[ No. 40.

SPECIAL REQUISITION

I certify that the above Requisition is correct, and that the articles specified are absolutely requisite for the public service, rendered so by the following circumstances:

will issue the articles specified in the above Requisition

Commanding. Assistant Quartermaster RECEIVED at in full of the Requisition. the of 186 ,

[No. 40.] No.______Abst. A________________ Qr. 186

SPECIAL REQUISITION.