General Services Administration: Statement, Voucher and Schedule of Withdrawals and Credits Form1974-01-01unknownhttp://rightsstatements.org/vocab/NKC/1.0/enghttp://congressarchives.org/record/CAC_CC_109_4_22_20_0001The document is a form from the General Services Administration for a statement, voucher, and schedule of withdrawals and credits. It includes information about payments, invoices, charges, adjustments, and certifications. The form should be completed and sent to the specified office for prompt handling. Adjustments are not to be requested or made for amounts of $10.00 or less per line item.