ML19312C997

Travel Voucher for V Gilinsky on 790729-30

ML19312C997
Person / Time
Issue date:	08/01/1979
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 8002080338
Download: ML19312C997 (2)

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@A$ed by the TRAVEL VOUCHER (Part U

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U.S. NUCLEAR HEGULATORY COMMISSION Comptioner oenws, u s.

Mai 2, 1972 X Appen<la 1501 for instructions for completing sm)

(Do hot Remove Carbons)

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1.

2. Divisamf orfice 3.

g3a. Addrest Coca S. Name of Travoier (##rst two searrets and lass name) y,7,-

&.[u#a Code Voucher No.

fvJ A

Armendment peave blano q.y'OA N ace t$g B.

e.

0 70 % 09 dosa=ial

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e. c. Ma.ung Address (P.O. flor. Street er Ottsee)

D. Qty. 5:ste

c. Zip Code WW=tx::, D.C.

20555r-O -c OCM, Docus MD3, E Street

i. Ree.dence.e Dinerent from si.m a

a. Otticial Duty stanon icery, siste)

For Trev* and oiner Enone=

N.:

m,w m w ~~ttu, D.C.

' 'b"Y) & T l * *6[jW)$'

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- - (O'T 3'*'*I NRC TO BE BILLED:

7 ta identification

15. Carrter or

15. Pomts of Travel Covered by IF. Mode end

18. Amount

19. Nun'bor PeGe 13. Enter i

Eacts Page No.

Approoriate iTR No., invo+ce Rental Car TJR or Period of Car Rental Qaea of Serv 6ce to be Billed Consecutrvely Type Code No.,

(Name or (MM DO YY)

Here etc (see instrue.

Initoals) 4 r.J,..

k, 1 ficest e in f -

12. Number item TYPE From To iF

.r 1:acti stem CODES c*"=",'g*r i

A. TR c 53935a70 2 nexts 07/29/79 07/30/79 723.42 --

k s' Hound Trip l ~~

BeTH one Way l

C=

Rental Car De GEJAT Em other

19. Number cf t$lil6pg items if enore space is requ6 red for additional batting items, use another

20. Total amount n.

.Osted on thee PaGe L

Form NRC6a, and cornplete items 1 thru S. and items 11 thru 20.

to be billed on F

this page s

1

21. Authorization

22. Traveler's Social

23. For Change of Duty Station-Individuals included in thee Ctalm:

I No.

Secu* tty No.

th1PM I*Ib b=UO47 C Employee No. of Children Ages 12 to 20, and Parente

24. Reed Carefulsy (it' vouch'er includes any of the Q Employee and Spouse j... Following, mark the approortale bones):

Spouse No. of Children Under 12 Q Voucher includee Shared Cost (Emptain in Part 2.)

Conauttant Travet E=pensee Calmed

25. Travel Advance por Ortsce of CONTROLLER Use)

S 3b4.99 I Abandonment of Trevel (Erplain in Part 2.)

Outstanding balance S

62 m O Comparative Cosi Statemeat inceuded Amouat to be appi,ed

$ 3D "

salance io rem =>a outstaadiaa

. O Laeve Taisea ia Coalunctica -tin Trip (E,piam en eart 2.)

26. Vor Ottice of CONTROttER USE) Eneminer's Deductions g Local Trevel Q Additional Vouchers w't be Submitted a

b : O Rotund Due ort unused T1chet andler Refund Slip (Esplatn in Pt. 2) l g

Q Remittence Attached in Amt.- of 5 I

r

'r r

S House Hunting

' s., '

I Date Examined by:

27. Actual Tirne in Trevel for

25. Schedute No. For Ottlee

29. Total Amount Gaimed

30. Total Foro6gn Costs

31. Het to Traveler (For Ottlee of CONTRMOR Use)

, n.

Included in item 29 C Pen 06em Calculation of CONTROLLER Use)

. Day.

Ouart.e S62.00 2""'

• ""*r**"'*''"*'""'***"''d' SI 2 f*',"or "* Oi S.

any tree-

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, };Jgg p,ggp (6ete>

-2 u A k

' ~O3 (Signature of Treveler)

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33. Approved. Long onstance telephone calle are certified as necessary

34. Certihed Correct and Proper for Payment

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en the interent the Government

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c. w,.w wa.n..

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. ($seneture el Approving Otticial) "

(DaE)" ""

Louthorfted Certifying Otticer)

(O*t*)-

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35. Acteunting casetticatan For Ottice of CONTROLLEn Use): r Use):

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.'a Ot4ect ObMet OtWect Case Detail B & R Clase Amount case Detail B & R Case Amount Case Detail B & R Qaes Amount 3

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' Freudvient Qasm.-Falsericateon of an item in an esponse account works a forfeiture of the cJaim[28'U.S.C. 2514) and enay result 6n a flee of not more than $10.000 or

4. Imprisonment for not more than S yeare or both (18 U.S.C. 287; id.1001).

4 i

"If Deetance te6eomone calle are included, the approving officar must have been authorized in writing ty the head of the Department or Agency to so certify.

l Q1 U.S.

Geos) f-.df_t'.

GlNATlNG, OFFICE COPY ~....

set nevense Or PAYst COrY FOn enovaCY ACT sTATEutNT.- ~. ~ -

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x-wa==

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8002080 0 g.

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~ TCAVE L VOUCHEl (PART 2)-

. NNCForm 44 A $S.74) anyc Aoens a veno (Ses N,gon, A ppemlis 13,01 for instrue.

RC comentoner Gener:e. u.s.

SCHEDULE DF EXFENSES 1 go,,,p a 1;;,,yg, go,m g

AND AMOUNTS CLAIMED

-oo nor a,more carbone) 1 PAGI NO.

DIV/ OFFICE 10 -

VOUCHER NO.

Name DEPART FROM OFFICE DIV.

SUS-UNIT (DATE)

(HOURI -

M M.

DD VV g.

a AM

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70 00 V CTT.T'MKY 07 29

'79 3,u -

-CAT 2 NATURE OF EXPENSE AUTHO R t ZED NUM9ER OF AMOUNT CLAIMED o.'rt..tf MILEAGE OP MILES

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i, 79 R.ie e

^7h WM

• %g.4 7/43 Depart pnairlemos via U.S.

9 NN i?

GoveE+n=nt vamr"a 4:Ju pu

.,c ;fy

, ', - Mt('i Arzive Nadim=1 Air;:crt_

v2a LA-tyu J:JJ pn Depart hatte==>

a gj Arrive Dostcm, IN 4:47 pa 4&.

i Picr Lp Fantal Car-3g.uf, N

.:~.vg 7/30 Attend Nestinty at stcne Es hebstar

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Return par +mi Car Depart Boston via DD-211" 4:00 pa

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Arrive Natirmal Airport 5:10 pa

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Depart m+irmm1 via U.S.

s Goverrmant Vahir lan Arrive NIC H St. Nfir a 5:50 pa j\\CtDal, I'r ; -- - - - P I a imari3 (not to Eh $50 per day)-

7 729 Eotal - 451.79 do ao Pa>+4na at Ibtal 5 00 ' V 7/30 DrCrfaat _.

5 00 t

Taxi - Dotal to Stone & Webster 2 00 L

i eDnminean Finimbad earlier than a5+1-i therefore e-miy*+ next F1 W< to D.C.

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