ML19291A734

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Travel Voucher for 780911-14 for Commissioner Ahearne
ML19291A734
Person / Time
Issue date: 10/19/1978
From: Ahearne J
NRC COMMISSION (OCM)
To:
References
NUDOCS 7905240751
Download: ML19291A734 (2)


Text

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(Do Not Remove Carbons)

e. Address Coco S. Narne of Tra.eser (Fars t.o m,#. ass a.n.d #a,s.s naa.e.)... <. 11,.
2. Desmon #0tf.ce /

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6. ave w, aa=. Owome Go'6 ce

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5?00

. _ Osoecias J l Fl Ahearne MWO

  • 70 f
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o. C.i,. siais
c. 2. Cooe NRC Com Ahearne. FLAIL STOP H-ll49 Mash. D C-705'M

. Res. der ce of Otterent from hem 6

8. OtticJa8 Duty stanon tc,ry. $ sere) for Traves and other Empenses
f. sty. Siete)
9. From (MM OD W) l 10. To: (MM 00 W)

Wash DC 9/11/78 I

4/14/7R NRC TO BE BILLED:

8. NumDer Page 13. Enter
14. Idenutication

,15. Carrier or

16. Points of Travel Covered try 1T. Mode and
18. Amount M Pale No.

Appropr6 ate TR No., invoice Rental Car TlR or Period of Car Rental Qass of serv 6ce to be Balled M 8 scut*8 y Type Code No..

(Name or (AtM 00 YY)

Here etc (see instrue.

Initials) tionsi

2. Nurnber iteen WPE From To

,P

ac.h itsm CODES hwcu:1vely leginning A.TR aan -r-Round Trip B.TR One Way THIS DOCUMENT 'CONTA NS C.

Rental POOR ( UAUTY PAGES Car o.

GEBAT E.

Other

3. Number of Bill ng items if more sr. ace is required for additional billing items, use another -
20. Total amount Listes on this Pace U

Form NRC64 and complete items 1 thru S. and Items 11 thru 20.

to be tWHed on V

this pace

21. A thort2ancy'
22. T let's social
23. For Change of Duty station-individuals included in this caim:

8KLOO 040-26-9803 O Empioree No. of Chudron Ages 12 to 20.

and Parents

4. Read Carofuity (11 voucher includes any of tie O Ernp'or=< end spous=

follouring, mark the approp4 ate bones):

O 8 o=$*

No. of Children Undes 12 9

] Voucher Includes Shared Cost (Empfala fit Perf 2.)

25. Travel Advance (For O/tice of CONTROLLER Use)

] Consi.! tant Travel Expensee Caimed S

300_00

] Abandonment of Travel (Esplein la Part 2.)

Outstanding balance 8

0

] Comparative Cost Stolement included Amount to be ' applied 8

300 00

] Leave Taken in conjunction with Trip (Esplass in Part 2.)

Balarce to remam outstanding

26. (For Office of CON TROLLER USE) Examiner's Deductions

} Local Travei

] Add.tional Voucheri wnl to Subanitted S

] Refund Due on unused Ticket and/or Refund Stip (Esplain la Pt. 2)

] Remittance Attached in Amt. of S l

Examined by:

Date / W J[

2T. Actual Time in Travel sor

28. Schedule No. (For Office
29. Total Amount %ed,
30. Total Foreign Costs it. Net to Traveler (For Ocice Per Diem Calculation et CONTROLLER Use) included in item 29 of CONTRQ1, F Use) cuys Cuarters (77 pp

//

f '"'

32. Certained Correct yrr4t or credit has not received
  • 8' g

any frec.

%'ri' D'

nha N I4 7<Y i

f ' "(sighaturVoh'raveler)

(Date) /

.3, Approv=1. Long distence telephone calls are certified as necesaary l Qrtified Correct and Proper for Payment in the interent of the Co nment.

/d /7 7P f

G ate) l (Authorized Certifyiny Cilicer)

(Date)

((gature af Npproving Ollicial) **

35. Aucunting Cassification (For Office of CONTROLLER Use): r Usu).

Ohlect Obiect Object d ass Det ait B & R Qass Amount Qass Dat att B & R Cast Amount Cass Detall B & R Cass Amount B

C g

yg n

A O

E F

Fraudulent Cta.m-Falsat. cation of an item in an espense account works a forfeiture of the claim GS U.S.C. 2514) and may result in a fine of not rnore than Si3.CO) ce norecameat for not more inan 5 years or both (is v.s C. 2st; id.1001).

  • 18 Loag D. stance selephone casts ce included, the approving officer must have been authorized in writing by the head of the Department or Agency to so ce<t fr si u s.C. Eacal.

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b peo.

, osvfoFFsCE to

%#%T FROM Om VOUCHER NO.

Name A

l OUR)

Ot v.

SUSUNIT pu oo yy r

AM

-2 70 C9 J. F. Ahearne 9

11 78 5:30h*"

OATE NATURE OF EXPENSC A

A ZED NUMBE OF AMOUNT Ct.AsMED is 78 aat-9/11 Dep Ofc, H Street 6:30 pm Arr tlash National s.gn n-Dep Wash National (UA-989) 7:56pm Arr Knoxville. Tenn-o.1n n-

' ~ ~ "

Limo to Hotel

/

PURPOSE: Attend Annual Meeting Atomic Safety & Licensing Board Panel.

^lso discussion: On recctor desi;;n st;dic.

St)@/

Dep_Yrere!1l e (Up,838) 6:05-pm Arr Wash National 7:19 pm non track th Hnn,1 7:45-pm Arr Residence, ficlean 8:30 pm Actial Fynonene-9/11 Limo airoort to horn 1 t7 pg 7

25 Dinner 3.75 3

75

~

Lodging a m 4'o o f _ 19.08 19 08 Official phone call to h I' l.89 1

89 45 Subway to Airoort ag

'9/12 Breakfast 3.43 3

43 Lunch 3.00 3*

00 Dinner 12.07 12 07 Lodgina 19.08 19 08 9/13 Breakfast

.37 37 Lunch

.35 3

9/13 Taxi-National Airport to Rosslyn, 6.00 6

0 Va.

Bus-Rosslyn to Residence,!! clean

.50 5

(

$ chb L $

Af ba 0 5. ?$YV d,& cG -t cha D.i3

< e ti.e f

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Wfuhso YWr! / l b b Grand total ( Amt. to be Shown in item 29. Part Il C.77 2

See Reveese of Payee Copy fcr privacy Act Statement O yC[N,Q

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