[Furlough Form] Page: 4 of 4
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CERTIFICATE AS TO DATE OF ARRIVAL WITHIN CONTINENTAL LIMITS OF U. S. 0
AND SUBSISTENCE FURNISHED EN ROUTE.
The quartermaster or agent of an Army transport or other military transportation, the paymaster of a naval vessel, or purser of a commercial 4-s
vessel, upon which a soldier is en route to the United States for furlough, will certify below as to date of arrival within the continentallimits
of the United States, and as to subsistence furnished en route. 0
I certify that subsistence was furnished the soldier named in this certificate of furlough from ... - -..-.
19----.., to ............_.............. ,19......, both dates inclusive, on ..----- ..----.... ..--------------------------------
(Date of arrival in U. S.)
------------, which arrived at -- _____ ---- i
on ...................... .. .... . , 19
on ---------------------------------- ---------- 0' ---- -------(sinatre.
o-----(Do not sign) .. .............
(Signature.)
(Grade and other official designation.) I
CERTIFICATE AS TO DATE OF ARRIVAL AT AND DEPARTURE FROM MILITARY
STATIONS, EN ROUTE FROM FURLOUGH.
In returning from furlough to a station beyond the continentallimits of the United States the soldier will report to the military station near- o
est the point of departure from the United States. The date of his arrival at and departure from such station will be noted below, with a 8
statement of subsistence furnished. When transportation or commutation of rations is furnished the soldier returning from furlough, notation '
will be made below.
I certify that the soldier named herein reported for duty at this station on --------.....--------........--- -_ , 19
*was subsisted from ... -_.... ____ , 19 ....., to _ -- -..--...............-......., 19......; *was furnished *com-
mutation of rations *transportation to _....... ...... .......... ... He left this station pursuant to-__--.. ____ _ h
__ -------------- - on ,19___ - ,
(Do not sign) ...... .......... ........,. .... .......... ........ . ----
(Signature.)
Station ........ ................. ...........
(Grade, etc.) o
CERTIFICATE OF SOLDIER'S IMMEDIATE COMMANDING OFFICER
AS TO HIS RETURN FROM FURLOUGH.
Commutation of rations will be paid the soldier for the inclusive dates of the beginning and end of his furlough. The soldier's organization
is not entitled to draw rations for him within such inclusive dates. A ,.
This soldier reported for duty *as required by this furlough certificate, on - . .. ._.. 19_
and will be included in the ration account of his organization beginning with the day following the end of the period o
for which he has received rations in kind or commutation therefor.
(Do not sign .
.. .ig....aure.
1st Lt 350th Six Co
(Grade, etc.)
Stationom nding
* Strike out words not applicable. -
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[Furlough Form], text, December 18, 1943; (https://texashistory.unt.edu/ark:/67531/metapth379770/m1/4/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting Arlington Historical Society’s Fielder House Museum.