ࡱ> bdefRoot EntryRoot Entry` )H`c8cContentsgOccDataSummaryInformation(  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`ahijklmnopqrstuvwxyz{|}~FBMacros`c8`c8GeneralMacroStream(_ PNK Oh+'0    (4<D\px AD717.FRPFSIS160@]gm@00@0 @8G48D>! j[P  "2 "-.- #Univers (WN)-- 2 TOTAL PER DIEM#Univers (WN)-"Systemn--.- #Univers (WN)-- 2 6REMARKS#Univers (WN)-- -1SR0R-.- #Univers (WN)-- *2 ;42. SOCIAL SECURITY NO.#Univers (WN)-- - !// ->pRp ->\R\-.- #Univers (WN)-- 2 <TRAVELER'S NAME#Univers (WN)- - -.- CG Times (WN)- CG Times (WN)- - -.- CG Times (WN)- CG Times (WN)- - "- BS1- -%0RRa0a0R-.- #Univers (WN)- - U2 ^44SECTION G - SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED  -  -w/w-.- #Univers (WN)- - 2 lCITINERARY FROM- -.- #Univers (WN)- #Univers (WN)- - 2 v7DATE (Month/Day)-  -bxww- -b7x7ww8- -w7w- -bxww- -bxww- -bYxYwwZ- -bxwYw-- B^R- -%QQ((Q-.- #Univers (WN)- - 2 dTOTALS#Univers (WN)-- 2 wTransfer#Univers (WN)-- 2 these totals to#Univers (WN)-- 2  Section D on#Univers (WN)-- 2 Voucher Front.#Univers (WN)-- 2  If additional#Univers (WN)-- 2 days are#Univers (WN)-- 2  required, use#Univers (WN)-- 2  continuation#Univers (WN)-- 2 sheet- -0-.- #Univers (WN)-#Univers (WN)--  2 7CITY- -w- "--- -w778- -7- -w- -w- -wYYZ- -wY- -0-.- #Univers (WN)-- 2 7STATE- -- -778- -7- -- -- -YYZ- -Y--.- #Univers (WN)--  2 7TIME- -- -0-.- #Univers (WN)-- 2 @TO TDY LOCATION#Univers (WN)---.- #Univers (WN)-#Univers (WN)-- 2 7DATE (Month/Day)- --.- #Univers (WN)-#Univers (WN)-- -0-.- #Univers (WN)-#Univers (WN)--  2 7CITY- -- -0-.- #Univers (WN)-- 2 7COUNTY- - - -0-.- #Univers (WN)-- 2 7STATE- ---.- #Univers (WN)--  2 #7TIME- -)- "--- -0 -(0( -I0I-.- #Univers (WN)-- 2 6UPER DIEM #Univers (WN)---.- #Univers (WN)-#Univers (WN)-- 2 C7 NO. OF DAYS- -)JII-.- #Univers (WN)-#Univers (WN)-- -X0X-.- #Univers (WN)-- 2 O7LODGING#Univers (WN)-- "2 V7(Receipt Required)- -IYXX- -h0h-.- #Univers (WN)-- 2 `7 MEALS AND#Univers (WN)- - $2 f7INCIDENTAL EXPENSES-  -Xjii--.- #Univers (WN)- - 2 p7 LESS MEALS#Univers (WN)-!- '2 v7AT GOVERNMENT EXPENSE-! -iy- -x0x-.- #Univers (WN)-!#Univers (WN)-"- 2 5 PER DIEM AMOUNT-"-.- #Univers (WN)-"#Univers (WN)-#-# -xxx-.