FINANCIAL MANAGEMENT ADVANCED LEADERS COURSE 36B

FINANCIAL MANAGEMENT ADVANCED LEADERS COURSE 36B Reconcile Daily Accountable Transactions PRACTICAL EXERCISE VERSION 1.0 March 2014

Reconcile Daily Accountable Transactions PE STUDENT INSTRUCTIONS OBJECTIVE: This practical exercise measures your ability to reconcile an agent s daily transaction/business day with their DD 1081. General Information: A. Disbursing Agent (DA): You B. Deputy Disbursing Officer (DDO): CPT John Doerr C. Disbursing Officer (DO): James R. Richardson, LTC, FC D. Cashier: Cashier #1 E. DSSN: 6348 F. Business Date: 1 December 2013 G. Exchange Rate: 3 Foreign Currency (FC) : 1 US Currency H. Beginning Balance: $15,000.00 from the previous day I. Cash on Hand COB 1 December: $5,650.80 US; 11,652.60 FC ($3,884.20) Instructions: You are assigned as the Disbursing Manger for the 23 rd FMSU, but have taken over as the Disbursing Agent while they are on leave. Today s business date is 1 December 2013. Your cashier has had trouble balancing out and has asked you to review their DD 1081 and identify what the cashier s mistake(s) is/are and what should be the correct amount(s) needed to balance out. You will be given the all of the cashier s documents from today s business date, along with their trial DD 1081. Information Verified as correct: 1. Beginning Balance 2. US/Foreign Currency returned verified as correct 3. Description of the Exchange Transactions listed below 4. Description of the Collection/Disbursement vouchers are correct as listed below 5. Assume the ECC Loads/Sales report and Batch List are correct as listed Exchange Transaction Information Listed below are the exchange transactions completed by the cashier: 1. PFC Jones cashed a personal check for $200. 2. CPT Kingston cashed out $150 off of his ECC for foreign currency. 3. 2LT Evans exchanged $200 for credit on her ECC. 4. SSG Lowe cashed $150 personal check for credit on his ECC. 5. SPC Halstead cashed out $165 off of her ECC for cash. 6. MAJ Waters cashed a $150 personal check for cash.

7. SGT Calhoun cashed out $85 off her ECC for foreign currency. 8. CW3 Anderson exchanged $225 for credit on her ECC. 9. SFC Snow cashed a $300 personal check for foreign currency. 10. A1C Dent cashed out $175 off his ECC for cash. 11. LCpl Nieves exchanged $300 cash for credit on her ECC. 12. LTC Matthews cashed out $275 off her ECC for cash. 13. GySgt Brown cashed a $165 personal check for credit on his ECC. 14. TSgt Eamon exchanged $75 and 225 FC for credit to his ECC. 15. 1LT Ingles exchanged 180 FC for credit to her ECC. Collection/Disbursement Voucher Information: 1. CPT Underwood made a SDP deposit for $3,000.00 with a personal check 2. A1C Waters paid his GPLD for $542.33 with a personal check 3. SPC Martin made a SDP deposit for $2,365 with his ECC 4. GySgt Blackmon made a SDP deposit for $3,700.00 with a personal check 5. LCpl Dewese made a SDP deposit for $1,500.00 with a personal check 6. PFC Sweeney made a SDP deposit for $1,000.00 with a personal check 7. SPC Scales paid his GPLD for 205.33 with a personal check 8. CPT Moore paid $2,294.97 in overpayment of entitlements with a personal check 9. PO1 Cole made a SDP deposit for $2,550.00 with her ECC

