WPC  77WPC >?tA: ?7R @ZD?~OrD?O?O?N3?uO?O?O!?NZq?"==8? =<(^oZ7>$  (  (Untitled)'3,, , ,   UB ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P* * c:\inf42\forms\ad202.wpf c:\temp\ad202.wpfUS&&&&&&&& >h?f eh Terminal 1 ! d !  d      Terminal eb Arial " ! 2     d    Arial ev Times New Roman  ! 2 F  d    Times New Roman ez WP IconicSymbolsA  ! q !  d    WP IconicSymbolsA ex Helvetica-Narrow " ! &     d    Helvetica-Narrow eb Roman  ! 2    B    Roman eh Helve-WP " ! ?     d     Helve-WP ej Wingdings  ! } F  d     Wingdings eX  ! ? !  d     eh MS Serif  ! ? !  d     MS Serif ed Modern 2 ! 2    B    Modern ej Bodoni-WP  ! ? !  d     Bodoni-WP er MS Sans Serif " ! ? !  d    MS Sans Serif ed System " ! XS  d    System er CG Times (WN)  ! ? !  d    CG Times (WN) ef Courier 1 ! d !  d     Courier en Univers ATT " ! ? !  d     Univers ATT ep Times CG ATT  ! ? !  d     Times CG ATT ep Arial Narrow " ! &     d     Arial Narrow en Courier New 1 ! KL    d      Courier New ?gAd A{?7z jV c:\inf41\database\ AD202.DBFhistory   i(ACTCODE     h ACTCODE i%Date     h DATE i)TRVLAUTH     h TRVLAUTH i$SSN     h SSN i)LastName  -   h LASTNAME- i*FirstName  (   h FIRSTNAME( i&MInit     h MINIT i*AGNCYCODE     h AGNCYCODE i'AGYCON     h AGYCON i(TRVLCON     h TRVLCON i(FrmDate     h FRMDATE i'ToDate     h TODATE i)TYPETRVL     h TYPETRVL i*CRDTHOLDR     h CRDTHOLDR i)TRAINDOC     h TRAINDOC i(OFFCSTA     h OFFCSTA i(RESCITY  #   h RESCITY# i*PAYROLLED      h PAYROLLED  i)NOTPAYRD      h NOTPAYRD  i(NEWHIRE      h NEWHIRE  i)SPECAPPT      h SPECAPPT  i(NONGOVT      h NONGOVT  i(T_1[A1]     h T_1_A1_ i(T_1[B1]     h T_1_B1_ i(T_1[C1]     h T_1_C1_ i(T_1[D1]     h T_1_D1_ i(T_1[E1]     h T_1_E1_ i(T_1[F1]     h T_1_F1_ i(T_1[A2]     h T_1_A2_ i(T_1[B2]     h T_1_B2_ i(T_1[C2]     h T_1_C2_ i(T_1[D2]     h T_1_D2_  i(T_1[E2] !    h T_1_E2_  i(T_1[F2] "    h T_1_F2_  i(T_1[A3] #    h T_1_A3_  i(T_1[B3] $    h T_1_B3_  i(T_1[C3] %    h T_1_C3_ i(T_1[D3] &    h T_1_D3_ i(T_1[E3] '    h T_1_E3_ i(T_1[F3] (    h T_1_F3_ i(T_1[A4] )    h T_1_A4_ i(T_1[B4] *    h T_1_B4_ i(T_1[C4] +    h T_1_C4_ i(T_1[D4] ,    h T_1_D4_ i(T_1[E4] -    h T_1_E4_ i(T_1[F4] .    h T_1_F4_ i(T_1[A5] /    h T_1_A5_ i(T_1[B5] 0    h T_1_B5_ i(T_1[C5] 1    h T_1_C5_ i(T_1[D5] 2    h T_1_D5_ i(T_1[E5] 3    h T_1_E5_ i(T_1[F5] 4    h T_1_F5_ i(T_1[A6] 5    h T_1_A6_ i(T_1[B6] 6    h T_1_B6_ i(T_1[C6] 7    h T_1_C6_  i(T_1[D6]! 8    h T_1_D6_! i(T_1[E6]" 9    h T_1_E6_" i(T_1[F6]# :    h T_1_F6_# i(T_1[A7]$ ;    h T_1_A7_$ i(T_1[B7]% <    h T_1_B7_% i(T_1[C7]& =    h T_1_C7_& i(T_1[D7]' >    h T_1_D7_' i(T_1[E7]( ?    h T_1_E7_( i(T_1[F7]) @    h T_1_F7_) i)PURPTRVL A P   h PURPTRVLP i(T_4[A2] B    h T_4_A2_ i(T_4[B2] C    h T_4_B2_ i(T_4[C2] D    h T_4_C2_ i(T_4[D2] E    h T_4_D2_  i(T_4[E2] F    h T_4_E2_  i(T_4[F2] G    h T_4_F2_  i(T_4[A3] H    h T_4_A3_  i(T_4[B3] I    h T_4_B3_  i(T_4[C3] J    h T_4_C3_ i(T_4[D3] K    h T_4_D3_ i(T_4[E3] L    h T_4_E3_ i(T_4[F3] M    h T_4_F3_ i(T_4[A4] N    h T_4_A4_ i(T_4[B4] O    h T_4_B4_ i(T_4[C4] P    h T_4_C4_ i(T_4[D4] Q    h T_4_D4_ i(T_4[E4] R    h T_4_E4_ i(T_4[F4] S    h T_4_F4_ i(T_4[A5] T    h T_4_A5_ i(T_4[B5] U    h T_4_B5_ i(T_4[C5] V    h T_4_C5_ i(T_4[D5] W    h T_4_D5_ i(T_4[E5] X    h T_4_E5_ i(T_4[F5] Y    h T_4_F5_ i(T_4[A6] Z    h T_4_A6_ i(T_4[B6] [    h T_4_B6_ i(T_4[C6] \    h T_4_C6_  i(T_4[D6]! ]    h T_4_D6_! i(T_4[E6]" ^    h T_4_E6_" i(T_4[F6]# _    h T_4_F6_# i(T_4[A7]$ `    h T_4_A7_$ i(T_4[B7]% a    h T_4_B7_% i(T_4[C7]& b    h T_4_C7_& i(T_4[D7]' c    h T_4_D7_' i(T_4[E7]( d    h T_4_E7_( i(T_4[F7]) e    h T_4_F7_) i(T_4[A8]* f    h T_4_A8_* i(T_4[B8]+ g    h T_4_B8_+ i(T_4[C8], h    h T_4_C8_, i(T_4[D8]- i    h T_4_D8_- i(T_4[E8]. j    h T_4_E8_. i(T_4[F8]/ k    h T_4_F8_/ i*TtlSubsis l    h TTLSUBSIS i+POVRateCk1  m    h  POVRATECK1  i)POVRate1 n    h POVRATE1 i)POVRate2 o    h POVRATE2 i)POVRate3 p    h POVRATE3 i)POVRate4 q    h POVRATE4 i(RATEAmt r    h RATEAMT i'OthChk  s    h OTHCHK  i(OthSpec t    h OTHSPEC i'OTHAMT u    h OTHAMT i)UnAccBag  v    h UNACCBAG  i)UnAccAmt w    h UNACCAMT i*CARRENTAL  x    h CARRENTAL  i+CarRntlAmt y    h  CARRNTLAMT i*COMMONCHK  z    h COMMONCHK  i(CommAmt {    h COMMAMT i*TRANSPORT |    h TRANSPORT i*METHODPUR }    h METHODPUR i)USENONCK  ~    h USENONCK  i'EXCESS      h EXCESS  i*EXCESSBAG      h EXCESSBAG  i(GSAAUTO      h GSAAUTO  i+TotlEstExp     h  TOTLESTEXP