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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]]