ML19291A732

Travel Voucher for 780610-17 for R J K Stratford of Commissioner Kennedys Ofc

ML19291A732
Person / Time
Issue date:	07/21/1978
From:	Stratford R NRC COMMISSION (OCM)
To:
References
NUDOCS 7905240728
Download: ML19291A732 (2)

Text

-

Mai2 K fM*aCu.S.

r.E.

TRAVEL VOUCHER (Part 1)

G CE is 1%T2 lb.:~-5.tC A ppenJLt 1301 for instructions for completing "=Drm) t

r..

w

%;~

(Do hot Remove Carbons) a R.v 1. "

mj'.AdoressCooe 4

S. Name of Travcer (Isrst rwo mst ass and lass siame)

2. oev.s ntorf.c.

3.

Qp Code vouctwe No.

m y O*> 0on*

4g Ameadment P*a** ofaa=>

a-s, Qk O 70 Wi on W Oso*c'**

NbYStratferd Yewn$v

~

s. a. Maaing Aodrena st.o. Bos, street er Ottae)

n. Cots, state cJZ20 Coce Vu *14 tw t tvs - hf tr &14 ~ ~t ev, nf 4C C R

7. fias.oence it oinerent from stem 6

s. Ott css Outy stat on (c,ty, asare)

- ~ ' Fci Traves and other Espensee pry, siste)

9. From (MM 00 W) l 10. To: (MM DO YY) tJuMcMm_D1 U whinnhn n f*-

rK lt? 7R I

M. 17 70

~

~~

NRC TO BE BILLED:

t t. 8*umoer Page 13. Emer ta. toontd. canon

15. Carrier of

16. Points of Trave 4 Covered by IT Mode and

18. Amount Each Page No.

Appropriate TR Ho., invoice Rentai Car TIR or Period of Car Rental Cass of Service to be Bitted Cormacutsveer Type Code

.No.,

(Name er (MM OD yY)

H.,.

u: <,0. ustrue.

on.risin s.ons)

12. Number 8 tem TYPE From To y

Eade item CODES Consecutrve4y

^"3 Ro T1

..TR P,,

THI S DOCUMENT CONTAINS ca, f 00R QUALITY PAGES c

Car De GERAT Em other

19. Number of B.11 ng items if more space is required for additional b!Iling items, use another

20. Total amount Listed on tfus Page L

Form NRC64, and complete items t thru S, and items 11 thru 20.

to be bdied on F

this pace

21. AuthorLtation

• 23. For Change of Duty 5tation-tr.dividuals included in this Calm:

No.

't P'M O Empioree No. o' Chiidrea Ases it io 20.

24. Road Careful:y ili M inctur-.

and Parents Employee and Spouse ibtromng, mart the appropriate bases):

Spouse No. of Children Under 12 O Voucher includes Shared Cast (Esplain la Part 1)

O Coa =usiani Tr=ves capaases ca>=ed

23. Trave Adv.nce (Fo, or,,ce o, CouraattEn Us,i iTC.A O Abaadoameat at Treves (E,pi.i.,n r.r:1) outstaaeta0 baiancu 8-

'I'I' 44 Cbmparative Cost Statement Irduded Amount to be applied 3

bb Laeve Takan in Conhscion with Trip (Esplaut la Part 1)

Balance to remain outstanding O e Tr= et 2a. (For otrace os CouTacLtEn use) eaaminer. onductions Q Addittoral Vouchers wdl be Submitted Refund Due on unused Tschat andlar Refund S;Ip (Emplain la Pt. 2)

Remkttance Attached in Arnt. of 3 8

O House HuntinD Examined by:

Date

27. Actual Time in Traves for

23. Smedule No. (For Ottice

29. Total Amount Caimed

30. Tctal Fore +gn Ccsts

31. Net to Treveser (For Ot/Jcie Per piem Calculation or CONTRCLLER Use) included in item 29 of CONTRottEft Use)

Days Quarters qqoji

.c f,*U"" O i

2. T2,s,..a ta,,ect Payment o, c,ed,t ha, not een,ece4ved-any free-toons of 02 e d,r) 0 (signature of Traveler)

(Dere)

