WPC  77WPC W>?tyA ?O ?@[@ٜ?O?N?O;?Oϊ?P?M*?Ox?N?H=8X*?P*?Pz?N?O{?OLi?O?3N7>   (  (Untitled)'3,, , ,   UB ) 3    *     +     ,     /0ghjklmnopqrstuvwxyz{|}~<* * c:\inf42\forms\ad616.wpf c:\inf41\forms\ad616.wpf >b?tf eh Terminal 1 ! d !  d      Terminal eb Arial " ! 2     d    Arial ev Times New Roman  ! 2 F  d    Times New Roman 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 en Univers ATT " ! ? !  d     Univers ATT ep Times CG ATT  ! ? !  d     Times CG ATT ep Arial Narrow " ! &     d     Arial Narrow ez WP IconicSymbolsA  ! q !  d    WP IconicSymbolsA ?gAd A{?Oz jV c:\inf41\database\ AD616.DBFhistory   i)TRVLAUTH     h TRVLAUTH i$SSN     h SSN i)LastName     h LASTNAME i*FirstName     h FIRSTNAME i+MiddleName     h  MIDDLENAME i(AgyCode     h AGYCODE i)ORGOFCNO     h ORGOFCNO i+TrvlrOfcNo     h  TRVLROFCNO i*TravelFrm     h TRAVELFRM i)TravelTo     h TRAVELTO i*TYPECLAIM     h TYPECLAIM i%AMT8     h AMT8 i*LeaveTakn     h LEAVETAKN i)TrainDoc     h TRAINDOC i*DutyStatn     h DUTYSTATN i*ResdStatn     h RESDSTATN i*PstApprvd     h PSTAPPRVD i)TotlLodg     h TOTLLODG i+NightApprv  K   h  NIGHTAPPRVK i+SalaryAddr      h  SALARYADDR  i)TACntact      h TACNTACT  i*SpeclAddr      h SPECLADDR  i*ForgnAddr      h FORGNADDR  i(EFTAcct      h EFTACCT  i*MailAddr1  #   h MAILADDR1# i*MailAddr2  #   h MAILADDR2# i)MailCity     h MAILCITY i*MailState     h MAILSTATE i(MailZip     h MAILZIP 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] 0    h T_1_A4_ i(T_1[B4] 1    h T_1_B4_ i(T_1[C4] 2    h T_1_C4_ i(T_1[D4] 3    h T_1_D4_ i(T_1[E4] 4    h T_1_E4_ i(T_1[F4] 5    h T_1_F4_ i(T_1[A5] 6    h T_1_A5_ i(T_1[B5] 7    h T_1_B5_ i(T_1[C5] 8    h T_1_C5_ i(T_1[D5] 9    h T_1_D5_ i(T_1[E5] :    h T_1_E5_ i(T_1[F5] ;    h T_1_F5_ i(T_1[A6] <    h T_1_A6_ i(T_1[B6] =    h T_1_B6_ i(T_1[C6] >    h T_1_C6_  i(T_1[D6]! ?    h T_1_D6_! i(T_1[E6]" @    h T_1_E6_" i(T_1[F6]# A    h T_1_F6_# i(T_1[A7]$ B    h T_1_A7_$ i(T_1[B7]% C    h T_1_B7_% i(T_1[C7]& D    h T_1_C7_& i(T_1[D7]' E    h T_1_D7_' i(T_1[E7]( F    h T_1_E7_( i(T_1[F7]) G    h T_1_F7_) i(T_2[A1] H    h T_2_A1_ i(T_2[B1] I    h T_2_B1_ i(T_2[C1] J    h T_2_C1_ i+ExcessFare  K    h  EXCESSFARE  i*NonCntrct  L    h NONCNTRCT  i(T_3[A1] M    h T_3_A1_ i(T_3[B1] N    h T_3_B1_ i(T_3[C1] O    h T_3_C1_ i(T_3[D1] P    h T_3_D1_ i(T_3[E1] Q    h T_3_E1_ i(T_3[F1] R    h T_3_F1_ i(T_3[A2] S    h T_3_A2_ i(T_3[B2] T    h T_3_B2_ i(T_3[C2] U    h T_3_C2_ i(T_3[D2] V    h T_3_D2_  i(T_3[E2] W    h T_3_E2_  i(T_3[F2] X    h T_3_F2_  i(T_3[A3] Y    h T_3_A3_  i(T_3[B3] Z    h T_3_B3_  i(T_3[C3] [    h T_3_C3_ i(T_3[D3] \    h T_3_D3_ i(T_3[E3] ]    h T_3_E3_ i(T_3[F3] ^    h T_3_F3_ i(T_3[A4] _    h T_3_A4_ i(T_3[B4] `    h T_3_B4_ i(T_3[C4] a    h T_3_C4_ i(T_3[D4] b    h T_3_D4_ i(T_3[E4] c    h T_3_E4_ i(T_3[F4] d    h T_3_F4_ i(T_3[A5] e    h T_3_A5_ i(T_3[B5] f    h T_3_B5_ i(T_3[C5] g    h T_3_C5_ i(T_3[D5] h    h T_3_D5_ i(T_3[E5] i    h T_3_E5_ i(T_3[F5] j    h T_3_F5_ i(T_3[A6] k    h T_3_A6_ i(T_3[B6] l    h T_3_B6_ i(T_3[C6] m    h T_3_C6_  i(T_3[D6]! n    h T_3_D6_! i(T_3[E6]" o    h T_3_E6_" i(T_3[F6]# p    h T_3_F6_# i(T_3[A7]$ q    h T_3_A7_$ i(T_3[B7]% r    h T_3_B7_% i(T_3[C7]& s    h T_3_C7_& i(T_3[D7]' t    h T_3_D7_' i(T_3[E7]( u    h T_3_E7_( i(T_3[F7]) v    h T_3_F7_) i(NoDays1 w    h NODAYS1 i+PerDiemAmt x    h  PERDIEMAMT i%NFC1 y    h NFC1 i(NoDays2 z    h NODAYS2 i+ActSubsAmt {    h  ACTSUBSAMT i%NFC2 |    h NFC2 i&Rate1 }    h RATE1 i'Miles1 ~    h MILES1 i&Rate2     h RATE2 i'Miles2     h MILES2 i&Rate3     h RATE3 i'Miles3     h MILES3 i&Rate4     h RATE4 i'Miles4     h MILES4 i)MilesAmt     h MILESAMT i%NFC3     h NFC3 i*ParkngAmt     h PARKNGAMT i%NFC4     h NFC4 i(PlanBus     h PLANBUS i%NFC5     h NFC5 i*UnaccmBag     h UNACCMBAG i%NFC6     h NFC6 i*LoclTrnsp     h LOCLTRNSP i%NFC7     h NFC7 i*MiscExpns     h MISCEXPNS i%NFC8     h NFC8 i)CarRentl     h CARRENTL i%NFC9     h NFC9 i*TotlClaim     h TOTLCLAIM i&NFC10     h NFC10 i+TrvlAdvnce     h  TRVLADVNCE i&NFC11     h NFC11 i+OutstdgAdv     h  OUTSTDGADV i&NFC12     h NFC12 i+BillCollct     h  BILLCOLLCT i&NFC13     h NFC13 i'BillNo     h BILLNO i*BillNoAmt     h BILLNOAMT i&NFC14     h NFC14 i'AddAdv     h ADDADV i&NFC15     h NFC15 i*RemainAdv     h REMAINADV i&NFC16     h NFC16 i*NetTravlr     h NETTRAVLR i&NFC17     h NFC17 i(AUDITBY     h AUDITBY i*TotalDiff     h TOTALDIFF i*AuthAcctg      h AUTHACCTG  i+DistAcctng      h  DISTACCTNG  i(T_4[A1]     h T_4_A1_ i(T_4[B1]  A   h T_4_B1_A i(T_4[C1]     h T_4_C1_ i(T_4[A2]     h T_4_A2_ i(T_4[B2]  A   h T_4_B2_A i(T_4[C2]     h T_4_C2_ i(T_4[A3]     h T_4_A3_ i(T_4[B3]  A   h T_4_B3_A i(T_4[C3]     h T_4_C3_ i(T_4[A4]     h T_4_A4_  i(T_4[B4]  A   h T_4_B4_ A i(T_4[C4]     h T_4_C4_  i(T_4[A5]     h T_4_A5_  i(T_4[B5]  A   h T_4_B5_ A i(T_4[C5]     h T_4_C5_ i(T_4[A6]     h T_4_A6_ i(T_4[B6]  A   h T_4_B6_A i(T_4[C6]     h T_4_C6_ i(T_4[A7]     h T_4_A7_ i(T_4[B7]  A   h T_4_B7_A i(T_4[C7]     h T_4_C7_ i*ClaimSign  8   h CLAIMSIGN8 