- #Univers (WN)-##Univers (WN)-$-$ -0-.- #Univers (WN)-$- "2 7ACTUAL SUBSISTENCE#Univers (WN)-%-%-.- #Univers (WN)-%- 2 6LODGING#Univers (WN)-&- "2 6(Receipt Required)-& -- -0-.- #Univers (WN)-&- 2 7 BREAKFAST-& -- -0-.- #Univers (WN)-&- 2 7LUNCH-& ---.- #Univers (WN)-&- 2 7DINNER-& -- -0-.- #Univers (WN)-&- 2 7 M&IE/OTHER-& -- -0 -0-.- #Univers (WN)-&- 2 5ACTUAL#Univers (WN)-'- "2 5SUBSISTENCE AMOUNT-' -%- -B0B-.- #Univers (WN)-'- 2 3WMILEAGE-'-.- #Univers (WN)-'#Univers (WN)-(- 2 ?7MILES-( -$CBB-.- #Univers (WN)-(#Univers (WN)-)-) -$0$ -U0U-.- #Univers (WN)-)- 2 O7 RATE PER MILE-) -BVUU--.- #Univers (WN)-)#Univers (WN)-*- 2 o5MILEAGE AMOUNT-* -Uv--.- #Univers (WN)-*-  2 5 #Univers (WN)-+#Univers (WN)-,- %2 5PARKING, TOLLS, ETC.#Univers (WN)---- -x--.- #Univers (WN)--- 2 \LOCAL#Univers (WN)-.- 2 @TRANSPORTATION#Univers (WN)-/#Univers (WN)-0-0 --.- #Univers (WN)-0#Univers (WN)-1-1 -w/w -/-.- #Univers (WN)-1#Univers (WN)-2- 2 4 NO. TRIPS-2 -0-.- #Univers (WN)-2- 2 7 DAILY EXPENSE-2 - --.- #Univers (WN)-2- "2 5 PLANE, BUS, TRAIN#Univers (WN)-3#Univers (WN)-4#Univers (WN)-5#Univers (WN)-6-  2 5 CG Times (WN)-7- $2 @ (Paid By Traveler)CG Times (WN)-8#Univers (WN)-9-9 -- -/-.- CG Times (WN)-9- $2 8PRIVACY ACT NOTICE.CG Times (WN)-:- 2  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 USC,CG Times (WN)-;- 82 8Chapter 57 (as amended) and Executive Orders 11609 of July 22, 1971, and 11012 of March 27, 1962, for the purpose of recording travel expenses incurred by the employee and to claim other entitlements andCG Times (WN)-<- B2 8allowances as prescribed in the Federal Travel Regulations (41 CFR 301-304). The information contained in this form will be used by Federal Agency officers and employees who have a need for such information inCG Times (WN)-=- P2 8the performance 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 or pursuant to aCG Times (WN)->- J2 8requirement by GSA or such other agency in connection with the hiring or firing, or security clearance, or such other investigations of the performance of official duty in Government service. Failure to provide theCG Times (WN)-?