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[[preprinted]]
SI-FISCAL-668
RE.3-66

[[strikethrough]]APPENDIX[[/strikethrough]]
^[[Project Location]] [[blank line]]
Month Ending [[blank line]]

SMITHSONIAN INSTITUTION 
[[strikethrough]] ASTROPHYSICAL OBSERVATORY
ASTROPHYSICAL OBSERVING STATION [[/strikethrough]]

^[[Project]] FINANCIAL REPORT

[[strikethrough]]Station[[/strikethrough]] ^[[PROJECT Name]] [[blank line]]

Currency of Expenditure [[blank line]]

[[9 column table]]

(1) DATE | (2) VENDOR | (3) DESCRIPTION | (4) OBJECT CLASS | (5) CHECK NUMBER | (6) AMOUNT | (7) BANK ACTIVITIES DEPOSITS | (8) BANK ACTIVITIES WITHDRAWLS | (9) BANK ACTIVITIES BALANCE

  |  | (All Totals Brought Forward |  |  |  |

[[no entries in table]] 
[[/table]]

TOTALS FOR MONTH ^[[(1)]]

TOTAL REIMBURSEMENTS CLAIMED $ [[blank line]] ^[[(1)]]

[[strikethrough]]STATION CHIEF[[/strikethrough]] ^[[PROJECT LEADER]] [[blank line]]
Signature

SEE REVERSE PAGE FOR INSTRUCTIONS
[[/preprinted]]