Standard From 1080 - Voucher For Transfers Between Appropriations And/or Funds

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VOUCHER NO.
Standard From 1080
Revised April 1982
VOUCHER FOR TRANSFERS
Department of the Treasury
BETWEEN APPROPRIATIONS AND/OR FUNDS
SCHEDULE NO.
I TFRM 2-2500
1080-109
Department, establishment, bureau, or office receiving funds
BILL NO.
PAID BY
Department, establishment, bureau, or office charged
UNIT PRICE
AMOUNT
DATE OF
QUAN-
ORDER NO.
ARTICLE OR SERVICES
DELIVERY
TITY
COST
PER
DOLLARS AND CENTS
TOTAL
Remittance in payment hereof should be sent to--
ACCOUNTING CLASSIFICATION Office Receiving Funds
CERTIFICATE OF OFFICE CHARGED
I certify that the above articles were received and accepted or the services performed as stated and should be charged to the appropriation(s)
and/or fund(s) as indicated below; or that the advance payment requested is approved and should be paid as indicated.
(Authorized administrative or certifying officer)
(Date)
(Title)
ACCOUNTING CLASSIFICATION Office Charged
Paid by Check No.
☆
NSN 7540-00-634-4230
U.S. Government Printing Office: 1987-201-760/60229
Previous Editions Are Usable

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