i+ClaimSDate     h  CLAIMSDATE i+FinlIndctr     h  FINLINDCTR i*ApprvSign  8   h APPRVSIGN8 i)AprvdSSN     h APRVDSSN i*DateApprv     h DATEAPPRV i+ApprvPhone     h  APPRVPHONE i)ApprName  8   h APPRNAME8 i(ApprAgy     h APPRAGY i+ContctName  #   h  CONTCTNAME# i+CntctPhone     h  CNTCTPHONE i+TrvlrName2  n   h  TRVLRNAME2n i%SSN2     h SSN2 i(T_6[A1]     h T_6_A1_ i(T_6[A2]     h T_6_A2_ i(T_6[A3]     h T_6_A3_ i(T_6[A4]     h T_6_A4_ i(T_6[A5]     h T_6_A5_ i(T_6[A6]     h T_6_A6_ i(T_6[A7]     h T_6_A7_ i(T_6[A8]     h T_6_A8_ i(T_6[A9]     h T_6_A9_ i)T_6[A10]     h T_6_A10_  i)T_6[A11]     h T_6_A11_  i)T_6[A12]     h T_6_A12_  i)T_6[A13]     h T_6_A13_  i)T_6[A14]     h T_6_A14_  i)T_6[A15]     h T_6_A15_ i)T_6[A16]     h T_6_A16_ i)T_6[A17]     h T_6_A17_ i)T_6[A18]     h T_6_A18_ i)T_6[A19]     h T_6_A19_ i)T_6[A20]     h T_6_A20_ i)T_6[A21]     h T_6_A21_ i)T_6[A22]     h T_6_A22_ i)T_6[A23]     h T_6_A23_ i)T_6[A24]     h T_6_A24_ i)T_6[A25]     h T_6_A25_ i)T_6[A26]     h T_6_A26_ i)T_6[A27]     h T_6_A27_ i)T_6[A28]     h T_6_A28_ i)T_6[A29]     h T_6_A29_ i)T_6[A30]     h T_6_A30_ i)T_6[A31]     h T_6_A31_ i)T_6[A32]     h T_6_A32_ i)T_6[A33]     h T_6_A33_  i)T_6[A34]!     h T_6_A34_! i)T_6[A35]"     h T_6_A35_" i(T_7[A1]     h T_7_A1_ i(T_7[A2]     h T_7_A2_ i(T_7[A3]     h T_7_A3_ i(T_7[A4]     h T_7_A4_ i(T_7[A5]     h T_7_A5_ i(T_7[A6]     h T_7_A6_ i(T_7[A7]     h T_7_A7_ i(T_7[A8]     h T_7_A8_ i(T_7[A9]     h T_7_A9_ i)T_7[A10]     h T_7_A10_  i)T_7[A11]     h T_7_A11_  i)T_7[A12]     h T_7_A12_  i)T_7[A13]     h T_7_A13_  i)T_7[A14]     h T_7_A14_  i)T_7[A15]     h T_7_A15_ i)T_7[A16]     h T_7_A16_ i)T_7[A17]     h T_7_A17_ i)T_7[A18]     h T_7_A18_ i)T_7[A19]     h T_7_A19_ i)T_7[A20]     h T_7_A20_ i)T_7[A21]     h T_7_A21_ i)T_7[A22]     h T_7_A22_ i)T_7[A23]     h T_7_A23_ i)T_7[A24]     h T_7_A24_ i)T_7[A25]     h T_7_A25_ i)T_7[A26]     h T_7_A26_ ?g?@i)T_7[A27]     h T_7_A27_ i)T_7[A28]     h T_7_A28_ i)T_7[A29]      h T_7_A29_ i)T_7[A30]      h T_7_A30_ i)T_7[A31]      h T_7_A31_ i)T_7[A32]      h T_7_A32_ i)T_7[A33]      h T_7_A33_  i)T_7[A34]!     h T_7_A34_! i)T_7[A35]"     h T_7_A35_" i(T_8[A1]     h T_8_A1_ i(T_8[A2]     h T_8_A2_ i(T_8[A3]     h T_8_A3_ i(T_8[A4]     h T_8_A4_ i(T_8[A5]     h T_8_A5_ i(T_8[A6]     h T_8_A6_ i(T_8[A7]     h T_8_A7_ i(T_8[A8]     h T_8_A8_ i(T_8[A9]     h T_8_A9_ i)T_8[A10]     h T_8_A10_  i)T_8[A11]     h T_8_A11_  i)T_8[A12]     h T_8_A12_  i)T_8[A13]     h T_8_A13_  i)T_8[A14]     h T_8_A14_  i)T_8[A15]     h T_8_A15_ i)T_8[A16]     h T_8_A16_ i)T_8[A17]      h T_8_A17_ i)T_8[A18] ! 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T    h T_9_A34_! i)T_9[A35]" U    h T_9_A35_" i)T_10[A1] V    h T_10_A1_ i)T_10[A2] W    h T_10_A2_ i)T_10[A3] X    h T_10_A3_ i)T_10[A4] Y    h T_10_A4_ i)T_10[A5] Z    h T_10_A5_ i)T_10[A6] [    h T_10_A6_ i)T_10[A7] \    h T_10_A7_ i)T_10[A8] ]    h T_10_A8_ i)T_10[A9] ^    h T_10_A9_ i*T_10[A10] _    h T_10_A10_  i*T_10[A11] `    h T_10_A11_  i*T_10[A12] a    h T_10_A12_  i*T_10[A13] b    h T_10_A13_  i*T_10[A14] c    h T_10_A14_  i*T_10[A15] d    h T_10_A15_ i*T_10[A16] e    h T_10_A16_ i*T_10[A17] f    h T_10_A17_ i*T_10[A18] g    h T_10_A18_ i*T_10[A19] h    h T_10_A19_ i*T_10[A20] i    h T_10_A20_ i*T_10[A21] j    h T_10_A21_ i*T_10[A22] k    h T_10_A22_ i*T_10[A23] l    h T_10_A23_ i*T_10[A24] m    h T_10_A24_ i*T_10[A25] n    h T_10_A25_ i*T_10[A26] o    h T_10_A26_ i*T_10[A27] p    h T_10_A27_ i*T_10[A28] q    h T_10_A28_ i*T_10[A29] r    h T_10_A29_ i*T_10[A30] s    h T_10_A30_ i*T_10[A31] t    h T_10_A31_ i*T_10[A32] u    h T_10_A32_ i*T_10[A33] v    h T_10_A33_  i*T_10[A34]! w    h T_10_A34_! i*T_10[A35]" x    h T_10_A35_" i)T_11[A1] y    h T_11_A1_ i)T_11[A2] z    h T_11_A2_ i)T_11[A3] {    h T_11_A3_ i)T_11[A4] |    h T_11_A4_ i)T_11[A5] }    h T_11_A5_ i)T_11[A6] ~    h T_11_A6_ i)T_11[A7]     h T_11_A7_ i)T_11[A8]     h T_11_A8_ i)T_11[A9]     h T_11_A9_ i*T_11[A10]     h T_11_A10_  i*T_11[A11]     h T_11_A11_  i*T_11[A12]     h T_11_A12_  i*T_11[A13]     h T_11_A13_  i*T_11[A14]     h T_11_A14_  i*T_11[A15]     h T_11_A15_ i*T_11[A16]     h T_11_A16_ i*T_11[A17]     h T_11_A17_ i*T_11[A18]     h T_11_A18_ i*T_11[A19]     h T_11_A19_ i*T_11[A20]     h T_11_A20_ i*T_11[A21]     h T_11_A21_ i*T_11[A22]     h T_11_A22_ i*T_11[A23]     h T_11_A23_ i*T_11[A24]     h T_11_A24_ i*T_11[A25]     h T_11_A25_ i*T_11[A26]     h T_11_A26_ i*T_11[A27]     h T_11_A27_ i*T_11[A28]     h T_11_A28_ i*T_11[A29]     h T_11_A29_ i*T_11[A30]     h T_11_A30_ i*T_11[A31]     h T_11_A31_ i*T_11[A32]     h T_11_A32_ i*T_11[A33]     h T_11_A33_  i*T_11[A34]!     