ML19312D003
| ML19312D003 | |
| Person / Time | |
|---|---|
| Issue date: | 02/24/1979 |
| From: | Gilinsky V NRC COMMISSION (OCM) |
| To: | |
| Shared Package | |
| ML19312C990 | List: |
| References | |
| NUDOCS 8002080353 | |
| Download: ML19312D003 (3) | |
Text
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U S. NUCLEAR HEGULATORY COMMISSI a'
. comptroeier ceaerr, u.s.
I TRAMt. VOUCHER (Part 1)
. y Mes 2,1912 N.
tC Appemin I, tJinstructlant for compIrti orm)
L.
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(L..ot Rrmano GarMns) 4 Address C4e S. Name of traveser Varsf two snittais and last name)
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- 2. Divis ont Office L
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n v4 V.outher No.
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Ornce 7
Code y " ca c ev. Diana) e.
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- e. a Ma.i.no Addreae (P.O. so. s,ree, or Ornce) to. c.iy, siate e z cuo, Oct, Iloosa 1103, II-Stro.et:
Washington, D.c.
205'n i t, emeidence it offG~ent from nem e
- s. otticial outy siai on g,iy Irete)
For frevet anf0Eer opensee
- (Qty, state)
- 9. From (MM 00 YY)
Detnesda, MD Washington, D.C.
2_qn.79 l 10. To:2-24-79 )
IMM DD YY NRC TO BE BILLED:
4
- 11. Numbo' Pace 13. Enter 14 loontificat6an
- 15. Carrier or to. Points of Travel Covered by it. Mode and te. Amoved Each Page No.
Approor6 ate TH No., invoice Hental Car Tf H or Period of Car Hental Case of Serv 6c4 to to tittled Conomoutively Type Code No, (Name or (MM 00 YY) k nonal
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Her e etc (sne Instrue.
Initials) it. Number stern TYPE From To 1r f ach stem CODES N
N N
"a "
A
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Trip
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B.TR One Way 5
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Renrol
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Car av 1
De GESAT
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L Em 4
Other
- 19. Number of t$illing items if more coace is required for addettonal talieng items, use another (20 Total amount Ito Form NHt64, and complete iteme 1 thru S, and 6tems 11 thru 20.
oni.be.twi. led on Listed on this Page po
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- 21. Authorliation
- 22..' rave #er's Social 23 For Change of Duty Station-Indev6duale included in thne Gaim:
6 N
Security No.
I 'M-M - R fi n~7 O Cmployee No. of Children Agee 12 to 20.
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~24. Head Carefutly (It voucher includes any el the
[*P'*Y** *** 00****
fonewang, nearn fne appropriate besee).
E Voucher includee Shared Cost (Esplade in Part 2.)
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Na a' cad'*a under i2 j
b Consultant Travet Esponene Ctalmed
- 25. traves Advance vor Othee of CONinoltlR Use) 8 Aba ndonenent of Travel (Esplein in Part 2 )
Outstandin0 twance Z,00
[. O Cor'parative Coat statemaai inc'uded
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717;
. O Laeve Taken la Conjunction with Trtp (Empton la Part 24 Balance to remala outstanding M, U-l
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Additional Vouchers will be Submitted i
S O ae'uad ou* oa unu.ad Tichei endior R. fund sup (e,pi.en en Pt. 2)
Q Ren.ittance Attached in Amt, et 8 l
e ' 'o,,,j/c/77 yOH'==Hua"a0 i
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b. 27. Actual Time in Travel for
- 28. Schelute No. (for Othee
- 29. Total Amount Caimed
- 30. Total Foreson Costs
- 31. Het to Treveier vor Ornce gi-Por Osem Calcutelion of CONfMOLLER Use) included in item 29 of CONTROLL48 Use) s osv.
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- 32. CIsthtTeJcorrect Payment or credit has not been receeved*
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any tree-
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,. 33, Approved. Lane distance telephone calls are certified as necessary
- 34. Certified Correct and Proper for Payment
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- in the interest of the Oerernment.
