TREASURY DEPARTMENT,
U.S. COAST GUARD.
Form 2661.
Ed. 50,000-F.C., Aug. 30-18.
Approved by Comptroller of Treasury
Aug. 28,1918.

VOUCHER NO.______

PAY VOUCHER
FOR PERSONAL SERVICES AND COMMUTATIONS.

[handwritten] Pay & Allowances

U.S. COAST GUARD{ CUTTER__Tampa________________
                                                   STATIONED AT_____U.S. COAST GUARD[stamped]
                                                                                 REC'D DEC 27 1918[stamped]
                                                                               ANS'D             BY[stamped]

APPROPRIATION:__Coast Guard 1919.__________

THE UNITED STATES,

          William H Bevins, father of[handwritten]
TO Fireman A.L. Bevins, deceased._______
ADDRESS_Davenport_____________________
______________Fla______________________

U. S. C. G., Dr.                                    
MONTHLY RATE OF PAY __$46.50______
PERIOD COVERED BY THIS VOUCHER  
FROM Sept. 1, 1918, TO Sept. 26, 1918,
INCLUSIVE.                   

CREDITS:
  Subsistence___________________________
  Commutation for quarters¹_______________
  Commutation for light and heat¹__________
  Commutation for rations_________________
  Pay__________________________________    40 30
  Balance for'd from²_____________________
  _____________________________________
  Credit Adj. No._________________________
     TOTAL CREDITS______________________    40 30

DEBITS:
  War Risk allotment______________________   
  Coast Guard allotment___________________     6 60
  Insurance premium_____________________
  Forfeited______________________________
  Clothing_______________________________
  _____________________________________
  Debit Adj. No.__________________________
     TOTAL DEBITS________________________    6 60

Total Credits____________________$ 40.30
  Less--Total Debits__________$ 6.60            
Amount retained_____$                     
Amount unpaid______$______           
Total__________________$6.60_
Net amount to be paid on this                     
voucher_____________________$33.70_

REMARKS:                                                
Pay due the estate of Fireman A.L.             
Bevins, deceased, lost with the TAMPA       
Sept. 26, 1918. No deduction War Risk       
allotment $15.00 this voucher to                
cover overdeduction on previous rolls.       

¹ If for dependents, submit required certificate  
² Name of unit, noting month of roll or voucher.

MEMORANDUM COPY-B

EXAMINED BY

Certified by _______________________; approved by _________________________

Paid by ___________________________, Check No. _________, dated ___________, 191  
           (Name and title of paying officer.)

[handwritten]Feb 4, 1919

[stamped]
This memorandum to be
retained by payee

[stamped]
This memorandum to be
retained by payee

[stamped]
PAY AND ALLOTMENT
OFFICE
U.S. COAST GUARD
POSTED
TO
PAY CARD
BY_[initials]____
DATE_4-3-19___