h T_11_A34_! i*T_11[A35]"     h T_11_A35_" i)T_12[A1]     h T_12_A1_ i)T_12[A2]     h T_12_A2_ i)T_12[A3]     h T_12_A3_ i)T_12[A4]     h T_12_A4_ i)T_12[A5]     h T_12_A5_ i)T_12[A6]     h T_12_A6_ i)T_12[A7]     h T_12_A7_ i)T_12[A8]     h T_12_A8_ i)T_12[A9]     h T_12_A9_ i*T_12[A10]     h T_12_A10_  i*T_12[A11]     h T_12_A11_  i*T_12[A12]     h T_12_A12_  i*T_12[A13]     h T_12_A13_  i*T_12[A14]     h T_12_A14_  i*T_12[A15]     h T_12_A15_ i*T_12[A16]     h T_12_A16_ i*T_12[A17]     h T_12_A17_ i*T_12[A18]     h T_12_A18_ i*T_12[A19]     h T_12_A19_ i*T_12[A20]     h T_12_A20_ i*T_12[A21]     h T_12_A21_ i*T_12[A22]     h T_12_A22_ i*T_12[A23]     h T_12_A23_ i*T_12[A24]     h T_12_A24_ i*T_12[A25]     h T_12_A25_ i*T_12[A26]     h T_12_A26_ i*T_12[A27]     h T_12_A27_ i*T_12[A28]     h T_12_A28_ i*T_12[A29]     h T_12_A29_ i*T_12[A30]     h T_12_A30_ i*T_12[A31]     h T_12_A31_ i*T_12[A32]     h T_12_A32_ i*T_12[A33]     h T_12_A33_  i*T_12[A34]!     h T_12_A34_! i*T_12[A35]"     h T_12_A35_" i)PDiemDay     h PDIEMDAY i*PDiemTotl     h PDIEMTOTL i)SubsDays     h SUBSDAYS i)SubsTotl     h SUBSTOTL i)MAmtTotl     h MAMTTOTL i*MilesTotl     h MILESTOTL i*ParkgTotl     h PARKGTOTL i+PlnBusTotl     h  PLNBUSTOTL i*UnAccTotl     h UNACCTOTL i)LoclTotl     h LOCLTOTL i)MiscTotl     h MISCTOTL i(CarTotl     h CARTOTL i(REMARKS      h REMARKS  i*TotalDays     h TOTALDAYS i*TotlPDiem     h TOTLPDIEM i*TotlDays2     h TOTLDAYS2 i*TtlActSub     h TTLACTSUB i*TotlMiles     h TOTLMILES i+TtlMileage     h  TTLMILEAGE i*TotlPrkng     h TOTLPRKNG i+TtlPlanBus     h  TTLPLANBUS i+TotalLocal     h  TOTALLOCAL i)TotlMisc     h TOTLMISC i*TtlCarRnt     h TTLCARRNT ?0@de @?O,,%, 2!   TRAVEL VOUCHER         (Temporary Duty Travel)  P !"#                            <      ^&% & SECTION A -- IDENTIFICATION O !"#                            <  <&    ^^: d 1. TRAVEL AUTHORIZATION NO.: TRVLAUTH!"-./56789:;>?@ABCG                         < #     $     '    Y@$.,! *  < &&  = &&     jx d 2. SOCIAL SECURITY NO.x SSN!"-./567 89: ;>?@ABCG                         < #     $     '    Y@$.,! *  < &&  = &      V        <     V        <    oZ  d 3. NAME (Last)Z LastName!"-./56789:;>?@ABCG                         < #     $     '  - -   Y@$.,! *  < &&  = &     hjf d (First)f FirstName!"-./546789:;>?@ABCG                         < #     $     '  - -   Y@$.,! *  < &&  = &&     r  d (Middle Initial) MiddleName!"-./5F6789:;>?@ABCG                         < #     $     '  - -   Y@$.,! *  < &  = &&     # d 4. AGENCY  d  CODE K !"#      U                      <  && &    ?# AgyCode!"-./5K6789:;>?@ABCG                         < #    Z $    Z '  - -   Y@$.,! *  < & & = &&     1^~:X: ^ORGOFCNO!"-./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&     ^~: d 5. AGENCY ORIGINATING OFFICE  d  NUMBER  !"#      U                      <  && &    ~, d 6. TRAVELER ORIGINATING  d  OFFICE NUMBER  !"#      U                      <  && &    3~X ^TrvlrOfcNo!"-./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&     <~ d 7. DATES OF TRAVEL EXPENSES   !"#                            <  &&     < d1 FROM T1# $(), -. /01 2456789                                  < ! h"$%&')*                     Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    @ dP Month"$}%&')*                      Y@$.,!  (     > d| Day"$}%&')*                      Y@$.,!  (     ? do Year"$}%&')*                      Y@$.,!  (     NTravelFrm"$% &')*                     Y@$.,  !  (      D"$%&')*                     Y@$.,  !  (     B"$%&')*                     Y@$.,  !  (      d8 THRU T2# $(),--. /01 2456789                                  < ! h"$%&')*                     Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    @ dP Month"$}%&')*                      Y@$.,!  (     > d| Day"$}%&')*                      Y@$.,!  (     ? do Year"$}%&')*                      Y@$.,!  (     MTravelTo"$% &')*                     Y@$.,  !  ( &     D"$%&')*                     Y@$.,  !  (     B"$%&')*                     Y@$.,  !  (      V       <     V$,       <     V0,       <     V ,       <     V,       <    #~X d 9. RECLAIM  d  AMOUNT  d  INCLUDED K !"#      U                      <  && &    ~ d 8. TYPE CLAIM (Indicate one type only) 9 !"#                            <  && &    R: d DM  d FG  d OC  d GR < !"#      Z                      <  x&     d = Domestic  d = Foreign TDY  d = Outside Cont. U.S.  d = Escorted Group ?  !"#      Z                      <      2^ TYPECLAIM! "-./596789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&    2# AMT8! "-./5K6789:;>?@ABCG                         < #     $     '     $.,! *  < &&& = &&     y^:^ d 10. LEAVE TAKEN  !"#                            <  && &    m lX } Y = Yes   !"#                            <      2^l^ LeaveTakn! "-./56 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     lxlX } N = No    !"#                            <      ` ^ d 11. TRAINING DOCUMENT NO. (For  d  Purpose of Travel Code 3 Only)  !"#      U                      <  && &    ??N.lR TrainDoc!"-./56 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     5l  DutyStatn!"-./5&6 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&      ^ d 12. OFFICIAL DUTY STATION CITY AND STATE & !"#      d                      <  && &     ^ d 13. RESIDENT CITY AND STATE (If other than official station) : !"#      d                      <  & &    /l  ResdStatn!"