- 2 8binformation required will result in delay or suspension or the employee's claim for reimbursement.CG Times (WN)-@-@ -y0y -0 - !0-.- #Univers (WN)-@- 2 D MISCELLANEOUS#Univers (WN)-A- 2 SEXPENSES-A - .--.- #Univers (WN)-A#Univers (WN)-B- 2 +4 TELEPHONE CALLS-B -.0.-.- #Univers (WN)-B- 2 97SUPPLIES, ETC.-B -...>- - /  -k0k-.- #Univers (WN)-B- 2 u7GASOLINE EXPENSE-B -kkkz--.- #Univers (WN)-B- 2 GM CAR RENTAL-B -=l--.- #Univers (WN)-B- 2 O7 CG Times (WN)se-C- "2 OH (Paid by Travel)CG Times (WN)F-D- -2 W7 Receipt and Car RentalCG Times (WN)-E- *2 _7 Agreement Required)-E ->0> "-E-'#-E "-E-V-E "-E-y-E -77- -778-.- #Univers (WN)-E#Univers (WN)-F-F -778- -7 78- -778- -7)7- -(7J7II8-.- #Univers (WN)-F#Univers (WN)-G-G -I7Y7XX8- -Y7j7ii8- -i7x7- -ww8w77- -8778- -778- -778- -77- -877- -87%7- -$7C7BB8-.- #Univers (WN)-G#Univers (WN)-H-H -B7V7UU8- -U7v7- -x77- -77- -87 7- -77- - 7.7- -..8.7>7- -kk8k7z7- -=7l7- "-H-!y!-H "-H-V""-H "-H-)"$"-H- -7-.- #Univers (WN)-H#Univers (WN)-I-I -7- -7- -7-- -I7I-.- #Univers (WN)-I#Univers (WN)-J-J -X7X- -i7i-- -w7w- -77- -7- -7-- -7- -7- -B7B-.- #Univers (WN)-J#Univers (WN)-K-K -U7U----- -7-- -.7.- -k7k-- -- --.- #Univers (WN)-K#Univers (WN)-L-L -- - - -- -)- -(JII-.- #Univers (WN)-L#Univers (WN)-M-M -IYXX- -Yjii- -ix- -www- -- -- -- -- -- -%- -$CBB-.- #Univers (WN)-M#Univers (WN)-N-N -BVUU- -Uv- -x- -- -- - - - .- -...>- -kkkz- -=l- -- --.- #Univers (WN)-N#Univers (WN)-O-O -- - - -- -)- -(JII-.- #Univers (WN)-O#Univers (WN)-P-P -IYXX- -Yjii- -ix- -www- -- -- -- -- -- -$- -$CBB-.- #Univers (WN)-P#Univers (WN)-Q-Q -BVUU- -Uv- -x- -- -- - - - .- -...>- -kkkz- -=l- -YY- -YYZ-.- #Univers (WN)-Q#Univers (WN)-R-R -YYZ- -Z- -YYZ- -Y)Y- -(YJYIIZ-.- #Univers (WN)-R#Univers (WN)-S-S -IYYYXXZ- -YYjYiiZ- -iYxY- -wwZwYY- -ZYYZ- -YYZ- -YYZ- -YY- -ZYY- -ZY%Y- -$YCYBBZ-.- #Univers (WN)-S#Univers (WN)-T-T -BYVYUUZ- -UYvY- -xYY- -YY- -YY- -ZY Y- - Y.Y- -..Z.Y>Y- -kkZkYzY- -=YlY- -- -Y-.- #Univers (WN)-T#Univers (WN)-U-U -Y- - YY Y- -Y- -)- -(JIYI-.- #Univers (WN)-U#Univers (WN)-V-V -IYXYX- -YjiYi- -ix- -wYww- -YY- -Y- -Y- -- -Y- -Y$- -$CBYB-.- #Univers (WN)-V#Univers (WN)-W-W -BVUYU- -Uv- -x- -- -- -Y - - .- -.Y..>- -kZkkz- -=l- -bx "-W-)i$i-W "-W-Vii-W "-W-iyi-W "-W-(#-W "-W-V-W "-W-y-W "-W-)%-W "-W-V-W "-W-y-W "-W-)D#D-W "-W-VDD-W "-W-DzD-W "-W-)$-W "-W-V-W "-W-y-W-.- #Univers (WN)-W- 2 2TOTAL NO. 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"_w"_"__ 8_8_NAMELAST&__@0ASLunch4DB. b_xb_"$_$_ x_x_NAMELAST&:_:_@0ASDiner4DB.  _y _"d _d _ _ _NAMELAST&z _z _@0ASOther4DB. !_z!_"!_!_ !_!_NAMELAST&!_!_@0ASAmt4B. 7"_P{"_P"[ASLODGE4]+[ASBREAK4]+[ASLUNCH4]+[ASDINER4]+[ASOTHER4].7.79ffASLODGE4+PASBREAK4+SASLUNCH4+UASDINER4+RASOTHER4@@ @@%"@1.0Miles4 @. &_|&_"%_%_ ,&_,&_NAMELAST&%_%_@0RPM4ak1DC. V'_}V'_"'_'_ l'_l'_NAMELAST&.'_.'_@0MileAmt4B. X(_~X(_"[MILES4]*[RPM4]MILES4*+RPM4L@@ 0gParkT4DB. *_*_")_)_ **_**_NAMELAST&)_)_@0PBT4DB. 8+_8+_"+_+_&N+_N+_@0 ,+_,+_NAMELASTLTTrips4KB. ,_,_"V,_V,_ ,_,_NAMELAST&l,_l,_@0DailyE4DB. -_-_"-_-_ -_-_NAMELAST&-_-_@0MelTel4DB. ._._"._._&/_/_@0 ._._NAMELASTMES4E1DB. 80_80_"0_0_&N0_N0_@0 ,0_,0_NAMELASTCRGasE4DB. x1_x1_"V1_V1_&1_1_@0 l1_l1_NAMELASTCRRentE4DB. 2_2_"2_2_&2_2_@0 2_2_NAMELASTTime5 @. 3_3_"3_3_&4_4_@0 3_3_NAMELASTToDate5LE/ 85_85_"5_5_&N5_N5_@0 ,5_,5_NAMELASTToCity5 @. x6_x6_"V6_V6_&6_6_@0 l6_l6_NAMELASTToCnty5 @. j8_j8_"H8_H8_&8_8_@0 ^8_^8_NAMELASTToState5 @. 9_9_"9_9_&9_9_@0 9_9_NAMELASTToTime5 @. :_:_":_:_&;_;_@0 :_:_NAMELASTPDDay5DB. *<_*<_"<_<_&@<_@<_@0 <_<_NAMELASTLodging5DB. j=_j=_"H=_H=_&=_=_@0 ^=_^=_NAMELASTMIE5te1DB. >_>_">_>_&>_>_@0 >_>_NAMELASTLessM5lDB. ?_?_"?_?_&@_@_@0 ?_?_NAMELASTPerDAmt5B. A_:A_:"[LODGING5]+[MIE5]-[LESSM5]..PPLODGING5+PMIE5-4LESSM5rƢƢ@@ @0sASLodge5DB. B_B_"B_B_&B_B_@0 B_B_NAMELASTASBreak5DB. &D_&D_"D_D_&b_>b_@0Lodging6DB. c_c_"hc_hc_ c_c_NAMELAST&~c_~c_@0MIE6e1DB. d_d_"d_d_ d_d_NAMELAST&d_d_@0LessM6lDB. &f_&f_"e_e_ _*QG^>_*QG^TIME6 I10T  Time1  1lL`1Ks0T _xQG^_xQG^TO TDY LOCATION A8 |mMoB_hRG^B_hRG^ DATE (Month/Day)4mLI1s0T   ToDate1 *_ZSG^*_ZSG^ LER'S NAMMh,$12Z/2L&?5ppZf/2`̶ p*_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Z*_f# <Zh,$12Z/2L&?5ppZf/2`̶ ~16`rK0T_&UG^_&UG^ CITY (Mont6@Ir0T   ToCity1  ~1.`K0T_ VG^_ VG^COUNTY6XI0T   ToCnty1  ~1.}!