 2-2500
VOUCHER AND SCHEDULE
OF WITHDRAWALS AND CREDITS
Transaction Date
CHARGE AND CREDIT WILL BE REPORTED ON
CUSTOMER AGENCY STATEMENT OF TRANSACTIONS
FOR ACCOUNTING PERIOD ENDING
Document No.
CUSTOMER AGENCY BILLING AGENCY
Agency Location Code (ALC) Customer Agency Voucher No. Agency Location Code (ALC) Billing Agency Voucher No.
DEPARTMENT
BUREAU
ADDRESS
DEPARTMENT
BUREAU
ADDRESS
SUMMARY SUMMARY
APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT APPROPRIATION, FUND, OR RECEIPT SYMBOL AMOUNT
(MUST AGREE WITH BILLING
AGENCY TOTAL)
TOTAL TOTAL
Details of charges or reference to attached supporting documents
BILLING AGENCY CONTACT:
PREPARED BY
APPROVED BY
TELEPHONE NO.
CERTIFICATION OF CUSTOMER OFFICE
I certify that the items listed herein are correct and proper for payment from and to the appropriation(s) designated.
(Date)
(Telephone No.)
(Authorized administrative or certifying officer)
NSN 7540-00-634-4234
PREVIOUS EDITION NOT USABLE
(MUST AGREE WITH BILLING
AGENCY TOTAL)