i(T_5[A2]     h T_5_A2_ i(T_5[B2]  <   h T_5_B2_< i(T_5[C2]     h T_5_C2_ i(T_5[A3]     h T_5_A3_ i(T_5[B3]  <   h T_5_B3_< i(T_5[C3]     h T_5_C3_ i(T_5[A4]     h T_5_A4_  i(T_5[B4]  <   h T_5_B4_ < i(T_5[C4]     h T_5_C4_  i(T_5[A5]     h T_5_A5_  i(T_5[B5]  <   h T_5_B5_ < i(T_5[C5]     h T_5_C5_ i(T_5[A6]     h T_5_A6_ i(T_5[B6]  <   h T_5_B6_< i(T_5[C6]     h T_5_C6_ i(T_5[A7]     h T_5_A7_ i(T_5[B7]  <   h T_5_B7_< i(T_5[C7]     h T_5_C7_ i(T_5[A8]     h T_5_A8_ i(T_5[B8]  <   h T_5_B8_< i(T_5[C8]     h T_5_C8_ i(ADVMETH     h ADVMETH i'AMTADV     h AMTADV i'BALADV     h BALADV i)TOTALADV     h TOTALADV i)APPLSIG2  K   h APPLSIG2K i*ApplyDate     h APPLYDATE i(SALADDR      h SALADDR  i*CONTCTPNT      h CONTCTPNT  i)SPECADDR      h SPECADDR  i+ForegnAddr      h  FOREGNADDR  i(EFTAcct      h EFTACCT  i*MAILADDR1  #   h MAILADDR1# i*MAILADDR2  #   h MAILADDR2# i%CITY     h CITY i*MAILSTATE     h MAILSTATE i(ZIPCODE     h ZIPCODE i(IMPRSSN     h IMPRSSN i*SIGNATURE  $   h SIGNATURE$ i(RecDate     h RECDATE i)APPLSIGN  K   h APPLSIGNK i*APPRVNAME  K   h APPRVNAMEK i(AgyCode     h AGYCODE i)APPRVSSN     h APPRVSSN i)AprvDate     h APRVDATE i(PHONENO     h PHONENO i*APPRVSIGN  A   h APPRVSIGNA i*CntctName  7   h CNTCTNAME7 i+CntctPhone     h  CNTCTPHONE i(REMARKS  }   h REMARKS} ?^@d @}?~O^^$, &  Note: Traveler is liable for the value of the tickets issued until all tickets or coupons are properly accounted for on the Travel Voucher. N !"#                             P  &&    ^%, & TRAVEL AUTHORIZATION/ADVANCE   (See Privacy Act Notice on Reverse ) O !"#                             P  &&&    ^% & 1. ACTION CODE (Indicate one type only)  O !"#                             P  <&    ^% & SECTION A - IDENTIFICATION  O !"#                             P  <&    4^R^ ACTCODE!"-./56789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    R }  E  }  A   !"#      d                       P      R } C  }  V   !"#      d                       P      j,, q   !"#                             P  &&    LR }  = Establish  } = Amend    !"#      d                       P      . R  }  = Cancel  & = Advance Only  (Complete Sections A, E, and F Only)   !"#      n                       P  &&&    dRl }&   }& 2. AUTHORIZATION DATE 6 !"#                             P  <&     R AUTHDATE#$(),F-. /012456789                                    P ! "D$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    B d= MONTH"$}%&')*                       Y@$.,!  (      @ d{ DAY"$}%&')*                       Y@$.,!  (      A du YEAR"$}%&')*                       Y@$.,!  (      IDate"$% &')*                      Y@$.,  !  ( &&    D"$%&')*                      Y@$.,  !  ( &&&    B"$%&')*                      Y@$.,  !  ( &&&    j: , d X  D !"#                             P  &&     V"R       P     V$R       P    n^l d 3. TRAVEL AUTHORIZATION NO.l TRVLAUTH!"-./56789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&  = &&     tx d 4. SOCIAL SECURITY NO.x SSN!"-./567 89: ;>?@ABCG                         P #      $      '    Y@$.,! *  < &&  = &&      V @       P     V @       P    B  d 5. NAME (Last)  !"#                             P  &&     m d (First) 4  !"#                             P  &&     |l   d (Middle Initial) E !"#                             P  &&     8B@Z  LastName!"-./56789:;>?@ABCG                         P #      $      ' -  Y@$.,! *  < &&&& = &&&    :#r  AGNCYCODE!"-./5K6789:;>?@ABCG                         P #    Z  $    Z  '    Y@$.,! *  < &&  = &&&    # d 6. AGENCY  d  CODE K !"#      Z                       P  &&     9@ FirstName!"-./546789:;>?@ABCG                         P #      $      ' (  Y@$.,! *  < &&&& = &&&    5l @  MInit!"-./5E6789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    0^l AGYCON! "-./56 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&     z^:l, d 7. AGENCY CON   !"#                             P  &&     {^fl, d 8. TRAVELER CON   !"#                             P  &&     1^l TRVLCON! "-./56 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&     :  d 9. ESTIMATED DATES OF TRAVEL EXPENSES   !"#                             P  &&     px d FROM    !"#                             P  &&&&    jB d THRU    !"#                             P  &&&&    4x^ DateFr# $(),- . /012456789                                    P ! "$$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    N d] Month"$}%&')*                       Y@$.,!  (      @ d Day"$}%&')*                       Y@$.,!  (      A d Year"$}%&')*                       Y@$.,!  (      KxFrmDate"$% &')*                      Y@$.,  !  ( &     ??OC"$%&')*                      Y@$.,  !  ( &&     A"$%&')*                      Y@$.,  !  ( &&     B4^ DateTo# $(),- . /012456789                                    P ! "$$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    N d\ Month"$}%&')*                       Y@$.,!  (      @ d Day"$}%&')*                       Y@$.,!  (      A d Year"$}%&')*                       Y@$.,!  (      LToDate"$% &')*                      Y@$.,  !  ( &     E"$%&')*                      Y@$.,  !  ( &&     C"$%&')*                      Y@$.,  !  ( &&      VBd       P     V f,       P     VN f,       P     Vf,       P     Vf,       P    :`  d 10. TYPE TRAVEL (Indicate one type only) *  !"#                             P  &&     5^ TYPETRVL! "-./5*6 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    J } DM  } FG  } FT  } RT -   !"#      P                       P  <&    ^ } GR  } OC  } TS  } OT 8   !"#      P                       P  &&    6 4^^ CRDTHOLDR!"-./5D6 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&     :r, d 11. GOVERNMENT  d  CREDIT CARD HOLDER D   !"#      Z                       P  &&     f!f, } Y = Yes  } N = No G   !"#      Z                       P  x&&    v } = Domestic  } = Foreign  } = Foreign Transfer  } = Return Travel /   !"#      P                       P  &    X } = Escorted Group  } = Outside Cont. U.S.  } = Transfer of Station  } = Outside CONUS ToS :   !"#      P                       P      ^" % & SECTION B - EMPLOYMENT STATUS (Check the appropriate employment status block.)  O !"#                             P  <&    ^ l d 12. TRAINING DOCUMENT NO. (For  d  Purpose of Travel Code 3 Only)   !"#      P                       P  &&     5^Z l TRAINDOC!"-./56 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&        } 13. OFFICIAL DUTY STATION CITY AND STATE OFFCSTA!"-./56 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&  = &&     J 0 } 14. RESIDENT CITY AND STATE (If other than official station)0 RESCITY!"-./5-6 7$89:$;>?@ABCG                         P #    d  $    d  ' #  Y@$.,! *  < &&  = &&     ^ % & SECTION C - ITINERARY AND ESTIMATED EXPENDITURES  O !"#                             P  <&    [^ ^  !"#                             P  &&&&    [ ^  !"#                             P  &&&&    [ ^ % !"#                             P  &&&&    [p ^ 2 !"#                             P  &&&&    [@ ^ B !"#                             P  &&&&      d 15. PAYROLLED BY NFC  } }PAYROLLED#$%&'()+,-.                             P   !  * x& 1  2      3        d 16. NOT PAYROLLED BY NFC  } }NOTPAYRD#$%&'()+,-.                             P   !  * x& 1  2      3       d 17. NEW HIRE  } }NEWHIRE#$%%&' ()+,-.                             P   !  * x& 1  2      3      l d 18. SPECIAL APPOINTEE  } }SPECAPPT#$%2&'()+,-.                             P   !  * x& 1  2      3     r @ d 19. NONGOVERNMENT  } }NONGOVT#$%C&' ()+,-.                             P   !  * x& 1  2      3     u^z l q 20. FROM  !"#                             P      p^B dp CITY   !"#                             P  &&&&    nlB^ dJ ST  !"#                             P  &&&&     B@ d CITY, COUNTY or REGION   !"#                             P  &&&&    n*B^ dJ ST & !"#                             P  &&&&    ^ *xT 1 T_1#$(),-.&/012456789                                    P ! &"$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     A     A     A     A     A     ?     ?^    ?Q?O?    ?    ?A     ?]    *"$% &')*                      Y@$.,!  ( &&     *^"$%&')*                      Y@$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     *A"$% &')*                      Y@$.,!  ( &&     *]"$%&')*                      Y@$.,!  ( &&     *"$% &')*                      Y@$.,!  ( &&     *^"$%&')*                      Y@$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     * "$%&')*                      Y@$.,!  ( &&     *A "$% &')*                      Y@$.,!  ( &&     *] "$%&')*                      Y@$.,!  ( &&     * "$% &')*                      Y@$.,!  ( &&     *^ "$%&')*                      Y@$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     *" $%&')*                      Y@$.,!  ( &&     *A"!$% &')*                      Y@$.,!  ( &&     *]""$%&')*                      Y@$.,!  ( &&     *"#$% &')*                      Y@$.,!  ( &&     *^"$$%&')*                      Y@$.,!  ( &&     *"%$%&')*                      Y@$.,!  ( &&     *"&$%&')*                      Y@$.,!  ( &&     *A"'$% &')*                      Y@$.,!  ( &&     *]"($%&')*                      Y@$.,!  ( &&     *")$% &')*                      Y@$.,!  ( &&     *^"*$%&')*                      Y@$.,!  ( &&     *"+$%&')*                      Y@$.,!  ( &&     *",$%&')*                      Y@$.,!  ( &&     *A"-$% &')*                      Y@$.,!  ( &&     *]".$%&')*                      Y@$.,!  ( &&     *"/$% &')*                      Y@$.,!  ( &&     *^"0$%&')*                      Y@$.,!  ( &&     * "1$%&')*                      Y@$.,!  ( &&     *!"2$%&')*                      Y@$.,!  ( &&     *A""3$% &')*                      Y@$.,!  ( &&     *]#"4$%&')*                      Y@$.,!  ( &&     *$"5$% &')*                      Y@$.,!  ( &&     *^%"6$%&')*                      Y@$.,!  ( &&     *&"7$%&')*                      Y@$.,!  ( &&     *'"8$%&')*                      Y@$.,!  ( &&     *A("9$% &')*                      Y@$.,!  ( &&     *])":$%&')*                      Y@$.,!  ( &&     rz   q 21. TO  !"#                             P      B d CNTRY  d| CD  !"#      P                       P      Z B dV CITY  d| CD  !"#      P                       P      ^; d Subsis-  d tence  d Codes ) !"#      P                       P      ~^< d P=Per  d Diem ) !"#      P                       P      Jz 0= q 23. AUTHORIZED EXPENDITURES -$ !"#                             P  &&&&    JB0@T 4 T_4#$(>),--.$/012456789                                    P ! "$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     A     A     A     A     A     A     ?    ?    ?R    ?     ?    ?~    A d CODE"?$}%&')*                       Y@$.,!  ( &&&&    D dW LODGING"@$}%&')*                       Y@$.,!  ( &&&&    ER d M and IE"A$}%&')*                       Y@$.,!  ( &&&&    A  d RATE"B$}%&')*                       Y@$.,!  ( &&&&    D d NO.DAYS"C$}%&')*                       Y@$.,!  ( &&    M~ d ESTIMATED AMOUNT"D$}%&')*                       Y@$.,!  ( &&&& ?o?N   *"E$%&')*                      Y@$.,!  ( &&     *"F$%&')*                      $.,!  ( x<     *R"G$%&')*                      $.,!  ( &<     ,  "H$%&')*                      $.,!  ( &<     #@SUM(T_4[B2],T_4[C2])  T_4  T_4    k  * "I$%&')*                      @$.,!  ( &&     .~ "J$%&')*                       $.,!  ( l     T_4[D2]*T_4[E2]  T_4   T_4     * "K$%&')*                      Y@$.,!  ( &&     * "L$%&')*                      $.,!  (  <     *R"M$%&')*                      $.,!  ( &<     , "N$%&')*                      $.,!  ( &<     #@SUM(T_4[B3],T_4[C3])  T_4   T_4    k  *"O$%&')*                      @$.,!  ( &&     .~"P$%&')*                       $.,!  ( l     T_4[D3]*T_4[E3]  T_4  T_4    *"Q$%&')*                      Y@$.,!  ( &&     *"R$%&')*                      $.,!  (  <     *R"S$%&')*                      $.,!  ( &<     , "T$%&')*                      $.,!  ( &<     #@SUM(T_4[B4],T_4[C4])  T_4  T_4    k  *"U$%&')*                      @$.,!  ( &&     .~"V$%&')*                       $.,!  ( l     T_4[D4]*T_4[E4]  T_4  T_4    *"W$%&')*                      Y@$.,!  ( &&     *"X$%&')*                      $.,!  (  <     *R"Y$%&')*                      $.,!  ( &<     , "Z$%&')*                      $.,!  ( &<     #@SUM(T_4[B5],T_4[C5])  T_4  T_4    k  *"[$%&')*                      @$.,!  ( &&     .~"\$%&')*                       $.,!  ( l     T_4[D5]*T_4[E5]  T_4  T_4    *"]$%&')*                      Y@$.,!  ( &&     *"^$%&')*                      $.,!  (  <     *R "_$%&')*                      $.,!  ( &<     , !"`$%&')*                      $.,!  ( &<     #@SUM(T_4[B6],T_4[C6])  T_4  T_4     k  *""a$%&')*                      @$.,!  ( &&     .~#"b$%&')*                       $.,!  ( l     T_4[D6]*T_4[E6]  T_4!  T_4"    *$"|$%&')*                      Y@$.,!  ( &&     *%"}$%&')*                      $.,!  (  <     *R&"~$%&')*                      $.,!  ( &<     , '"$%&')*                      $.,!  ( &<     #@SUM(T_4[B7],T_4[C7])  T_4%  T_4&    k  *("$%&')*                      @$.,!  ( &&     .~)"$%&')*                       $.,!  ( l     T_4[D7]*T_4[E7]  T_4'  T_4(    **"$%&')*                      Y@$.,!  ( &&     *+"$%&')*                      $.,!  (  <     *R,"$%&')*                      $.,!  ( &<     , -"$%&')*                      $.,!  ( &<     #@SUM(T_4[B8],T_4[C8])  T_4+  T_4,    k  *."$%&')*                      @$.,!  ( &&     .~/"$%&')*                       $.,!  ( l     T_4[D8]*T_4[E8]  T_4-  T_4.    g i dJ x C !"#                             P      s n dC  = < !"#                             P      g2 s dC + 5 !"#                             P      g x d $ 0 !"#                             P  &&    j y ?  , !"#                             P  &    ^ d A=Actual  d Subsist-  d ence ) !"#      P                       P      \& d S=Special  d Rate ) !"#      P                       P      g."  d $ H !"#                             P      g2 dC + 5 !"#                             P      g2 dC + 5 !"#                             P      g2b dC + 5 !"#                             P      ???uOg2* dC + 5 !"#                             P      g2 dC + 5 !"#                             P      g2 dC + 5 !"#                             P      s dC  = < !"#                             P      s dC  = < !"#                             P      sb dC  = < !"#                             P      s* dC  = < !"#                             P      s dC  = < !"#                             P      s dC  = < !"#                             P      g dJ x C !"#                             P      g dJ x C !"#                             P      gb dJ x C !"#                             P      g* dJ x C !"#                             P      g dJ x C !"#                             P      g dJ x C !"#                             P      s!  dC  = G !"#                             P      s! dC  = G !"#                             P      s! dC  = G !"#                             P      s!b dC  = G !"#                             P      s!* dC  = G !"#                             P      s! dC  = G !"#                             P      s! dC  = G !"#                             P       VN% 0       P    ^> } 22. PURPOSE OF TRAVEL (Give explanation)> PURPTRVL!"-./567189:1;>?@ABCG                         P #      $      ' P  Y@$.,! *  < &&  = &&      X !R~        P    3 TRANSPORT!*"-./5;6#789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& =        pJf d POV: 6 !"#                             P  &&     ? Transportation Mode 4#  !"#                             P  && &    ~L ? Method of Purchase >#  !"#                             P  && &    }f d Total Subsistence 6 !"#                             P  &    =!~ TtlSubsis!"-./5H67 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = xl     @SUM(T_4[F2..F8])  T_4 /    k  jf d Other (Specify) 6 !"#                             P  && &    2f d Unaccompanied Baggage 6  !"#                             P  &&    J d    } }POVRateCk1#$%4&'()+,-.                             P   !  *  1  2      3     j d    } }OthChk!#$%4&'()+,-.                             P   !  *  1  2      3     1jx OthSpec!""-./5<67 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &     9!J~  RATEAmt! "-./5H67 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = &l     8!j~ OTHAMT!#"-./5H67 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = &l      d    } }COMMONCHK(#$%4&"'()+,-.                             P   !  *  1  2      3     9!~ CommAmt!)"-./5H6"7 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = &l&    3l  METHODPUR!+"-./5E6#789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& =        Rf d Use of Non-contract Airline 6$ !"#                             P  &&    R d    } }USENONCK,#$%4&$'()+,-.                             P   !  *  1  2      3     wf d Excess Fare 6% !"#                             P  &&     d    } }EXCESS-#$%4&%'()+,-.                             P   !  *  1  2      3     zf d Excess Baggage 6& !"#                             P  &&    ??Otf d GSA Auto 6' !"#                             P  &&     d    } }EXCESSBAG.#$%4&&' ()+,-.                             P   !  *  1  2      3      d    } }GSAAUTO/#$%4&''()+,-.                             P   !  *  1  2      3      d    } }CARRENTAL&#$%4&!'()+,-.                             P   !  *  1  2      3     <!~ CarRntlAmt!'"-./5H6!7 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = l     >!r~ TotlEstExp!0"-./5H6(7 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = l     H@SUM(TtlSubsis,RATEAmt,OTHAMT,UnAccAmt,CarRntlAmt,CommAmt)    TtlSubsis   RATEAmt   OTHAMT   UnAccAmt !  CarRntlAmt   CommAmt    k  2J POVRate1!"