-./5:6 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     ^4: d 14. POST APPROVAL INDICATOR   !"#                            <  && &    2^^ PstApprvd!"- ./56 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     m X  } Y = Yes   !"#                            <      lxX  } N = No    !"#                            <      \4`  d 15. TOTAL NIGHTS LODGING` TotlLodg!"- ./56 789:;>?@ABCG                         < #     $     '    $.,! *  < &&  = &&     4 d 16. NUMBER OF NIGHTS IN APPROVED ACCOMMODATIONS PER THE FIRE SAFETY ACT STANDARDS NightApprv!"- ./5&6 7+89:+;>?@ABCG                         < #     $     ' K   $.,! *  < &&  = &&     ^ % & SECTION B -- TRAVEL VOUCHER MAILING ADDRESS OPTIONS  O !"#                            <  <&      q&     SalaryAddr#$%&'()+,-.                            <   !  * &&&& 1  2     3       q&     TACntact#$%&'()+,-.                            <   !  * &&&& 1  2     3     w x d 17. SALARY ADDRESS   !"#                            <  &&    z x d 18. T&A CONTACT POINT   !"#                            <  &&     V ^ ^       <     V ^ ^       <     V  ^       <     V  ^       <     V  ^       <     r q&     SpeclAddr#$%& ' ()+,-.                            <   !  * &&&& 1  2     3     ~    d 19. SPECIAL ADDRESS   !"#                            <  &&     . ! d 20. FOREIGN ADDRESS *  !"#                            <  &&    x " d 21. TRAVEL EFT ACCOUNT A  !"#                            <  &&     r q&     ForgnAddr##$%(& ' ()+,-.                            <   !  * &&&& 1  2     3     L  q&     EFTAcct#$$%>& '()+,-.                            <   !  * &&&& 1  2     3     JT  d 1. (35)& MailAddr1!"-%./567?89:;>?@ABCG                         < #     $     ' #  Y@$.,! *  < && = &&     J  d 2. (35)& MailAddr2!"-&./567?89:;>?@ABCG                         < #     $     ' #  Y@$.,! *  < &&&& = &&     N t d 3. City (20) MailCity!"-'./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     L  @ d State (2)X MailState!"-(./5167 89:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&     ML .  d Zip Code (9) MailZip!"-)./5>6789:;>?@ABCG                         < #     $     '    Y@$.,! *  < &&&& = &&     j " ^,* X i   !"#                             <      j  ^,/ X i   !"#                             <      j  ^,1 X i   !"#                             <      j ^,2 X i  4 !"#                             <      j ^,3 X i  C !"#                             <      P *4 & SECTION D -- CLAIMS +& !"#                            <  &&    ^ 5 & SECTION C -- TRANSPORTATION COSTS ( !"#                            <  &&     V ^&%J. 6      <    ^tp d 22.  d0 METHOD OF  dn PAYMENT  !"#      U                       <      tq d 23.  d{ VENDOR/  d{ CARRIER  !"#      U                       <      tr d 24.  d{ IDENTIFICATION  d* NUMBER   !"#      U                       <      z ts dn 25. CAR RENTAL  !"#      U                       <      q <t dh MILES  !"#      U                       <      p<u du DAYS  !"#      U                       <      ?y?Otv d 26.  d AMOUNT # !"#      U                       <      ^xT 1 T_1#$(),-.(/012456789                                    < ! ("$%&')*                       Y@$.,!  (  3     A     A     A     A     A     A     A     ?    ?    ?     ?    ?    ?    *"x$%&')*                      Y@$.,!  (     *"y$%&')*                      Y@$.,!  (     *"z$% &')*                      Y@$.,!  (     *"{$%&')*                       @$.,!  (     *"|$%&')*                       @$.,!  (   &    ,"}$%&')*                        $.,!  ( x&&    *"~$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     * "$%&')*                       @$.,!  (     * "$%&')*                       @$.,!  (   &    , "$%&')*                        $.,!  ( x&&    * "$%&')*                      Y@$.,!  (     * "$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (     *"$%&')*                       @$.,!  (   &    ,"$%&')*                        $.,!  ( x&&    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (     *"$%&')*                       @$.,!  (   &    ,"$%&')*                        $.,!  ( x&&    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (     *"$%&')*                       @$.,!  (   &    ,"$%&')*                        $.,!  ( x&&    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     * "$% &')*                      Y@$.,!  (     *!"$%&')*                       @$.,!  (     *""$%&')*                       @$.,!  (   &    ,#"$%&')*                        $.,!  ( x&&    *$"$%&')*                      Y@$.,!  (     *%"$%&')*                      Y@$.,!  (     *&"$% &')*                      Y@$.,!  (     *'"$%&')*                       @$.,!  (     *("$%&')*                       @$.,!  (   &    ,)"$%&')*                        $.,!  ( x&&    g^ d $ # !"#                             <      ^| , & If payment was made by traveler,  & complete Section G on reverse.  !"#      U                       <      j  d 1   !"#                             <      j. | , } TOTALS  !"