33. Apprtrved, Long d. stance telephone calls are certified as mury

34. Certihed Correct and Proper for Payment in the Interent of the Governmeit.

U111 b[ F _ Manion 7/21/73 (siganturw of Appevvseg otticial) **

(Cete)

,(Authorized Cert!! ring Officer)

(Defe)

35. AaountinD Qassincation (For off,ce or CONTROLLER Use): r Use)-

ONa2 Obfect Object Cass Det ait B &.R Case Arnount Osss Det ail B & R Cass Amount Cass Detail B & R Oass Arnount a

^

?1 10 7021000 3345i, c

D E

F

'Fravoutent Ca.m-Falsefscat.on of an item in an encense account wor 1Ls a forfeiture of the claim (23 U.S.C. 2514) and may result in a fene of not more than 510.000 or emprisonment for not more tnan S years or both (18 U.S.C. 287; id.1001).

"If Long D stance telephone calls are enctuoed, the approveng off.cer must have been authorizied in writing by the head of the Capa:'tment or Agency to so cer1dy o1 u.s C. eass).

sEE REVEAsE OF PAYEE CC'Y FOR PRIVACY ACT STATEMENT ggggggg3gy9 97pggg ggpy 7905240 M 8

un e... u.. w e n.,.. U.>.

2.,

"* '.87 "'d '

KE AND AMOUNTS CLAIMED g

-oo Not Remore cerk_,rr s

,,y,,,

,y,

,y,,,,,,,,,,,,

des *A RT FROM OFFICE %a==

P A'C E N(f.

DW/CFFICE ID VOUCHER NO.

Name

?u.

s.

(D E)

(HOUR)

OtV.

SUS. UNIT O

i 1

70 00 R J K Stratfoni l

OPM NUMBE O AMOUNY CL. AIMED.

or -

NATURE OF EXPENSE A g g 2ED OAT @

i, 78 Rat.

e 6/10 LV Residence (GOA) 7:00 a.c.

/

LV Dulles Airport AA-663 9:15 a.m.

AR San Juan, Puerto Rico 12:56 p.e.

(Traveler could have taken this flicht on 6/12 - actual expenses start 6/12)

Airport to Hotel (Taxi - accompanied by R. Kennedy) 7 n0 6/12-- Attend SSEB Meetings w/Co=sissioner re.nnedy 16 6/17 Hotel to Airport (Taxi - accompanied by R. Kennedy) 7 0

LV san.!uan aa_Ac.a e 30-p.r,_

AR Dulles Airport 8:16 p.m, TRAVELER COULD HAVE:

/

1. v %n.

inn ra_ou n.ec - -

AR Baltimore Airport 1506 U Airnnet tn pac %nce (G0a}

,AR g:20 p,r, PFR DIP 4 6/12 Lunch 8.80 (Maxic:um - $69) ninnne o ;n Lodging 34.65-..

(Single rate 14 5% tax) 52 9

6/13 Lunch 3.00 fndging "td A4 37 gr 6/1A Iunch 1 00 Lodging 34.65 38 6

6/15 Dinner 13.00 Indging 14 AE s7 6/16 1unch n En Dinner 15.00 Indninn 'td.AG 6/17 innch 4_5n TIP9 To PODTFDS CAD AFFTCTEt_ pac 1'1,GET 6/10 Dulles Airport 1.25 S2" J"M Airport 2.00 (for-travelcr a ". Kcanedy) 6/17 San Juan Hotel 3.25 Sm J'.'2" 8irped 3.00 (for-travelcr & ".. Kennedj) 7--en Registration to attend SSEB Annual Conference 75 0

(raccintittsched)

I certify that the cost of dinner on 6/16 was for traveler enly 2nd-did not-include alcohoMc bcycrages i

cond total (Amt. to be Shown in Item 29. Part t)

{ See Reveese of Payee Copy for Privacy Act Statement ORIGINATING OFFICE COP

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