-./5;67 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &     r`  d 24. Total Est. Expenditures Authorized 4( !"#                             P  &    @R ? Insert  ? Code B$ !"#      Z                       P      j  X  A$ !"#                             P   &&    g! d $ H !"#                             P  &     VJ       P    p`  d Rate 4 !"#                             P  (&    pJ`  d Rate 4 !"#                             P  (&    2 POVRate2!"-./5;67 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &     p`  d Rate 4 !"#                             P  (&    p`  d Rate 4 !"#                             P  (&    2 POVRate3!"-./5;67 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &     2 POVRate4!"-./5;67 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &     vf d Car Rental 6! !"#                             P  &&    f d Common Carrier Tickets 6" !"#                             P  &&    2r d    } }UnAccBag$#$%4& ' ()+,-.                             P   !  *  1  2      3     :!2~ UnAccAmt!%"-./5H6 7 89:;>?@ABCG                         P #      $      '    $.,! *  < &&&& = &l     j: r X 7  D( !"#                             P  &    g!r d $ H( !"#                             P  &    &v } Distribute Total Estimated Expenditures from Section C to the applicable Purpose of Travel Code and Accounting  } Classification line. / !"#      U                       P  && &    R ? PURPOSE  ? OF  ? TRAVEL  ? CODES  !"#      Z                       P  &&&    *xR d  = Site Visit  d  = Information Meeting  d  = Training attendance  d  = Speech or presentation  d  = Conference attendance    !"#      Z                       P      ! p4 d  = Relocation  d  = Entitlement/Home leave  d  = Special mission travel  d  = Emergency travel  d  = Other travel  !"#      U                       P      ^> & SECTION D - ACCOUNTING CLASSIFICATION  1 !"#                             P  <&    o^,  } 25.  !"#      P                       P  && &    jj X   !"#                             P      ^>@T 5 T_5#1$(),-!.1/012456789                                    P ! "D$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     A     A     A     A     A     A     ?    ?\&    ?    c ?  PURPOSE  ? i CODE"$}%&')*      Z                 Y@$.,!  ( &&    V\ d ACCOUNTING CLASSIFICATION"$}%&&')*                       Y@$.,!  ( &&&&    G ? u PERCENTAGE"$K%&')*                       Y@$.,!  (     *"$%&')*                      Y@$.,!  ( &&     *\"$%&&')*                    <  Y@$.,!  ( &&     ,"$%&')*                       $.,!  ( &     *"$%&')*                      Y@$.,!  ( &&     *\"$%&&')*                    <  Y@$.,!  ( &&     ,"$%&')*                       $.,!  ( &     * "$%&')*                      Y@$.,!  ( &&     ??O*\ "$%&&')*                    <  Y@$.,!  ( &&     , "$%&')*                       $.,!  ( &     * "$%&')*                      Y@$.,!  ( &&     *\ "$%&&')*                    <  Y@$.,!  ( &&     ,"$%&')*                       $.,!  ( &     *"$%&')*                      Y@$.,!  ( &&     *\"$%&&')*                    <  Y@$.,!  ( &&     ,"$%&')*                       $.,!  ( &     *"$%&')*                      Y@$.,!  ( &&&    *\"$%&&')*                    <  Y@$.,!  ( &&&&    ," $%&')*                       $.,!  ( &     *"$%&')*                      Y@$.,!  ( &&&    *\"$%&&')*                    <  Y@$.,!  ( &&&&    ,"$%&')*                       $.,!  ( &     g  d{ % 2" !"#                             P  &    X d  1  d 2  d 3  d 4  d 5    !"#      Z                       P       X d  6  d  7  d  8  d  9  d 10   !"#      Z                       P      *X d  11  d 12  d 13  d 14  d 15  & !"#      Z                       P      p d = Pre-employment  d = First post of duty  d = Rest & Recuperation  d = Educational  d = Informal training (  !"#      U                       P      ^: P }F THESE PERCENTAGES MUST EQUAL )+ !"#                             P  &    p:  }P 100% .) !"#                             P  &&     V^: %       P    ^!% & SECTION E - TRAVEL ADVANCE  *O !"#                             P  <&    ^!, d 26. ADVANCE REQUEST METHOD  d  (Select one method only) + !"#      Z                       P  && &    7^"^ ADVMETH!2"-./56,789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&&    " d C  d T  d I  d E  d W  d S  d L ,  !"#      U                       P  &    ^% d 27. AMOUNT OF ADVANCE  d  APPLIED FOR 0 !"