ML19282D069

Commissioner Ahearnes Travel Voucher for 781205-781207

ML19282D069
Person / Time
Issue date:	12/07/1978
From:	Ahearne J NRC COMMISSION (OCM)
To:
References
NUDOCS 7905110188
Download: ML19282D069 (2)

Text

.< - -

l gehng.

U.S. NUCLEAR REGULATORY COMMISStON

,iier c-n rai, u.s.

TR AVEC VOljCHER (Part 1)

~,.

e

~.

m2 AC Appendie 1501 for instruktions for completi.'

xm).

~

(Do Not Remove Carbons)

2. Deves+ontOf fice 3.

4. Address Code

5. teame of Traveler (Farst two snit,afs and jag name;

.e Code

/

Voucher No.

.. OHome D O'nce Arnendment

'f peave blank) e i

O

%70 'd? 0C c

hosp =iai Jl Fl NiEAiME r

a4 ting Address (P.O. Bor. Street or Othee)

D. City. State

c. 2.ip Coce i

flRC,_.]737 H_St.,iL_H.

H-ll56 Mashinaton. 9. C.

20 E y

-nce if Oif terent from item 6

8. Official Duty Station (City. State)

.'or Travel and Ott:er Expe.is s g

State)

9. From (MM DD YY) l 10. To: (MM 00 YY)

I 12/7/78

n.g Hashington. D. C.

12/9 78 c

NRC TO BE BILLED:

h w

ber page 13. Enter

14. Identification

15. Carrier or

16. Points of Travel Covered by

17. Mode and

18. Arnount

,fg No.

Appropriate TR No. Invoice Rental Car TtR or Period of Car Rental Class of Service to be Betted pg evely Type Code No..

ameor (MM 00 yy)

Here etc (see instruc.

itials)

}

k tions) berr item TYPE From To

,r CODES p

A = TA.

' %l isely g-Round Trip B=TR One I

Way C=

Penta!

I I

Car

~

D=

GEBAT E=

Other beer oi Bilhng items if more space is required for additional billing liems. use another

20. Total amount j

on this Pace A

Form NRC6a. and complete items 1 thru 5. and items 11 thru 20.

to be billed on g

v this pace 3

I

21. Authoritatron /

22. Traveler'e Social

23. For Chance of Duty Station-Individuals included la this Claim-No.

/

Security No.

j/

I 9A7GG c--

Carefully (it wouct'er ir cr des'any or Ine

~

O Employee No. of Childreri Ages 12 to 20.

Ernployes and Spouse l

u ing, snark the approprin:e bones):

er inctudes Sharea Cost (Exprain in Part 2.)

0 '"'*

ltart Travel Espanses Ctaimed

25. Traval Advance (For Ottice of CONTROLLER Use)

S onm nl of Travel (Esprain in Part 2.)

Outstanding batance

• W ative Cost Statement included Amount to be applied e

S

.i_

S Taken in Conjunction with Trip (Empraen in Part 2.)

Batarve to remain outstanding

26. (For Otttee of CONTROLLEA USE) Examiner's Deduc; ions

't>,'

I

)

Traws4 ional Vouctors will be Submitted l

d Due on Unused Ticket and/or Retund Slip (Exprein in Pt. 2)

t.vice Attached in Arnt. of S

-r

?. S

).'

• O )

Y Hunting Examined by-Date 1

al Titre in Travet for

28. Schadute No. (For O// ice

29. Total Amoupt Claitred

30. Total Foreign Costs

31. Het to Trcvier (For Othee i

s Ocarters --.

pa

,m L{

Diem Cakulation of CONTRottER Use) included in item 29 of CONTROLLER Use)

32. Cetsradeo,,eci Pa,meni o, c,ed,t n,, no, e.en,,c,ived.

w.

g,

• "* ' 0 1 8'

f anyfrw

\\

.' $ l l

~ r i -

Q[n trans of 02 I

%s a cay)

?

0_

(Signature of Traverer)

(Cere)

D owed. Long distance telechone calls are c=rtified as na2ury

34. Certified Correct and Proper for Payment e interest of the Gevernmant.

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l j

.y 3;m,i

.J 6

. i n x...

'3nst. ore of Approving Ot!:ciat} **

(Oste)

Vuthorized Certifying Officer)

(Date)

35. Acco.inting Classit,ca1Wn (For Oil.ce of CONTROLLER Use); r Use):

Obj.ct Object Object i

n Cl.ua Det ail B & R Clus Arrount Class Datall e & R Class Amount C' ass Cetait B r. R Clau ! Arncont

{

f

/,s, C,

A B

C

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i:

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E F

D h

et Cl&m-Fais.fec.ition of an stem in a.. aispansa acconent vrorbs a forfeiture of the claim (28 U.S C. 2514) and may result in a One of nut r c t

atit for r ot more Inan 5 yars ce toth (18 U S C. 237; 6d.1001).

79051t0l e

li;,Y,'Ys comptering thisdon

'o.... c.n er.o. u.s.

SCHEDULE OF EXPeN nn D,.m.

[

AND AMOUNTS CLAIMED

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- Do Not Remore ce l

N O.

DIV/ OFFICE lO VOUCHER NO.

Name DEPART FROM oN 80me DIV.

SU8 UNIT (OATE)

(HOu r< >

M M.

.DD, YY AM 70 00 J. A. AHEARilE 12 6

78 n

L J PM TE NATURE OF EXPENSE AUTHORIZEO NUMBER OF AMOUNT CLAIMED MILEAG E OF MILES 73

"'te 17 e 26 4

42- '{

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..-.n Dep Residence,!! clean 7:00 am-

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Arr-Mash Natinnal 7:A0 nr Dep Wash Nat (NY Shuttle) 8:00 am

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oMag:

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Dep N.

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(Pilgrim 454) 10:00 am

(.fi,-( h rtre nn. unen, c

,n 3n:25 5 a.--.

c PHDDOW. Mrfregg to the_bpaptgM--G M W neePfD9 i G;5 App'iEd Ciase i

. )Ctgxmtcentc, Yale University Dep New Haven 7:05 am li t y- ?! Y 7. *t R n m Dep fl. Y.

85b5 am Arr 11 ash National 4 00 nm Dep Mash National 9:20 am Arr Office.1717 H Stront Q /.'R an

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Ctand total (Arnt. to be Shown in item 29 Part 1)

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