STATEMENT OF AGENT OFFICER S ACCOUNT DISBURSING OFFICER S NAME, ADDRESS, DISBURSING STATION SYMBOL NO. Your Name DISBURSING AGENT 23RD FMSU APO AE 09808 AGENT OFFICER S NAME, GRADE, SSN, UNIT ADDRESS (Include ZIP Code/APO number) and Telephone number) Cashier #1 XXX-XX-XXXX 23RD FMSU APO AE 09808 TRANSACTIONS a TRANSACTIONS AFFECTING AGENT OFFICER S ACCOUNT INCREASE (Received by Agent) b BEGINNING BALANCE (In Agent s Account) c DECREASE (Turned in by Agent) d ENDING BALANCE (In Agent s Account) e 1. BALANCE FORWARD 33,000.00 51,407.63 2. U.S. DOLLARS 4,300.00 3. FOREIGN CURRENCY 2,200.00 4. MILITARY PAYMENT CERTIFICATES 5. COLLECTIONS 17,357.63 6. DEPOSITS 7. NEGOTIABLE INSTRUMENTS A. TREASURY CHECKS B. MILITARY PAYMENT ORDERS C. OTHER (Specify) Checks 13,007.63 8. PAID VOUCHERS 16,400.00 9. INCORRECT VOUCHERS RETURNED 10. SVC/ECC Loads 1,050.00 11. SVC/ECC Sales 5,590.00 12. TOTAL FUNDS IN HANDS OF AGENT OFFICER 51,407.63 9,910.00 STATEMENTS DISBURSING OFFICER AGENT OFFICER ON ADVANCE: I HAVE INTRUSTED FUNDS AND/OR OTHER ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE NAMED AS MY AGENT OFFICER. ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED PECUNIARY RESPONSIBILITY THEREFOR. I WILL NOTIFY THE DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER. DATE SIGNATURE OF DISBURSING OFFICER DATE SIGNATURE OF AGENT OFFICER X ON RETURN: I HAVE RECEIVED FUNDS AND/OR ITEMS AS INDICATED ON THIS STATEMENT FROM THE ABOVE NAMED AGENT OFFICER. X ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS CORRECT. DATE 1 Dec 2013 SIGNATURE OF DISBURSING OFFICER DATE 1 Dec 2013 SIGNATURE OF AGENT OFFICER DD Form 1081, MAY 75 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0

STATEMENT OF AGENT OFFICER S ACCOUNT DISBURSING OFFICER S NAME, ADDRESS, DISBURSING STATION SYMBOL NO. Your Name DISBURSING AGENT 23RD FMSU APO AE 09808 AGENT OFFICER S NAME, GRADE, SSN, UNIT ADDRESS (Include ZIP Code/APO number) and Telephone number) Cashier #1 XXX-XX-XXXX 23RD FMSU APO AE 09808 TRANSACTIONS a TRANSACTIONS AFFECTING AGENT OFFICER S ACCOUNT INCREASE (Received by Agent) b BEGINNING BALANCE (In Agent s Account) c DECREASE (Turned in by Agent) d ENDING BALANCE (In Agent s Account) e 1. BALANCE FORWARD 15,000.00 33,000.00 2. U.S. DOLLARS 12,000.00 3. FOREIGN CURRENCY 6,000.00 4. MILITARY PAYMENT CERTIFICATES 5. COLLECTIONS 6. DEPOSITS 7. NEGOTIABLE INSTRUMENTS A. TREASURY CHECKS B. MILITARY PAYMENT ORDERS C. OTHER (Specify) 8. PAID VOUCHERS 9. INCORRECT VOUCHERS RETURNED 10. 11. 12. TOTAL FUNDS IN HANDS OF AGENT OFFICER 33,000.00 33,000.00 STATEMENTS DISBURSING OFFICER AGENT OFFICER X ON ADVANCE: I HAVE INTRUSTED FUNDS AND/OR OTHER ITEMS AS INDICATED IN THIS STATEMENT TO THE ABOVE NAMED AS MY AGENT OFFICER. DATE SIGNATURE OF DISBURSING OFFICER 1 Dec 2013 X ON ADVANCE: I, AS AGENT OFFICER, HAVE FUNDS AND/OR OTHER ITEMS AS INDICATED ABOVE. I HAVE ASSUMED PECUNIARY RESPONSIBILITY THEREFOR. I WILL NOTIFY THE DISBURSING OFFICER IMMEDIATELY UPON DISCOVERY OF ANY LOSS OR SHORTAGE, AND I HAVE RECEIVED AND UNDERSTAND WRITTEN INSTRUCTIONS CONCERNING MY DUTIES AND RESPONSIBILITIES AS AN AGENT OFFICER. DATE SIGNATURE OF AGENT OFFICER 1 Dec 2013 ON RETURN: I HAVE RECEIVED FUNDS AND/OR ITEMS AS INDICATED ON THIS STATEMENT FROM THE ABOVE NAMED AGENT OFFICER. ON RETURN: THE ABOVE STATEMENT OF ACCOUNT IS CORRECT. DATE SIGNATURE OF DISBURSING OFFICER DATE SIGNATURE OF AGENT OFFICER DD Form 1081, MAY 75 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473156 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 CPT Harold Underwood 127th TSB APO, AE 09098 555-86-9453 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # 113 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $3,000.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 1631497000000 PC 11. TOTAL $3,000.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473157 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 A1C Taylor Waters 576th AMC APO, AE 09098 555-88-7465 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED GPLD Check # 68 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION 542.33 573202011D11 A76VV76VV0065 5000.10K7 796541KNAQ 542189000000 11. TOTAL 542.33 PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473158 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD DSN:555-5555 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 1Dec13 SPC Earl Martin 710th MSB APO, AE 09098 555-86-9453 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit ECC# 397465 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $2,365.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 5879364000000 ECC 11. TOTAL $2,365.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473159 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 GySgt George Blackmon 2-10th INF BN APO, AE 09098 555-28-4169 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # 75 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $3,700.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 6798421000000 PC 11. TOTAL $3,700.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473160 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 LCpl Freida Dewese 97th MI BN APO, AE 09098 555-64-7943 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # 147 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $1,500.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 8136479000000 PC 11. TOTAL $1,500.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473161 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 PFC Blair Sweeney 1-12 FA BN APO, AE 09098 555-28-5793 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit Check # 202 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $1,000.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 6579812000000 PC 11. TOTAL $1,000.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473162 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 SPC Quincy Scales 95th MP BN APO, AE 09098 555-58-1379 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED GPLD Check # 22 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION 205.33 213202011D11 A76VV76VV0065 5000.10K7 796541KNAQ 479863200000 11. TOTAL 205.33 PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473163 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 CPT Walter Moore 96th CAB APO, AE 09098 555-35-2874 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED Overpayment of Entitlements Check # 334 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION 2,294.97 213202011D11 A76VV76VV0065 3000.12R4 421976BAPT 5691202000000 11. TOTAL 2,294.97 PC DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