#      U                       P  &&     G^z& d $d AMTADV!3"-./561789:;>?@ABCG                         P #      $      '    $.,! *  < &&& = &&&    ^B' d 28. BALANCE FROM  d  PREVIOUS ADVANCE 2 !"#      U                       P  &&     G^ ( d $d BALADV!4"-./563789:;>?@ABCG                         P #      $      '    $.,! *  < &&& = &&&    ^( d 29. TOTAL ADVANCE AMOUNT 4 !"#      Z                       P  &&     K^) d $d TOTALADV!5"-./565789:;>?@ABCG                         P #      $      '    $.,! *  < &&& = &&&    !@SUM(AMTADV,BALADV)   AMTADV   BALADV    k  OR"# d = Check or DD/EFT  d = Travelers Checks  d = Imprest Fund  d = Emergency (Wire)  d = Wire Confirmation  d = Embassy Issued Advance  d = Embassy Collect. Advance ,  !"#      U                       P      Q$  d Zip Code (9)  ZIPCODE!A"-$./5=6/789:;>?@ABCG                         P #      $      '    Y@$.,! *  < <&&& = &&&    f!% q 32. ADVANCE MAILING ADDRESS OPTIONS +@ !"#                             P  &&    " d    } }SALADDR8#&$%&,'()+,-.                             P   !  * x& 1  2      3      " d    } }CONTCTPNT9#'$%&,' ()+,-.                             P   !  * x& 1  2      3     *" d    } }SPECADDR:#($%&&,'()+,-.                             P   !  * x& 1  2      3     "l) d (Required for new hires, special appointees,  d and nonGovernment travelers) ., !"#      K                       P  &&     Pp$x d State (2)X MAILSTATE!@"-*./526/7 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&     V f"^ +      P    Pf$  d 3. (City) (20)  CITY!?"-../56/7 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&    NfZ# d 1. (35) MAILADDR1!="-/./56-7@89:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < &&&& = &&&    Nf"$ d 2. (35) MAILADDR2!>"-0./56.7@89:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < &&&& = &&&    jr$,1 d 1  C/ !"#                             P       V  "^ 6      P     V "^ 7      P     V L"^ 8      P     V !"^ 9      P    ??N `",: d SALARY  d ADDRESS , !"#      P                       P      B`"R,; d T&A CONTACT  d POINT , !"#      P                       P      `"R,< d SPECIAL  d ADDRESS ), !"#      P                       P      `"R,= d FOREIGN  d ADDRESS A, !"#      P                       P      (#`"R,> d TRAVEL EFT  d ACCOUNT K, !"#      P                       P      ~" d    } }ForegnAddr;#?$%>&,'()+,-.                             P   !  * x& 1  2      3     !" d    } }EFTAcct<#@$%H&,' ()+,-.                             P   !  * x& 1  2      3     j2$,A d 1  5/ !"#                             P      j $,B d 1  / !"#                             P      j "$,C d 1  . !"#                             P      j Z#,D d 1  - !"#                             P      f%E q 33. IMPREST FUND CASHIER 0@ !"#                             P  &&    vfz& d SOCIAL SECURITY NO. IMPRSSN!B"-F./5617 89: ;>?@ABCG                         P #      $      '    Y@$.,! *  < &&  = &&     Pz&j d SIGNATUREj SIGNATURE!C"-H./5617489:4;>?@ABCG                         P #      $      ' $  Y@$.,! *  < &&  = &&      VZ ' I      P     V ' J      P    f6), Recd#D$(L),-4. /012456789                                    P ! "F$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A}     A     ?    ?    ?    B} dP Month"M$}%&')*                       Y@$.,!  ( &&    @} dc Day"N$}%&')*                       Y@$.,!  ( &&    A} do Year"O$}%&')*                       Y@$.,!  ( &&    MRecDate"P$% &')*                      Y@$.,  !  ( &&    E"Q$%&')*                      Y@$.,  !  ( &&&&    C"R$%&')*                      Y@$.,  !  ( &&&&    f (S } 34. ADVANCE RECEIVED (Cash or Travelers Checks) 3@ !"#                             P  &&&&    [(j d APPLICANT'S SIGNATUREj APPLSIGN!E"-T./5647489:4;>?@ABCG                         P #      $      ' K  Y@$.,! *  < &&  = &&     sf(U d DATE RECEIVED 4  !"#                             P  &&      VZ h) V      P     V h) W      P     Vf ( X      P     Vf% Y      P    `^b* d 30. APPLICANT'S SIGNATURE APPLSIG2!6"-Z./5667089:0;>?@ABCG                         P #      $      ' K  Y@$.,! *  < && = &&     {8b*[ d 31. DATE APPLIED FOR 36  !"#                             P  &&     8*,T 7 APP#7$(\),3-6. /012456789                                    P ! "F$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    B dP Month"]$}%&')*                       Y@$.,!  ( &&    @ dc Day"^$}%&')*                       Y@$.,!  ( &&    A do Year"_$}%&')*                       Y@$.,!  ( &&    OApplyDate"`$% &')*                      Y@$.,  !  ( &     E"a$%&')*                      Y@$.,  !  ( &&&&    C"b$%&')*                      Y@$.,  !  ( &&&&    b*c } SEE  }# PRIVACY ACT STATEMENT  } ON REVERSE ?6 !"#      Z                       P  &&     V,* d      P     V* e      P    ^, d 35. APPROVING OFFICER'S NAME AND TITLE (Last, First, Middle Initial) (Type or Print) APPRVNAME!F"-g./5697#89:#;>?@ABCG                         P #      $      ' K  Y@$.,! *  < && = &&    z, d 36. SOCIAL SECURITY NO. APPRVSSN!H"-h./5+697 89: ;>?@ABCG                         P #      $      '    Y@$.,! *  < &&  = &&     x,,i d 37. DATE APPROVED 79  !"#                             P  &&    ,-,T 7 APPR#I$(j),7-9. /012456789                                    P ! "4$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    B dP Month"k$}%&')*                       Y@$.,!  ( &&    ??"@ dc Day"l$}%&')*                       Y@$.,!  ( &&    A do Year"m$}%&')*                       Y@$.,!  ( &&    MAprvDate"n$% &')*                      Y@$.,  !  ( &     D"o$%&')*                      Y@$.,  !  ( &&&&    B"p$%&')*                      Y@$.,  !  ( &&&&    , d 38. PHONE (Area Code & No.) PHONENO!J"-q./5C69789:;>?@ABCG                         P #      $      ' () -  Y@$.,! *  < &  =      ^+%t & SECTION F - AGENCY APPROVAL  8O !"#                             P  <&     V P- u      P     VP- v      P     VvP- w      P     VP- x      P    *,X,y d AGENCY  d CODE &9 !"#      P                       P  &&     L*-X ` AgyCode AgyCode!G"-z./5&6:789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&     i^J. d 39. APPROVING OFFICER'S SIGNATURE APPRVSIGN!K"-{./56;7#89:#;>?@ABCG                         P #      $      ' A  Y@$.,! *  < &&  = &&     a*J.  d 40. CONTACT PERSON'S NAME CntctName!L"-|./5&6;789:;>?@ABCG                         P #      $      ' 7  Y@$.,! *  < &&  = &&     J. d 41. PHONE (Area Code & No.) CntctPhone!M"-}./5C6;789:;>?@ABCG                         P #      $      ' () -  Y@$.,! *  < &  =      Q^/%, d 42. REMARKS  ,REMARKS!N"-~./56=7O89:;>?@ABCG                         P #    d  $    d  ' }  Y@$.,! *  < &&  = &&     1  q& FORM AD-202 (USDA) (Rev. 11/96) ;> !"#                             P  &&    1  d  Exception to SF 1038 approved by GSA 11/20/96 4? !"#                             P  &&    ^1 }& Upon completion and approval, submit original to: >% !"#                             P  &    81, & USDA -- National Finance Center, P.O. Box 60,000, New Orleans, LA 70160 ?4 !"#                             P       V ^%|.       P    ?Y=8 defg h i j k l =??x$^G 2L Privacy Act Notice  N !"#                             P      4H & The following information is provided to comply with the Privacy  & Act of 1974 (P.L. 93-579). The information requested on this form is  & required under the provisions of 5 U.S.C. Chapter 57 (as amended),  & Executive Orders 11609 of July 22, 1971, and 11012 of March 27,  & 1962, for the purpose of facilitating authorization action and the  & request for advance of funds for travel and other expenses to be  & incurred under administrative authorization. The information  % !"#                             P      p4I & contained in this form will be used by the Federal agency officers  & and employees who have a need for such information in the perfor-  & mance of their duties. Information will be transferred to appropriate  & Federal, State, local, or foreign agencies when relevant to civil,  & criminal or regulatory investigations, or prosecutions. Failure to  & provide the information required will result in delay or suspension  & of the processing of this form. , % !"#                             P      X$, 2 Submit advance applications with original signatures only. Facsimile signatures cannot be accepted. N !"#                             P      = & An advance should be limited to an amount within the prescribed  & maximum necessary to effectively accomplish the purposes of the  & Government. An explanation should be provided in Block 42, % !"#                             P       & Remarks, for any advance authorized in excess of the prescribed  & maximum. ,% !"#                             P      ^p00  d This form was electronically produced by Elite Federal Forms, Inc. > !"#                            <  &&    ?=d =<(defgh <P^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=ZDB/!Z: