ML19312D004
| ML19312D004 | |
| Person / Time | |
|---|---|
| Issue date: | 01/17/1979 |
| From: | Gilinsky V NRC COMMISSION (OCM) |
| To: | |
| Shared Package | |
| ML19312C990 | List: |
| References | |
| NUDOCS 8002080355 | |
| Download: ML19312D004 (3) | |
Text
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fg g, the U.S. NUCLEAR HECULATORY COMMISSI M A
Comptront osawr, u s.
[.. I TR AVEL VOUCHE R (Part 1)
j' Ie.',. t ]
i
. May 2.1912 a
N tCetprendit i301 for instrusetbns for enmpletin.y sm)
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(Do hot Remove Carbons)
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- 2. DivisenlOffice 3.
b po. Addrene code S. Name of Traveler verst too msvals and last name), rq {I
'M Code Voucher No.
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- o. ave bian=>
M O Nome O Orfice N Ameadment M O
- 70 int 00
_ M Osp='a' VI l'GILmSKY S"'
- o. c. Mamno Address (r.O. an, stree,., On,ce) ycuy,si.le
- s. 2. code T. nesid.=e iro ef.om 110L. JL-S.tu,f.c.et, siat.on (C,,y. s,a,e>
Mashington,a.D.se 20555w ~
OCW Ro eni r,om hem
.O al out eo rova and 0+- op-e (Csty, state) 9, From (MM DO YY) i 10. To: (MM 00 YY
._ltelheadau_no Washimiton,_ Dace 1-14-79 I l-17-79 )
j.,,.
NRC TO BE BILLED:
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it. Number Page 13.~ [nter.
14 edentification
- 15. Carrier or 16 Po'nts of Travel Covered by IT. Mode and
- 18. Amount.
Eath Page No.
Appro late TH No, invoice Rental Car flH or Portod of Car Mental Gass of Serv 6ce to be Balled Co'isacutevely Here etc (see instruo-Instrats)
-+
Type e
No.,
(Name or tMM 00 yy) pj f
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.c*I.:,R.
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t2. Number item TYPE Fath item CODES
~
'W ir From To Ca nescutively
~Beoinn6Y
/
A=TR
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, with "g r
Hound
" @ "; k Trip
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One f
RaTR
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Way n.",,a, C'..W/H%3 /N m
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'W71 DW c.,
D.
GE8AT E.
i Omer
- 19. Num,.ber of Amtng Blame if more spat.e le required for add 6t6,0nal ba.ttin0 ite,tems,se, th,o,er ms. u an th 20 Total amount g,beyiiedon 3gr,.j,f us d onini. P.o.
ror NaC.. and.m,.te liams in,u. and o.
p
- 21. Authorization
- 22. Traveler's Social
- 23. For Change of Duty Statson-indiv6 duals includou in this Claim:
No Sacurity No.
OA f00 in-u-no r,7 em,,o,s.
No 0, ehad,en A
,2 to 20.
- 24. Head Carefdaly'(tf voucher includes any of the and Parents e
fonoMag, more the appropnare besse):
O Eme'ovee sad Spov=e O voucher naciuose saared Coat (Ene'e'* da rett 2.)
O 89"u's Ha c' Chd'*a undo, 52 Consultant Traves Espename Claimd
- 23. Travet Advance (For Ortsee of CONTHOLLER Use) f utsedmg balanr4 3
Abandonment of Travel (Esplein in Perf 2.)
r O Comparetive Cosi statamaat inciudad
^ "ua beapa"*d
^^Ji I
(seve Taken in Conjunction with Trip (Esplain in Pprf 2.)
Balance to remain outstanding a-
'-(
""C"'""'""8"*'"*
'd""*
e' O Loca' T'ava' Q Additionai Vouchers will be Submittej "a n y i
O ae'uad Due ca unused Tica. andiar n.eund sii, (E,,iain in er. 2>
Rem 6ttance Attached in Amt of 8. !
-.12SM I
/
House Hunna0 Rmrc+-
Esamined by:
Date I i
,21. Actual Time in Trevet for
- 28. Schedule No. (For Ornce
- 29. Total Amount aimed
- 30. Total Fore'On Cosis
- 31. Net to Traveler (for Otttee l
Per OternCalculation of CONT 80ttER Use) included in item 29 of CONTROLLER Use)
.s 8
Days -
Quartere jg, 1
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.(signature of Traveler) -
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u (Dete) t l
- 33. #pproved. Long distance telephone calle are cart 4fied as r acessary.,.