`K0T _ZVG^ _ZVG^STATE5X!I0T   ToState1  ~1!2`KTr_VG^r_VG^TIME6!P2I1T  ToTime1  iiKBT1_1A1a122`a11S`KR1T _VG^_VG^PER DIEM Y A8@ Rm,N,_YG^,_YG^ NO. OF DAYS2hSKR1T   PDDays1 _WG^_WG^ LER'S NAMM~1Syc`QKp1T_ @kG^_@kG^LODGING (Receipt Required) (KSicKRp1T   Lodging1  ~1 dt`qK1TБ_![G^Б_[G^MEALS AND INCIDENTAL EXPENSESKqcjtKp1T   MIE1te1  ~1t`KT_%]G^_]G^LESS MEALS AT GOVERNMENT EXPENSELtjK1T  LessM1l  1K`K1T _^G^_^G^ PER DIEM AMOUNTZ"Rb4A_7_7 LiK1T   PerDAmt1 X__G^X__G^ 1`K,1T __G^__G^ACTUAL SUBSISTENCE  7~k0U_`G^_`G^LODGING (Receipt Required)#<K-L1T   ASLodge1  ~1hJ`LKm0Tz_7z_7BREAKFASTzKKLm0T   ASBreak1  ~1`lK0T_<7_<7LUNCHKHKm0T   ASLunch1  ~1H`KTD_7D_7DINNERoK0T  ASDiner1  ~1`K0T_7_7M&IE/OTHERh,$12Z/2L&?5ppZf/2`̶ p_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Z_f# <0T   CRGasE4  o\XU90T  CRRentE4  T! 10T  Time5  Wn M1s0T   ToDate5 0p_970p_97 LER'S NAMMh,$12Z/2L&?5ppZf/2`̶ p0p_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Z0p_f# <TeZh,$12Z/2L&?5ppZf/2`̶ XA r0T   ToCity5  X Y0T   ToCnty5  XY !0T   ToState5  9! Q20T  ToTime5  W1 SR0T   PDDay5 u_:7u_:7 LER'S NAMMS cRp0T   Lodging5  7d tq0T   MIE5te1  t  0T  LessM5l    ߣ0T   PerDAmt5  \!<,L0T   ASLodge5  z_!KLm0T   ASBreak5  K]!Hm0T   ASLunch5  r_!0T  ASDiner5  ^!30T   ASOther5  ^!50T   ASAmt5  6Z!U C0T   Miles5 ~_~;7~_~;7 LER'S NAMMU\!hCj0T  RPM5ak1 hY!i0T  MileAmt5  Z]!0T  ParkT5  @[!60T  PBT5  \!ov0T  LTTrips5  ]!%0T   DailyE5  $\!H0T  MelTel5  H]!2Y;0T   MES5E1  ^!Ֆ0T   CRGasE5  \X^!U90T  CRRentE5    0m10T  Time6   m4mL1s0T   ToDate6 _d<7_d<7 LER'S NAMM @5mr0T   ToCity6   7mX0T  ToCnty6   X+m!0T   ToState6   !*mP20T  ToTime6   1[mSR0T   PDDay6 ^_J=7^_J=7 LER'S NAMMh,$12Z/2L&?5ppZf/2`̶ p^_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Z^_f# <܋Zh,$12Z/2L&?5ppZf/2`̶  S^mcRp0T   Lodging6  ^!7d^mtq0T   MIE6e1   t^m 0T  LessM6l    ^mޣ0T   PerDAmt6  _!^m<,L0T   ASLodge6  `!MamKNm0T   ASBreak6  `!_mHl0T   ASLunch6  `!ram0T  ASDiner6  `!`m30T   ASOther6  `!`m60T   ASAmt6  \!6ZmU C0T   Miles6 $_0>7$_0>7 LER'S NAMM]!U]mhCj0T  RPM6ak1 \!h[mi0T  MileAmt6  ^!Z_m0T  ParkT6  ^!@\m60T  PBT6  ]!\mov0T  LTTrips6  ^!^m%0T   DailyE6  ^!?%]mH0T  MelTel6  _!H_m2Y;0T   MES6E1  ^!]m?0T   CRGasE6  ]!