#                            <  &&&     |l,T 2 T_2#$(),-./012456789                                    < ! h,"5$%&')*                      Y@$.,!  (  3     A,     ?    ?    ?    ,,"$%&')*                      A$.,!  (     @SUM(T_1[D1..D7])  T_1'    k  .,"$%&')*                       A$.,!  (   &    @SUM(T_1[E1..E7])  T_1(    k  .,"$%&')*                      !<6 !<6G$.,!  ( x&&    @SUM(T_1[F1..F7])  T_1)    k  g^ d $ # !"#                             <      ??OX d (Insert  d Code) * !"#      P                      <  &    ^l d 27. AIRLINE ACCOMMODATIONS:  !"#                            <  &     q&  Excess Fare   ExcessFare #$%&'()+,-.                            <   !  * & 1  2     3      q&  Non-contract   NonCntrct!#$%!&'()+,-.                            <   !  * && 1  2     3     j  X 7   !"#                             <       V        <     V        <    j X 7  # !"#                             <      Pt* qr 28. SUMMARY OF SUBSISTENCE +& !"#      U                       <      xP<  d TDY LOCATION + !"#      U                       <      r."<L dI AMOUNT H  !"#      U                       <      : < dP NO. OF  du DAYS D !"#      U                       <      P dI CNTRY  di CODE + !"#      K                       <      D d CITY  di CODE / !"#      K                       <      qF d[ STATE @ !"#      d                       <      z8 d{ CITY or COUNTY 3  !"#      d                       <      P*xT 3 T_3#"$(),+-.&/012456789                                    < ! "6$%&')*                       Y@$.,!  (  3     A     A     A     A     A     A     A     ?    ?    ?     ?    ?    ?L    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (   &    ,L"$%&')*                        $.,!  ( xl&&     @@sum(t_3[f1..f7])<>@sum(perdiemamt,actsubsamt)  T_3)    k !  PerDiemAmt !  ActSubsAmt    k       @message("The total amounts of the Summary must equal the Per Diem Amount in block 29 and the Actual Subsistence Amount in block 30.");@goto(t_3[f1])   The total amounts of the Summary must equal the Per Diem Amount in block 29 and the Actual Subsistence Amount in block 30.  E    T_3  1  *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     * "$%&')*                      Y@$.,!  (     * "$%&')*                       @$.,!  (   &    ,L "$%&')*                        $.,!  ( &l&&    * "$%&')*                      Y@$.,!  (     * "$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (   &    ,L"$%&')*                        $.,!  ( &l&&    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$%&')*                       @$.,!  (   &    ,L"$%&')*                        $.,!  ( &l&&    *"$%&')*                      Y@$.,!  (     *"$%&')*                      Y@$.,!  (     *"$% &')*                      Y@$.,!  (     *" $%&')*                      Y@$.,!  (     *" $%&')*                       @$.,!  (   &    ,L" $%&')*                        $.,!  ( &l&&    *" $%&')*                      Y@$.,!  (     *" $%&')*                      Y@$.,!  (     * "$% &')*                      Y@$.,!  (     *!"$%&')*                      Y@$.,!  (     *""$%&')*                       @$.,!  (   &    ,L#"$%&')*                        $.,!  ( &l&& ??P   *$"$%&')*                      Y@$.,!  (     *%"$%&')*                      Y@$.,!  (     *&"$% &')*                      Y@$.,!  (     *'"$%&')*                      Y@$.,!  (     *("$%&')*                       @$.,!  (   &    ,L)"$%&')*                        $.,!  ( &l&&     VN%x       <    g."^ d $ H !"#                             <       X PDd       <     X d  (Check If  d Applicable)  !"#      P                      <  &    wDD`  d 29. PER DIEM / !"#                            <  &&    L8 x d No. of Days [ NoDays1!#"-./5367 89:;>?@ABCG                         < #     $     '    @$.,! *  <  = &&    '@SUM (PDiemDay,TotalDays)   PDiemDay    TotalDays    k  e^,  d ] ? !"#                            <  &    ID~ \/ $ PerDiemAmt!$"-!./5C67 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = xl     (@SUM (PDiemTotl,TotlPDiem)    PDiemTotl    TotlPDiem    k  I"$DX q# NFC USEX NFC1!%"-"./5M6789:;>?@ABCG                         < #     $     '    $.,! *  <  = &&      V"D| #      <    g ^$ d $ C !"#                             <      ^p% & SECTION E -- ACCOUNTING CLASSIFICATION , !"#                            <  <&    D` ,& d 30. ACTUAL SUBSISTENCE / !"#                            <  && &    L88x d No. of Days [ NoDays2!&"-(./5367 89:;>?@ABCG                         < #     $     '    @$.,! *  <  = &&     '@SUM (SubsDays,TotlDays2)   SubsDays    TotlDays2    k  :~, ActSubsAmt!'"-*./5C67 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     '@SUM (SubsTotl,TtlActSub)   SubsTotl    TtlActSub    k  /"$X, NFC2!("-+./5M6789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    e^,, d ] ? !"#                            <  &    +^^ Rate1!)"-../586 789:;>?@ABCG                         < #     $     '   X@$.,! *  <  = &&     vD` X4 d 31. MILEAGE /  !"#                            <  && &    ld9 d Rate [ 6  !"#                             <      u&: d ] Miles [ ;  !"#                             <      g@; d ] B  !"#                             <      ,~ Miles1!*"-<./5>6 789:;>?@ABCG                         < #     $     '   @$.,! *  <  = &&     ld@ d Rate [ 6  !"#                             <      ld,A d Rate [ 6! !"#                             <      ldB d Rate [ 6" !"#                             <      u&C d ] Miles [ ;  !"#                             <      u,&D d ] Miles [ ;! !"#                             <      u&E d ] Miles [ ;" !"#                             <      g@F d ] B  !"#                             <      g@,G d ] B! !"#                             <      g@H d ] B" !"#                             <      +^^ Rate2!+"-I./586 789:;>?@ABCG                         < #     $     '   X@$.,! *  <  = &&     ,~ Miles2!,"-J./5>6 789:;>?@ABCG                         < #     $     '   @$.,! *  <  = &&     +^,^ Rate3!-"-K./586!789:;>?@ABCG                         < #     $     '   X@$.,! *  <  = &&     ,~, Miles3!."-L./5>6!789:;>?@ABCG                         < #     $     '   @$.,! *  <  = &&     +^^ Rate4!/"-M./586"789:;>?@ABCG                         < #     $     '   X@$.,! *  <  = &&     ,~ Miles4!0"-N./5>6"789:;>?@ABCG                         < #     $     '   @$.,! *  <  = &&     8~X MilesAmt!1"-O./5C6 7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     `@SUM(T_6[A26],T_7[A26],T_8[A26],T_9[A26],T_10[A26],T_11[A26],T_12[A26],TTLmileage) ??M T_6  T_7  T_8  T_9  T_10  T_11  T_12 !  TtlMileage    k  /"$XX NFC3!2"-P./5M6 789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    DX` ,Q d 32. PARKING, TOLLS, ETC. /# !"#                            <  &&&&    9X~, ParkngAmt!3"-R./5C6#7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     (@SUM (ParkgTotl,TotlPrkng)    ParkgTotl    TotlPrkng    k  /"$XX, NFC4!4"-S./5M6#789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    D` ,T d 33. PLANE, BUS, TRAIN  d  (Paid by Traveler) /$ !"#      d                      <  &&    D` ,U d 34. UNACCOMPANIED BAGGAGE /& !"#      d                      <  &&    D` ,V d 35. LOCAL TRANSPORTATION /' !"#      d                      <  &&    D ` ,W d 36. MISCELLANEOUS EXPENSES /) !"#      d                      <  &&    xD4!` ,X d 37. CAR RENTAL /* !"#      d                      <  &&    D`"` ,Y d1  TOTAL CLAIM  d (Blocks 29 thru 37) /, !"#      d                      <  &&    gD`"&,Z d 38. /, !"#      d                      <  &&    D#` ,[ d 39. TRAVEL ADVANCE AMOUNT OUTSTANDING /- !"#      d                      <  &    D$` ,\ d 40. AMT. OF VOUCHER (Block 38) TO BE APPLIED  d  TO OUTSTANDING ADVANCE (Block 39) // !"#      d                      <  &     V  ]      <    D%` ,^ d 41. AMT. OF VOUCHER (Block 38) TO BE APPLIED  d  TO OUTSTANDING BILL FOR COLLECTION /0 !"#      d                      <  &    rD'. ,_ d BILL NO. /2 !"#      d                      <  &&    D<(` ,` d 42. ADDITIONAL ADVANCE AMOUNT REPAID  d  (Check or money order attached) /3 !"#      d                      <  &    Dh)` ,a d 43. REMAINING ADVANCE BALANCE  d  (Block 39 minus Block 40 and Block 42) /5 !"#      d                      <  &    D*` ,b d  NET TO TRAVELER  dC (Block 38 minus Block 40 and Block 41) /6 !"#      d                      <  &&    gD*&,c d 44. /6 !"#      d                      <  &&    7~, PlanBus!5"-d./5C6$7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     *@SUM (PlnBusTotl,TtlPlanBus) !  PlnBusTotl !  TtlPlanBus    k  /"$X, NFC5!6"-e./5M6$789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    9~, UnaccmBag!7"-f./5C6&7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     UnAccTotl    UnAccTotl  /"$X, NFC6!8"-g./5M6&789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    9~, LoclTrnsp!9"-h./5C6'7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     (@SUM (LoclTotl,TotalLocal)   LoclTotl !  TotalLocal    k  /"$X, NFC7!:"-i./5M6'789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    9 ~, MiscExpns!;"-j./5C6)7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     &@SUM (MiscTotl,TotlMisc)   MiscTotl   TotlMisc    k  /"$ X, NFC8!<"-k./5M6)789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    84!~, CarRentl!="-l./5C6*7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     &@SUM (CarTotl,TtlCarRnt)   CarTotl    TtlCarRnt    k  /"$4!X, NFC9!>"-m./5M6*789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    9`"~, TotlClaim!?"-n./5C6,7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     k@SUM(PerDiemAmt,ActSubsAmt,MilesAmt,ParkngAmt,PlanBus,UnaccmBag,LoclTrnsp,MiscExpns,CarRentl) !  PerDiemAmt !  ActSubsAmt   MilesAmt    ParkngAmt   PlanBus    UnaccmBag    LoclTrnsp    MiscExpns   CarRentl     k  2"$`"X, NFC10!