- 34. Certified Correct and Proper for Payment w, j- + O 3,.g.,,.
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%y In the Anterest of the Govertiment.. '
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- 33. Account 6no Classification (For Ottice of CONTROLLER Use): e.use):
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'U' Otdect Object : J Object ;
Case Det a61 0 & R Claae Amount.
Ones Detail D & R Oase Amount Class D* tail R & R Oase Amount
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'g%risonment for not more than S years or both (to U.S C. 28t; id.1001).Fraudutent Gaim-Falsification of an 6 tem 6n an esponse account works a forfeiture I
o"if Lon0 Distance telephone calle are included, the approving officer must have been authorlied in wr6 ting by the head of the Department or Agency to ao certify u S C. snos).
j sEE nevtRst O! PAvss COPY von ratvACY ACT STATEMENT pgygg ggpy j
080 M
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l' 80
, IC Forrn 64.A (f.16 i
^ ' * ~ " -C ' " * ' ' TRAVEL VOUCHE7 (PART 2)
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(See N,jo,C A[o,eralis 13bl for instrsue.
^
Wor o Acor-ens c ;m m on.,s, o L.v,ai,U.s.
SCHEDULE OF EXPENSES R
p O.n n,,,yi,,j,,,,y, AND AMOUNTS CLAIMED
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PAGE NO.
OlV/ OFFICE 10 VOUCHER NO. l Name OEPART PROM OFFICE <
Osv.
$U S-U N 6 T (OATE)
(HOUR)
MM
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as 3
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1 70 00 V. GILINSKY 3
14 79
.X,?
DATE NATURE OF EXPENSE AUTHORIZED NUMRE F
AMOUNT CLAIMEO.'."A*3 MILEAGE OF M.
- 4r'eaQ, 4',2fb
[.. '(i 19 Rate
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t 1/14 Depart residence for Dulles via
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.g g U.S. government vehicle 4:00 p.n
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(Originally scheduled flight TWA 9425
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- g. gp departing from National Airport was cancelled due to closing of O'Haro
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l airport in Chicago. -TWA scheduled an 9, ep I
a1tornate flight departing from Dulles.
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f This flight was also cancelled because of
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the weather conditions at O' Hare.
TWA 7
l then provided overnight accommodations at the Holiday Inn. Tysoqs CoEner. Virginia The dining room at the Holiday Inn was closed, so traveller paid for dinner from own personal funds.
Transportation to Tysons Corner and return _to_Dulles the following day was via private auto.)
s 1/15a-Depart ' Dulled-UA #175 -
7:10 a.m.
ii Arrive Denver" v~'*e 9:00 a.c 4
Dsp' art *Denverb UA #349 10:00 a.m.-
m A2:' rive Las Vegas 10:42 a.n Pick uFHertzdrentia10cafU
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- Legislative Affairs m Present speech: um
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- DepartrLasivagas.foreLosiAngeles..m3:00-p.m.O%..
t A waiAmn-r Arrive Los Angeles 4200 o.m 1
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a Dulles - Airport - AM110 12240 p.m.
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TZ AVEL VOUCHER (PART 2l '
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4" 'YRC A Penr#x 1501 for instmc.(
P SCHEDULE OF EXPENSES
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toons for completing this fome IW AND AMOUNTS CLAIMED- \\s
-Do Not Remore Carbons) -
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- E N 3, OlV/ OFFICE 80 VOUCHER NO.
N.m.
DEPART FROM OFFICE
- DIV.
SUS-UNIT (D ATE)
(HOUR)--
MM C0 g.,
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[],,,,
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-2 70 00 V. GILINSKY, 1
14 79 X pg
.DATE NATURE OF EXPENSE AU THO RIZED NUMHER OF AMOUNT CLAIMED MILE AGE OF MILES
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Actual Expenses - Not to Exceed Q48.00 gz4 por day
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. -f F:Wt-n 1/14 Dinner S 9.00
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$ 9.00 9 00 7
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J/15 Lunch
$ 4.00 Dinner
$14.00 Hotel S36.04 S54.04 46 00h Official busines's tele-phone call, see listing on hotel bill
$ 2.01 2
01 /
/16 Breakfast
$11.10 1
I Dinner; 'i- 00
$15.00 i)26.10 26 r10 /
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