\X]mU90T  CRRentE6  0m B10T  Time7  ,mmķL1Bs0T   ToDate7 _?7_?7 LER'S NAMMm@ŷrB0T   ToCity7  -mƷXB0T  ToCnty7  ,mXɷ!B0T   ToState7  -m!ǷP2B0T  ToTime7  6m1SAR0T   PDDay7 |_?7|_?7 LER'S NAMM_mScRAp0T   Lodging7  _m7dtqA0T   MIE7e1  _mt A0T  LessM7l  _m ߣA0T   PerDAmt7  am<,AL0T   ASLodge7  h,$12Z/2L&?5ppZf/2`̶ pν_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Zf# <Zh,$12Z/2L&?5ppZf/2`̶ bmNKNAm0T   ASBreak7  cmHlA0T   ASLunch7  bmrA0T  ASDiner7  bm3A0T   ASOther7  bm5A0T   ASAmt7  ]m6U AC0T   Miles7 ~ç_@7~ç_@7 LER'S NAMM^mUhCAj0T  RPM7ak1 ^mhiA0T  MileAmt7  ^mZA0T  ParkT7  ^m@9A60T  PBT7  ^mnuA0T  LTTrips7  _m%A0T   DailyE7  `m?%HA0T  MelTel7  `mH2YA;0T   MES7E1  mՖA0T   CRGasE7  ]m\XU9A0T  CRRentE7  e TIu.3Iu6titlvJuJuO15bbiblbw(Obb .3 7  i kt  MW2MW5LWiLWltWLWrj36 ilwLa1hSBR  PDDays ѧ_Q7ѧ_Q7 TOTAL NO. DAYS h,$12Z/2L&?5ppZf/2`̶ pѧ_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Zѧ_f# <Zh,$12Z/2L&?5ppZf/2`̶ "S$&AR0eT5A  ASPerD nӧ_Q7nӧ_Q7 ACTUAL $_?-  ASDays L֧_R7L֧_R7 TOTAL NO. DAYS "$A-0 #{6T#6h? j0T  TotMile Nا_S7Nا_S7 TOTAL MILES oh+Ai  Mileage 2٧_T72٧_T7 TOTAL MILEAGE Nw~TTA  TotPark Tڧ_U7Tڧ_U7 TOTAL PARKING 3T]A4  TotPBT vۧ_V7vۧ_V7 PLANE, BU=6T#0%?x  LocTrans ܧ_nW7ܧ_nW7 TOTAL LOCAL G%TGGnݧ_XX7nݧ_XX7 TRANSPORTATION$h"YA;  TotMisc Tާ_FY7Tާ_FY7 TOTAL E&Y;T+$>Dߧ_,Z7ߧ_,Z7 MISCELLANEOUS#Xh?:T  TotCRc _[7_[7 TOTAL CAR RENTAL ETf(F_\7_\7 TOTAL ACTUAL SUBSISTENCEED_]7D_]7 TOTAL PLANE, BUS, TRAINx1 h010^ ^h7Gkd_.m7d_.m7RENTAL EXPENSE1 _66a1=`7KwT<_m7<_m7UNACCOMPANIED BAGGAGE GK6v0T  UB1  }A6nw0T  UB2  ~AՋn6wT  UB3  ֋6w0T  UB4  [!6w0T  UB5  h,$12Z/2L&?5ppZf/2`̶ pJ_Zx8Z"_"ZZJfZfZ?''̘1ipZ11hh\/f\X=\_=Zfa62 c1_==I1_=$Zf# <ZJ_h,$12Z/2L&?5ppZf/2`̶ ]!\m6w0T  UB6  ^m6Aw0T  UB7  >A6x  TOTALUB _~n7_~n7 PLANE, BUTwT<;C9U`_!do7`_do7TOTAL UNACCOM- PANIED BAGGAGEr0o@)= _(l1GVpG^^7pG^^7$of Days ?uẁGVG^7G^7$of Days >HWG^7G^7$of Days 5HW(8G^H78G^H7$of Days AGYVkG^7G^7$of Days HWhG^7hG^7$of Days B_KHW  G^27 G^27$of Days h,$12Z/2L&?5ppZf/2`̶ p G^Zx8Z"_"ZZJfZf1ipZ11hh\/f\X=\_=Zfa62 c1^__=$Z G^f# <8_G^h,$12Z/2L&?5ppZf/2`̶ ăHW G^7 G^7$of Days {E g0 G^%Έ70 G^Έ7FORM AD - 617 (USDA) (Rev. 11/96)ƽ{f_h G^"H7 G^H7Designed on FormFlow Software.