@"-o./5M6,789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    @@SUM(NFC1,NFC2,NFC3,NFC4,NFC5,NFC6,NFC7,NFC8,NFC9)   NFC1   NFC2   NFC3   NFC4   NFC5   NFC6   NFC7   NFC8   NFC9     k  8#~, TrvlAdvnce!A"-p./5C6-7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     0"$#X, NFC11!B"-q./5M6-789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    8$~, OutstdgAdv!C"-r./5C6/7 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     ??O0"$$X, NFC12!D"-s./5M6/789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    8%~, BillCollct!E"-t./5C607 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     0"$%X, NFC13!F"-u./5M60789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    ,', BillNo!G"-w./5462789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     j',x X i  32 !"#                             <  &    7'~, BillNoAmt!H"-y./5C627 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     0"$'X, NFC14!I"-z./5M62789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    4<(~, AddAdv!J"-{./5C637 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     0"$<(X, NFC15!K"-|./5M63789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    9h)~, RemainAdv!L"-}./5C657 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     <@SUBTRACT (@SUM(OutstdgAdv,AddAdv),TrvlAdvnce) !  OutstdgAdv   AddAdv    k !  TrvlAdvnce      2"$h)X, NFC16!M"-~./5M65789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    2@SUBTRACT (NFC11,@SUM (NFC12,NFC15))   NFC11   NFC12   NFC15    k      9*~, NetTravlr!N"-./5C667 89:;>?@ABCG                         < #     $     '     $.,! *  < &&&& = &l     ?@SUBTRACT (TotlClaim,@SUM(OutstdgAdv,BillCollct))    TotlClaim !  OutstdgAdv !  BillCollct    k      2"$*X, NFC17!O"-./5M66789:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&&    2@SUBTRACT (NFC10,@SUM (NFC12,NFC13))   NFC10   NFC12   NFC13    k      g"^ d $ C, !"#                             <      g*^ d $ C7 !"#                             <      U+ d TOTAL DIFFERENCE TotalDiff!Q"-./5C68789:;>?@ABCG                         < #     $     '    $.,! *  < && = &&     aD+`  d AUDITED BY (Examiner's Initials)` AUDITBY!P"-./5/68789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&     T 8  q PURPOSE OF TRAVEL CODES  !"#                            <  &&&&    T 8 dd 1  dd 2  dd 3  dd 4  dd 5  dd 7  dd 8  !"#      x                      <  &    !8~ d = Emergency travel  d = Other travel  d = Pre-employment travel  d = Rest and Recuperation  d = Education  d = Informal training %  !"#                            <  &&    8  q&     AuthAcctgR#$%&'()+,-.                            <   !  *  1  2     3      4@goto(claimsign);@resetobj(distacctng) "  ClaimSign  1   #  DistAcctng    Y^8 X q&  45. AUTHORIZATION ACCOUNTING  }  (Check this block if accounting and  } purpose of travel code(s) from travel  } authorization are to be charged for the total  } voucher claim.)  !"#      Z                      <  <      q&     DistAcctngS#$%&"'()+,-.                            <   !  *  1  2     3      "@resetobj(authacctg) "  AuthAcctg    U^ X q&  46. DISTRIBUTED ACCOUNTING  }  (Check this block distribute total claim  } from Section D to the applicable Purpose  } of Travel Code and Accounting  } Classification line.) " !"#      Z                      <  <     VD       <    Y 8 d = Site visit  d = Information meeting  d = Training attendance  d = Speech or presentation  d = Conference attendance  d = Entitlement/home leave  d = Special mission travel   !"#      x                      <  &&    8 d 9  db 10  db 11  db 13  db 14  db 15 # !"#                            <  &     V ^8^       <     V ^^       <    x^R d PURPOSE CODE % !"#      U                       <      B d0 ACCOUNTING CLASSIFICATION  % !"#      U                       <      vR dU PERCENTAGE (% !"#      U                       <      ^xT 4 T_4#T$(),-&.,/012456789                                    < ! "$% &')*                      Y@$.,!  (  3     A     A     A     A     A     A     A     ?R    ?B    ?R    *R"$%&')*                       Y@$.,!  (      *B"$%&')*                    A  Y@$.,!  (      *R"$%&')*                     !<6 !<6G$.,!  ( &     *R"$%&')*                       Y@$.,!  (      *B"$%&')*                    A  Y@$.,!  (   ??N   *R"$%&')*                     !<6 !<6G$.,!  ( &     *R"$%&')*                       Y@$.,!  (      *B"$%&')*                    A  Y@$.,!  (      *R"$%&')*                     !<6 !<6G$.,!  ( &     *R "$%&')*                       Y@$.,!  (      *B "$%&')*                    A  Y@$.,!  (      *R "$%&')*                     !<6 !<6G$.,!  ( &     *R "$%&')*                       Y@$.,!  (      *B "$%&')*                    A  Y@$.,!  (      *R"$%&')*                     !<6 !<6G$.,!  ( &     *R"$%&')*                       Y@$.,!  (      *B"$%&')*                    A  Y@$.,!  (      *R"$%&')*                     !<6 !<6G$.,!  ( &     *R"$%&')*                       Y@$.,!  (      *B"$%&')*                    A  Y@$.,!  (      *R"$%&')*                     !<6 !<6G$.,!  ( &     g| }& % -& !"#                             <      ^# & SECTION F -- CERTIFICATION ., !"#                            <  <&    j(#X } 100% *- !"#                             <      (#  q THESE PERCENTAGES MUST EQUAL - !"