War Department
Official Business
Penalty for private use to avoid payment of postage, $300
The Adjutant General
United States Army
Washington, D. C.
U.S.A.
Williams, Clarence
Soldier's Individual Pay Record
W.D.A.G.O. Form 28
March 26, 1942
16—28144–1
Soldier's Individual Pay Record
Important.
No payments to you will be made without this pay record if you are separated from your organization. Retain on your person at all times.
No changes or alterations will be made in this record other than as provided in instructions on page 8.
If this pay record is lost, report at once to your organization commander.
If this pay record is found and owner cannot be located, drop in U.S. mail — without postage.
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W.D., A.G.O. Form No. 28
March 26, 1942
16—28144–1
Name Williams, Clarence O.
Army serial No. 37738878
Grade Pvt
Years of service (On date of opening this book) 6/12
Insurance, amount and class N $10,000
Insurance premium, monthly $7.30
Allotments, amount and class F $22.00
Compulsary allotments, amount and class $
Pay reservation, class A $
Technical grade
Additional pay for F/S
Person to be notified in case of emergency:
Gretchen K. Williams (Name)
Wife (Relationship, if friend so state)
1303 Ave B
(Number and street or rural route; if none, so state)
Council Bluffs Iowa
(City, town, or post office) (State or country)
Date of opening this book 26 Oct 44
Clarence O. Williams. RT M.D.
(Signature of enlisted man. Name, grade, and arm or
service only. Do not enter organization)
Witness to signature by officer preparing book:
(Signature — Name, grade, and arm or service only. Do not enter organization)
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Changes affecting pay status
Aptd Ofc - 11 Dec 44
Aptd Sgt - 24 Sep 45
Medical Badge Pay.
Casual Data
Date reported or picked up.
(Do not enter organization)
Name, grade, and arm or service only of personnel officer of commanding officer
(3)
Date from and to —
Deduction
Government insurance class
Allotment class E
Compulsory allotment class
Pay reservation class A
Net amount
Disbursing officers
Voucher No.
Month
Name, grade, and arm or service only
Name, grade, and arm or service only of personnel officer or detachment commander
(4)
(5)
Date from and to —
Deduction
Government insurance class
Allotment class E
Compulsory allotment class
Pay reservation class A
Net amount
Disbursing officers
Voucher No.
Month
Name, grade, and arm or service only
Name, grade, and arm or service only of personnel officer or detachment commander
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Instructions Governing the Issuance and Use of Soldier's Individual Pay Record
When issued. — Upon enlistment. Date of issue will be endorsed in soldier's service record on page 13.
Preparation. — Carefully complete all entries on page 2.
Purpose. — To identify and authorize payments to the soldier to whom issued and is to be kept by him in his personal possession at all times except when in the hands of personnel officers for preparation of pay rolls or vouchers, or verification with service record.
Payments. — Casual payments not in excess of amount due computed from the information contained in this book are authorized by AR 345-155, the provisions of which will be fully complied with. Entry of all amounts paid will be made on pages 4, 5, 6, or 7, together with complete information called for thereon. Amount due will be computed from and not in excess of amount earned since the first of the month prior to date shown in "Casual Data" on page 3; and collection will be made for all allotments, insurnace premiums, and class A pay reservations. If again paid while absent from his organization, pay will be computed from date of last payment, in which event settlement should bring soldier's account to the end of the month, unless he is being returned to his organization, in which event he may be paid a partial payment, and entry made on pages 4, 5, 6, or 7. In exceptional cases where there is no Army Finance Officer available, this pay record may be presented to Navy, Marine, or State Department disbursing officers for pay.
Changes. — Any changes in status affecting the pay due will be entered on page 3.
Lost. — If this pay record becomes lost, duplicate may be issued only by the personnel officer having custody of soldier's service record.
All entries in this book will be authenticated by the signature (name, grade, and arm or service only) or a commanding officer.
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U.S. Government Printing Office