CASH COLLECTION VOUCHER 1. DISBURSING OFFICE COLLECTION VOUCHER 473164 2. RECEIVING OFFICE COLLECTION VOUCHER 3. RECEIVING OFFICE b. RECEIVED AND FORWARDED BY (Printed Name,Title and Signature) d. DATE (YYYYMMDD) 4. DISBURSING OFFICE 23rd FMSU APO,AE 09098 DSN: b. DISBURSING OFFICER (Printed Name, Title and Signature) JAMES R. RICHARDSON, LTC, FC, CMD 5. PERIOD: a. FROM: b. TO: 6. DATE RECEIVED 7. NAME OF REMITTER DESCRIPTION OF REMITTANCE 1Dec13 PO1 Heather Cole 45th CASH APO, AE 09098 555-69-7318 DSN:555-5555 8. DETAILED DESCRIPTION OF PURPOSE FOR WHICH COLLECTIONS WERE RECEIVED SDP Deposit ECC # 497836 9. AMOUNT c. DISBURSING STATION SYMBOL 6348 d. DATE (YYYYMMDD) 20131201 10. ACCOUNTING CLASSIFICATION $2,550.00 21X201011D11 A76VV76VV0065 7000.10K7 74983QLOG 7894236000000 ECC 11. TOTAL $2,550.00 DD FORM 1131, DEC 2003 PREVIOUS EDITION IS OBSOLETE.

