upr000069 27

.Forjn .30 7-53-30M __ _________________________ Departm ent__ I Labor $. Authority for Expenditure (Item IK Material $ [Total $. Less— Donations, Grants or Proportion payable by ? $ Net Estimated Cost to Railroad Company $ Description of Work: _____________ Division - _________ 19. On the property of _________________ Now operated bv ________________ A t _ _______________________________________________________ (Station or Location) Detailed estimate (Forms 30-1 and 3 0 -2 ) and plan attached. Necessity for Work: Character of Improvement No.. Copies to: 1. 2. 3. 4. 5. 6. Total estimated expenditure . . . . . . . . . . . LESS— (a) Amount chargeable to "Operating Expenses" - * - - - $ (6) Amount chargeable to_____________________________________________ (e) Value of Salvage chargeable to " Material on Hand— Store Dep’f ' - Estimated cost of additional property, chargeable to "Investment in Road and Equipment" - Appropriated for expenditure during calendar year 19___ . . . . . . . * * * * * Calculations and Distribution Correct Recommended by. Recommended by_ Recommended by_ Approved__________ FOR GENERAL AUDITOR President’s State— ____ DATE President Date Issued. .,19. No.. Valuation Section No- Department N o -