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[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.
| €“ | Period | No. of Days. | Rate per Diem. | Amount. £/s./d. |
Total Debits. £/s./d. |
|
| From €“ | To €“ | |||||
| 1. Paid under Allotment |
17/12/15 9/8/18 |
8/8/18 19/5/19 |
966 284 |
3/- 2/- |
144/18/- 28/8/- |
173/6/- |
| 2. Paid Separation Allowance |
1/7/17 5/4/18 |
4/4/18 19/5/19 |
278 410 |
1/5 2/- |
19/13/10 41/-/- |
60/13/10 |
| 3. Debits as per Pay Book | 147/8/9 | |||||
| 4. Forfeitures | Def. Pay | 81 | 1/- | 4/1/- | ||
| 5. Balance held pending receipt of Statement of Account from abroad | 16/-/- | |||||
|
6. Amount paid in partial settlement as per Acquittance Roll Number ... [Signature] |
42/11/- | |||||
| Total | £ | 444/-/7 | ||||
| 7. [Add]itional debit as per Statement of Account from abroad | ||||||
| 8. Balance due in final settlement: €“ ... (pounds ... shillings and ... pence) | ||||||
| £ | ||||||
I certify that the above account is correct.
[Space for signature]
Officer in Charge, Returned Soldiers Section.
Date -/-/-19
[Right-hand side:]
Cr.
| €“ | Period. | No. of Days. | Rate per Diem. |
Amount. |
Total Credits. £/s./d. |
|
| From €“ | To €“ | |||||
| 1. Pay | 17/12/15 | 19/5/19 | 1250 | 5/- | 312/10/- | |
| 2. Deferred Pay | 17/12/15 | 19/5/19 | 1250 | 1/- | 62/10/- | |
| 3. Separation Allowance | As per contra | 60/13/10 | ||||
| 4. Interest on Deferred Pay | 1/11/1 | |||||
| 5. Other Credits 8d. & Sust. Allce 45 days @ 3/- £6/15/- | 6/15/8 | |||||
| 6. Balance held pending receipt of Statement of Account from abroad as per item 5 on Debit side | ||||||
| 7. Other Credits | ||||||
| £ | ||||||
[Space for signature]
Officer of Checking Staff.
Date -/-/-19
D.1264/4.18. €“C.5814 €“457 ½c.