MULTIPLE PAYMENTS LIST Page 1 of 1 Pages PRIVACY ACT STATEMENT AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397 PRINCIPAL PURPOSE(S): ROUTINE USE(S): Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be used as a payroll list. Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this claim for restitution. DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed. 1. TYPE OF PAYMENT (Check applicable) D.O. VOUCHER 248239 MILITARY PAY (MP) TRAVEL ALLOWANCE (TA) X OTHER (Specify) Local Pay PAID BY 2. PAYROLL (If applicable) Active Duty Enlisted 4. ORGANIZATION AND STATION 3. DATE OF COMPUTED PAYMENT 20131201 23rd FMSU APO AE 09098 DSSN: 6348 5. PAYEE IDENTIFICATION a. LAST b. FIRST c. MI d. SSN e. TRAVEL ORDER OR OTHER AUTHORITY f. AMOUNT g. SIGNATURE OR CHECK 1 Jones John 555-01-1234 300.00 1 2 Henderson David 555-02-8976 250.00 2 3 Frederick Nathan 555-03-6321 200.00 3 4 Lewis Ann 555-40-5487 260.00 4 5 Robinson Lisa 555-65-5897 175.00 5 6 Jackson Vernon 555-32-4215 230.00 6 7 Davis Patricia 555-54-8963 225.00 7 8 Utley Neil 555-87-4631 80.00 8 9 Lawson Katy 555-89-4745 140.00 9 10 Sampson Gerald 555-56-8973 120.00 10 11 Moore Henry 555-01-4879 100.00 11 12 Anderson James 555-53-8946 150.00 12 13 O'Neil Mary 555-78-5278 100.00 13 14 Patterson Frank 555-64-4389 150.00 14 15 Robertson Terry 555-86-4521 250.00 15 16 Harris Neil 555-72-4618 300.00 16 17 O'Connor Sean 555-63-4786 250.00 17 18 Perry Nick 555-48-7634 275.00 18 19 Brown Mark 555-46-2194 160.00 19 20 Cooper Lori 555-52-9421 300.00 20 21 Meyers Karen 555-73-1793 220.00 21 22 Woods Marcus 555-65-4784 240.00 22 23 Franks Lionel 555-34-7964 300.00 23 24 Newton Heidi 555-42-8976 250.00 24 PAGE TOTAL 5025.00 6. ACCOUNTING CLASSIFICATION 213201011D13 A76VV76VV0065 7000.10K7 132097QLOG 15493670000000 $5025.00 CA1 7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER a. NAME AND TITLE OF CERTIFYING OFFICER (Please type) b. CERTIFYING OFFICER (Signature) SSG James Johnson, Certifying Officer DD FORM 1351-6, JUN 93 Replaces DD Forms 115 (MAY 74), 1351-1 (SEP 61), and 1351-6 (NOV 64), which may be used until DEC 31, 1993.

MULTIPLE PAYMENTS LIST Page 1 of 1 Pages PRIVACY ACT STATEMENT AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397 PRINCIPAL PURPOSE(S): ROUTINE USE(S): Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be used as a payroll list. Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this claim for restitution. DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed. 1. TYPE OF PAYMENT (Check applicable) D.O. VOUCHER 248240 MILITARY PAY (MP) TRAVEL ALLOWANCE (TA) X OTHER (Specify) Local Pay PAID BY 2. PAYROLL (If applicable) USMC Officer 4. ORGANIZATION AND STATION 3. DATE OF COMPUTED PAYMENT 20131101 23rd FMSU APO AE 09098 DSSN: 6348 5. PAYEE IDENTIFICATION a. LAST b. FIRST c. MI d. SSN e. TRAVEL ORDER OR OTHER AUTHORITY f. AMOUNT g. SIGNATURE OR CHECK 1 Berry Matthew 555-47-6857 275.00 1 2 Klein Anthony 555-67-8156 160.00 2 3 Jasper Nathan 555-57-8614 240.00 3 4 Hunt Wendy 555-94-6378 130.00 4 5 Flowers Brandon 555-42-3591 235.00 5 6 O Malley Sheila 555-83-1296 165.00 6 7 Anderson Brian 555-45-1264 150.00 7 8 Carpenter David 555-78-4614 175.00 8 9 Utley Chase 555-43-7356 180.00 9 10 McDaniel Mark 555-89-2896 165.00 10 11 Holden Tiffany 555-23-0912 110.00 11 12 Franks Regina 555-20-4901 225.00 12 13 13 14 14 Nothing Follows 15 15 16 16 17 17 18 18 19 19 20 20 21 21 22 22 23 23 24 24 PAGE TOTAL 2210.00 6. ACCOUNTING CLASSIFICATION 173201011D13 A76VV76VV0065 7000.10K8 132097QLOG 15493680000000 $2210 CA1 7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER a. NAME AND TITLE OF CERTIFYING OFFICER (Please type) b. CERTIFYING OFFICER (Signature) SSG James Johnson, Certifying Officer DD FORM 1351-6, JUN 93 Replaces DD Forms 115 (MAY 74), 1351-1 (SEP 61), and 1351-6 (NOV 64), which may be used until DEC 31, 1993.

Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM 4-2000 1034-121 U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE 09808 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO. 850671 SCHEDULE NO. PAID BY 23RD FMSU APO AE 09808 ADSN 6348 PAYEE'S NAME AND ADDRESS Sayid Choukran FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER SC3201 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO LIVESTOCK QUAN- TITY UNIT PRICE COST PER AMOUNT 3100.00 ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$1.00 3100.00 Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA1 3100.00 3100.00 JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION 213201011D13 A76VV76VV0065 2000.15L9 692198ZFZW 69741250000000 3100.00 CHECK PA ID BY CASH 3100.00 ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN 7540-00-900-2234 USAPPC V1.00

Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM 4-2000 1034-121 U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE 09808 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO. 850672 SCHEDULE NO. PAID BY 23RD FMSU APO AE 09808 ADSN 6348 PAYEE'S NAME AND ADDRESS DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER OH3201 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO HOME QUAN- TITY UNIT PRICE COST PER AMOUNT 2270.00 ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$1.00 2270.00 Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA1 2270.00 2270.00 JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION 213201011D13 A76VV76VV0065 2000.17R4 687541ZWQA 69741250000000 CHECK PA ID BY CASH 2270.00 ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN 7540-00-900-2234 USAPPC V1.00

Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM 4-2000 1034-121 U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE 09808 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO. 850673 SCHEDULE NO. PAID BY 23RD FMSU APO AE 09808 ADSN 6348 PAYEE'S NAME AND ADDRESS Kareem Al'Harek FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER KA1309 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) DAMAGE TO VEHICLE QUAN- TITY UNIT PRICE COST PER AMOUNT 2685.00 ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$1.00 2685.00 Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA1 2685.00 2685.00 JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION 213201011D13 A76VV76VV0065 2000.19W2 516931CVAP 69741250000000 2685.00 CHECK PA ID BY CASH 2685.00 ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN 7540-00-900-2234 USAPPC V1.00

Standard Form 1034 Revised October 1987 Department of the Treasury 1 TFM 4-2000 1034-121 U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY 23RD FMSU APO AE 09808 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL DATE VOUCHER PREPARED 12/01/2013 CONTRACT AND DATE REQUISITION AND DATE VOUCHER NO. 850674 SCHEDULE NO. PAID BY 23RD FMSU APO AE 09808 ADSN 6348 PAYEE'S NAME AND ADDRESS Farrek Yakmed FOB Shank, AF DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUNT SHIPPED FROM TO WEIGHT GOVERNMENT B/L AND DATE OF ORDER FY4783 DATE OF DELIVERY OR SERVICE ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary) CRANE REPAIR QUAN- TITY UNIT PRICE COST PER AMOUNT 1110.00 ( 1 ) FOR INSTRUCTIONAL PURPOSES ONLY (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) PAYMENT: APPROVED FOR PROVISIONAL COMPLETE BY 2 PARTIAL FINAL PROGRESS TITLE ADVANCE EXCHANGE RATE =$ =$1.00 1110.00 Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. TOTAL DIFFERENCES Amount verified; correct for (Signature or initials) CA1 1110.00 1110.00 JAMES R. RICHARDSON, LTC, FC (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION 213201011D13 A76VV76VV0065 2000.19W2 516931CVAP 69741250000000 1110.00 CHECK PA ID BY CASH 1110.00 ON ACCOUNT OF U.S. TREASURY DATE CHECK PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the approving officer will sign in the space provided, over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge of the payment obligation. PER TITLE ON (Name of bank) NSN 7540-00-900-2234 USAPPC V1.00