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C $ 1 I Y* R h y ; f r w etftI e et I M n T*
.[ _ (Sognefore of Apposeving OMIctal) **
(Dere) f (Authomed Certtrying Orncer)
(Dete) - s.
- 35. Accounting Onassfication (for Ortsce of CONTMOttEM Use): r Uself
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ONed ONact ONact Ones Detaal 8 & R Oase Amount.
Claes Dataal fl & R Dame Amount Oase Detail n & R Onee Amount A
21 30 7021000
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D 'Freudu6ent Cinm-Faasification of an item in an esponse account works a forfeature of the claim (28 u.S C. 2S14) and may result 6n a fine of not enore than $10,000 or i: imprisonment for not more than S yeare or botFt (18 u.S.C. 28F; ad.1001).
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ll Dettance telephone cans are included. the approving officer must have been authorized in writin0 by the heej of the Department or A0ency to no cer16fy as u s eson).
j sea aveAsa or rAyes COPY P04 PAfVACY ACT STATIMENT
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ORIGINATING. OFFICE COPY 4
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YIAVEl. VOUCHE~l (PART 2)
..-m-Form 64A p.r63 g
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SCHE 0ULE OF EXPENSES (See NRCAppemile D01 forinstmes For comoera
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ison, go, compuerin, uni,
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AND AMOUNTS CLAIMED
-Do Not Remore Car s)
FAGE NO.
OlV/ OFFICE 10 VOUCHER NO.
Name DEPART FROM OFFICE 06V.
SUtB UNIT (OATE)
(HOUR)
.-- : N.YY MM' 00 AM
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1 70-00 V. GILINSKY 2
20 79 r.,
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I DATE NATURE OF EXPENSE AUTHO R e ZEO NUMBER OF AMOUNT CLAIMEO MILEAGE OF MILES
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$9 Rate 4
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t.a ACTUAL TRAVEL CLAIMED 2/20 Depart office for Dulier. Airport M tc via U.S. Government vehicle 2:00 p.m.
gy.g Depart Dulles Airport on u> M AA #115 4:15 p.m.
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Arrive Phoenix, A:ll 7:06 p.m.
Pick up rental car 7:30 p.m.
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2/21 Attend Palo Verde _Licensinq
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Hearing Return rental car 2/23h97:16 3
ACTUAL TRAVEL NOT CLAIMED
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T/21 capart Pnoenix, AZ on TWA #150 11:00 p.m.
Arrive Albuquerque, NH 1:00 a.m.
2~/22 '
Annual leave 2713-Annual leave
( 2/24 Depart Albuquerque, HM on #98 AA 10:30 a.m.
Arrive Dallas-Ft. Worth 12:54 p.m.
Depart Dallas-Ft. Worth on' AA #152 1:50 p.m.
Arrive Dulles Airport 5:30 p.m.
Depart 2i v rt via U.S.
Goverzunant vehicle 6:00 p.m.
g,z Arrive residence 6:45 p.m.
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/.-d COMPARATIVE TRAVEL CLAIMED
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2/21 Wou1d haVeTiAd to ramalA~1n Phoenix over--
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.1 coincide with and of meeting schedule.
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Would have taken first available flight mydf
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...~n 2/22 Depart Phoenix, As on AA #112-9:35 a.m.
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Arrive Dulles Airport 3:39 p.m.
g g a.W.w.f Depart airport via U.S. Govern-meng vehicle 4:00 p.m.
NE-Mhal Arrive residence 4:45 p.m.
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q SCHEDULE OF EXPENSES Nec conm as
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Faso A s sn n
0 AND AMOUNTS CLAIMED
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- e CAc3 NO.
OtV/ OFFICE IO VOUCHER NO.
Name DEPART FROM OPPICE O t v, SUS-UN6T (OATE)
(HOUR)
MM DO Y.Y
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AM 2
'70-00 V. GILINSKY
'2 20 79 r;a.
LAI PM CATE NATURE OF EXPENSE AUTHOHI *ED NUMHER OF AMOUNT Ct. AIMED -.-
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N 4.w(l, m,:b,.y.hk,';.. ORIG.lNATING - 0FFICE COPYf "@
s a or Pay.. Copy for Prfmy Act Statement
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