ML19312C991

Travel Voucher for V Gilinsky on 791115-16

ML19312C991
Person / Time
Issue date:	11/16/1979
From:	Gilinsky V NRC COMMISSION (OCM)
To:
Shared Package
ML19312C990	List: ML19312C989 ML19312C991 ML19312C992 ML19312C993 ML19312C994 ML19312C995 ML19312C996 ML19312C997 ML19312C998 ML19312C999 ML19312D000 ML19312D001 ML19312D002 ML19312D003 ML19312D004 ML19312D005
References
NUDOCS 8002080310
Download: ML19312C991 (2)

Text

{{#Wiki_filter:I i ~~ ( A i ~ @3%,, gn, U.S. NUCLEAR REGULATORY COMMISSIO Comptroner oeneres, u.s. TRAVEL VOUCHER (P2rt 1) l May 2,1972 ( K' Appendix 150 or instructions for completing srm)

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I s ~~.: i) (Do or Remove Carbons) '~i 1.

2. DevisionIOffim 3.

~ ~ 4. Addre" Code S. Name of Travetor tFsrst two mrrrais and last name) M,f, " - s.,";* "8 v.oucher No. Code o ev. biank) OHome DOnice . Amendment O

• '70 5,"n't00 Osv 7 fllGILESKY S. a. Masting Addrene (P."

Soz, Street er Office)- D. City, State C. 2.ap Code g. f. CC?I. Rooin i 73,II Streets Washinnton. D.C. 2055 W 4

7. Residence 6f D6tt'Fent from its e 6

6. Official Duty Station (Caty. State)

For Trave 6 and Other Exponese ^ . 4.g ct Stere

9. From (MM DD YY) l 10. To: (MM 00 W) a 4%w (CirSe th)esda MD -

Washino: ton, D.C. 11/ts/79-i 11/16/79 / NRC TO BE BILLED: @fy

11. Number Page 13. Enter.

14. Identificatlon

15. Carrier or

16. Points of Travel Covered by

17. Mode and

18. Amount Each Page ten.

Ap late TR No., invoice Rental Car TIR or Period of Car Rental Class of Service to be Billed Consecutively Type No., (Name or (MM OD YY) . V f., Here etc (see instruo-Initials) 4. :.a ^. > } tions) y lg..

12. Number item TYPE From To

'_C.' v Each stem CODES Conescutively .../ ';. Beginny A = TR .W Vs t-4 with "1* ' Round Mi. Trip S=TR One Woy e Cs. i Rental J gag De GE8AT j Em Other j

19. Number of Baling itema If more space is required for additional billing items. use another

20. Total amount Listed on this Pace L

Form NRC64, and complete items 1 thru 5. and items 11 thru 20. to be billed on F. .this page l

21. Authortzation

22. Traveler's Social

23. For Change of Duty Station-Individuals included in this Claim-N Security No.

@ hor; --"'o see <. - a n r -' Employee No. of Children Ages 12 to 20. and Parents 2a. Read Carefully'(It v"ouYher includet'dfbt 11Te'_ ' * ' e following. mark the appropriate boxesp ; Employee and Spouse O voucher inc'udes shared Coot (Emaiein in eart 2.) ' O Spou'* No. of Children Under 12

23. Travel Advance (For Offsce of CONTROLLER Use)

O Coasuitaat Traves Expeases caimed ec outstaadias balance 8 - -- O Absadonment of Travei (Erotain in eart 2.) .r ru..., v Amount to be applied. ,,..,8 Comparative Cost Statement included o-U.uu - O L eve Takea ia Conjunctica with Trip (Ex,<ern in cert 2.) - saiaace to remaia outstandino -- m% Q Local Trnwel 25., (For Offsce of CONTROLLER USE) Examiner's Deductions. ..,,..,...r..... % ao, Addit onal Vouchers will be Submitted ., y.4,vne,w. g. I O ne'u' ti Due oa unused Ticiiei andior R.eund siip (E,,s.in in er. 2) C 6..atance Attached in Am,t. of $ [ ! __g,,.,,,,, m ^ ~ - Examined by: G.f' Date - ' pfs e frfg Q House Hunting J m

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27. Actual Time in Travel for

28. Schedule No. (For Office

29. Total Amount Calmed

30. Total Foreign Costs :

31. Not to Traveler {For'Ottice Per DiermCalculation of CONTROLLER Usa) included in item 29 '

of CONTROLLER Use) L E- Jh 'A ^ C 'M.M Q' ^

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.w: -m u - C' e f, ( y p, f Daye - ' Ouarters ' G r ; e /: % c: 32, Certifred' corr'ect Payment os credit has not been received

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3 $ag,,7. 'p p l O2 - M' Ji M ^I ;l '"95 " I;P!d G #20U WEA II0 I3 3JEL69 C'I 3L43DDM$"' b$7V j l t ~r'

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one n. h n.c c'o r '(s.,aenae ursr,a"pteri,._ "... 11/(oeiev / ti 3 e dort M )

34. Certified Correct and Proper for. Payment

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33. Approved Long d6etance telephone calle are certified as n===ary e e.

-%. -* - r. a i, c _. MCLA.,O. MUW.,.4h b' in tne interest of the Government. a A - ,w.~. ,.1...,, u ur acq orpst Cpsuau oz.ucoce pecu-se,e M,. ,hff l m Whoma s.m WUcquo z.uAH.cxbsuzw bst, qtt .. ~,

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..._,,,-...-.~.,.,.....o. m m. S 1Qsg%i*r2k'-Wontelet) " .L Mte) / /11 (Authorized Certitying Otticer) (Dere).. u ^N I

35. Accounting Cassificatiert (For Office of CONTROLLER Use): r Use):

h Ii l f' ~ .J .? Oclect pt A ')D" .O C ('~ E ObMen G N 'l 8 W Gt fP o . Otdoct.,. 6 Oaos Detail B & R Oase Amount Case Detail B & R Clase Amount Cass Detail B & R Case Amount < '. p 's,,g,p 4 7a y..c r. .&q t.a g peo . gyga g

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'E J10 > > VCTjOU ? % It3 Mi FAW ' O 'f J W WPLf'@M { D Fraudvient Ciesm-Faisitication of an tism in an.. pens. account worms a forfeiture of ine erarm (28 u.s.C. 2s14> and may resuit in a fine of.not more tnan sio 000 or imprisonenent for not more than 5 years or both (18 U.S.C. 287;'id.1001). " ' ~ [ "If L ".E Distance telephone calls are included, the approving officer must have been authortred in writing by the head of the Department or Agency to so certify p1 u.s esos). -8002000 ] 0 PAYEE COPY - l SEE MEVERSE OF PAYEE COPY FOR PRIVACY ACT STATEMENT

( ' * ' ""* *7'".T;: AVE L VOUCH 1~JIFARl' 21~~} W'M,' .N. ~,"'~~M~F b < * % @ y -~ SCHEDUL'E 0l' EXPENSES *'. -' a-.

• ' Met NRC APPemlWl301 for instmc.s..

-~ Iloors for wmpleting-this fome? s ~~;-. AND AMOUNTS CLAIMED -Do Not Remon CarbonsP, - '-~~s. g TA13 NO. DtV/ OPP 8CE lO VOUCHER NO.. Name DF.PART PROM OPPrceae! ,y -e (HOUR). g.i Olv. SU S-UNIT (OATE) MM 00 YY % M i AM ~.& 1

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. n .e 2 '70 b6 VGDRbXY' 11 15 79 Da ' en DAT3 NATURE OF EXPENSE AU T HO R t z ED NUMSER OF AMOUNT C1.AIMEQ +=T MILEAGtt OF MILES -/

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4 .st n 79 asie 2;$ "f .11/15 Depart residenc, via U.S. enuar mone unhi,#n oenn nn e + - rrive National. Airport 9:45 am A^ 7i v A T o.m. m ei nn n t win AT 9no 1neln m Arrive Providence, RI 11:15 au y g '11/16 Leave Providence via:AL-71 7:27 cm 4.?,7% An ive Heinnni 8:35 nn ' e Depart National via U.S. 3:45 am - @Wr novermont vnhicle Xrrive Office 9:10 am h r w Expenses claimed (not to exceed $50 per day) Tid N m

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