State Library of NSW
[Page 35]
[Monetary amounts presented as pounds/shillings/pence for simplicity of presentation.]
Form No. 11D. (P.R. 17.)
Commonwealth of Australia. €“ Department of Defence.
Dr. to No. - 3533 Rank - Pte. Name - Ham Alfred James Unit - 2nd. Btn.for Pay and Allowances as per Statement of Account hereunder whilst a Member of the Australian Imperial Force.
[The table on this page is presented below in two parts for ease of presentation.]
[Left-hand side:]
Dr.
17/12/15
9/8/18
8/8/18
19/5/19
966
284
3/-
2/-
144/18/-
28/8/-
1/7/17
5/4/18
4/4/18
278
410
1/5
19/13/10
41/-/-
6. Amount paid in partial settlement as per Acquittance Roll Number ...(Voucher ... Reimbursement ...)(viz.: Forty-two pounds eleven shillings and ... pence).
[Signature]Officer in Charge, Returned Soldiers Section. Date -/-/-19
I certify that the above account is correct.[Space for signature]Officer in Charge, Returned Soldiers Section.Date -/-/-19
[Right-hand side:]
Cr.
Amount. £/s./d.
[Space for signature]Officer of Checking Staff.Date -/-/-19
D.1264/4.18. €“C.5814 €“457 ½c.
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