1. DISBURSING OFFICER DESIGNATION Your Name 2. RATES OF EXCHANGE (Number of Foreign Currency Units to one U.S. Dollar) 3 FC to 1 US Dollar 3. DATE 20131201 4. DSSN: 6348 5. NAME OF CASHIER OR DEPUTY: Cashier #1 6. RECEIVED FROM CUSTOMER 7. DISBURSED TO CUSTOMER 8. NAME AND OTHER INFORMATION a. TYPE OF NEGOTIABLE INSTRUMENT RECEIVED (Personal check, etc.) b. U.S. CURRENCY AND COIN c. FOREIGN CURRENCY d. TOTAL a. U.S. CURRENCY AND COIN b. FOREIGN CURRENCY c. Eagle Cash Card d. TOTAL REQUIRED BY DISBURSING OFFICER ON PERSON FOR WHOM EXCHANGE IS MADE 200.00 200.00 200.00 200.00 PFC Jones EC 234856 150.00 150.00 450.00 150.00 CPT Kingston 200.00 200.00 200.00 200.00 2LT Evans PC#37 150.00 150.00 EC150.00 150.00 SSG Lowe EC 127845 165.00 165.00 165.00 165.00 SPC Halstead PC #33 150.00 150.00 150.00 150.00 MAJ Waters EC 325693 85.00 85.00 255.00 255.00 SGT Calhoun 225.00 225.00 EC 225.00 225.00 CW3 Anderson PC#56 300.00 300.00 900.00 300.00 SFC Snow 175.00 175.00 175.00 175.00 A1C Dent 300.00 300.00 EC 300.00 300.00 LCpl Nieves EC 312654 275.00 275.00 275.00 275.00 LTC Matthews PC#87 165.00 165.00 EC 165.00 165.00 GySgt Brown 75.00 225.00 150.00 EC 150.00 150.00 TSgt Eamon 180.00 60.00 EC 60.00 60.00 1LT Ingles Total 2,615.00 405.00 2,750.00 965.00 535.00 1250.00 2750.00 DD Form 2664

Eagle Cash Card Sales Receipt December 1, 2013 Card Number Amount 11111011279843 $275.00 11111011479813 $85.00 11111011397465 $2,365.00 11111011379846 $150.00 11111011169778 $165.00 11111011497836 $2,550.00 11111011997456 $175.00 Grand Totals Sales 7 $5,765.00 Please Keep For Your records

SVC Card Processing Load Transaction Detail Report - All Types 12/01/2013 to 12/01/2013 Card Number Transaction 11111011400247 $150.00 11111011587104 $300.00 11111011973645 $225.00 11111011357984 $165.00 11111011287469 $200.00 11111011149873 $60.00 11111011698743 $150.00 Total Transactions 7 $1,250.00 Average Transaction Amount $178.57

Batch List Batch: (WBA187AB-0448-4S2F-88GE-0662A7217002) Date: 12/01/2013 5:20PM Printed By: Cashier #1 S T IRN Capture Time Bank No. Acct. No. Check No. Amount User Defined Fields A P 1100000723 4:50:00 PM 111222333 123456999 113 $3,000.00 555-11-2222 A P 1100000722 4:35:00 PM 222666777 123456888 87 $165.00 555-22-3333 A P 1100000721 3:23:00 PM 999444555 987456111 334 $2,294.97 555-44-7777 A P 1100000720 2:46:00 PM 888000666 654123777 147 $1,500.00 555-99-6666 A P 1100000719 2:13:00 PM 777111888 541239666 33 $150.00 555-88-7777 A P 1100000718 1:56:00 PM 333888000 741852663 56 $300.00 555-66-9999 A P 1100000717 1:32:00 PM 666444222 258963741 22 $205.33 555-77-2222 A P 1100000716 1:06:00 PM 111222888 159753456 37 $150.00 555-55-6666 A P 1100000715 11:43:00 AM 777000444 951753258 68 $542.33 123-45-6789 A P 1100000714 10:34:00 AM 222444777 486315468 75 $3,700.00 123-98-7654 A P 1100000713 9:23:00 AM 101133374 751953846 83 $200.00 123-47-8965 A P 1100000712 9:14:00 AM 624486111 217896543 202 $1,000.00 123-86-4397 Sub Total: Count: 12 Amount: $13,207.63 OTC Endpoint Total Count: 12 Amount: $13,207.63 Grand Total: Count: 12 Amount: $13,207.63