#                             <      ^$ }  FRAUDULENT CLAIM. Falsification of an item in an expense account will result in a forfeiture of the claim  } (28 USC 2514) and may result in a fine of not more than $10,000 or imprisonment for not more than 5 years or  } both (18 USC 287; i.d. 1001). /, !"#      _                      <  &&     $^H&  }  CLAIMANT'S RESPONSIBILITIES AND SIGNATURE. I hereby assign to the United States any rights I  } may have against other parties in connection with any reimbursable carrier transportation charges described  } herein. I have received no payment for claims shown herein. All travel and reimbursable claims were incurred  } on official business of the United States Government. All tickets, coupons, promotional items and credits  } received in connection with travel claimed on this voucher have been accounted for as required by 41 CFR  } 301-304 and other regulations. I have reviewed this voucher and certify it to be correct. 1, !"#      _                      <  &&     [^h)  d 47. CLAIMANT'S SIGNATURE ClaimSign!U"-./565789:;>?@ABCG                         < #     $     ' 8  Y@$.,! *  < &&  = &&    lz h)L d 48. DATE 5  !"#                            <  && &    ^*X }  APPROVING OFFICER'S RESPONSIBILITIES AND SIGNATURE. In approving this voucher, I have  q determined that: (1) Reimbursement is claimed for official travel only; (2) Use of rental car, taxicab, or other special  q conveyance for which reimbursement is claimed is to the Government's advantage; and (3) Long distance phone calls and  q supplies or equipment purchased are necessary and in the interest of the Government. Note: To approve long distance phone  q calls, approving officer must have written authorization from Agency Head or his /her designee (31 USC 1348). 7, !"#      _                      <  &&    Fz 0*L ClaimSDate!V"-./5667 89:;>?@ABCG                         < #     $     '   @$.,  ! *  < &&&& = `     iz )^ d* Month 5 !"#                            <      g)^ dV Day 5 !"#                            <      h6) db Year "5 !"#                            <       V0*       <     V60*       <    h)~ d 49. FINAL VOUCHER  d  INDICATOR %5  !"#      P                      <  && &    -0* FinlIndctr!W"-./5%66789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&     j0* d N = No ,6 !"#                            <      k$0* d Y = Yes (6 !"#                            <       Vb*       <    pJP- d 51. SOCIAL SECURITY NO AprvdSSN!Y"-./5-6:7 89: ;>?@ABCG                         < #     $     '    Y@$.,! *  < &&  = &     d^P- d 50. APPROVING OFFICER'S SIGNATURE ApprvSign!X"-./56:7*89:*;>?@ABCG                         < #     $     ' 8  Y@$.,! *  < &&  = &&      V>.       <     V.       <    u&P-~ d 52. DATE APPROVED 9:  !"#                            <  && &    F&.~ DateApprv!Z"-./596;7 89:;>?@ABCG                         < #     $     '   @$.,  ! *  < &&&& = `     i&-^ d* Month 9: !"#                            <      g-^ dV Day <: !"#                            <      h- db Year ?: !"#                            <       V.       <     V.       <    rP- d 53. PHONE (Area Code and No.) ApprvPhone!["-./5C6:789:;>?@ABCG                         < #     $     ' () -  Y@$.,! *  < &  = &&    ^.0 d 54. NAME AND TITLE (Last, First, Middle Initial) (Type or Print)0 ApprName!\"-./56<7$89:$;>?@ABCG                         < #     $     ' 8  Y@$.,! *  < &&  = &&     V/       <    ??. d AGENCY  d CODE '< !"#      P                      <  && &    */ ApprAgy!]"-./5'6=789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&    ]J.Z  d 55. CONTACT PERSON'S NAMEZ ContctName!^"-./5-6<789:;>?@ABCG                         < #     $     ' #  Y@$.,! *  < &&  = &&    r. d 56. PHONE (Area Code and No.) CntctPhone!_"-./5C6<789:;>?@ABCG                         < #     $     ' () -  Y@$.,! *  < &  = &&    ^02, & Upon completion and approval, submit original voucher to: >5 !"#                            <  &&    ^08 &  USDA -- National Finance Center, P.O. Box 60000, New Orleans, LA 70160 >3 !"#      Z                      <  &&&    ^p0 , d  This form was electronically produced by Elite Federal Forms, Inc. 8> !"#                            <  &    Lp0.  d FORM AD - 616 (USDA) (Rev. 11/96) >> !"#                            <  &&&&    81, d Exception to SF 1012 approved by GSA 11/20/96 2? !"#                            <  &&&    Jp0~ & Print Form print  ` ->  !"#$%                @PRINTRANGE(1,2)        ?=8 def g h i j kl =H?PU^r d TRAVELER'S NAMEr TrvlrName2!"-./567C89:C;>?@ABCG                         < #     $     ' n  Y@$.,! *  < <& = <&    ?@CONCAT (LastName," ",FirstName," ",MiddleName)   LastName       FirstName    !  MiddleName      j^^ d SOCIAL SECURITY NO. SSN2!"-./567 89: ;>?@ABCG                         < #     $     '    Y@$.,! *  < && = x&    SSN   SSN  ^% & SECTION G -- SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED O !"#                            <  <&     V        <     V       <    ^X q ITINERARY  q FROM   !"#      d                      <  &&<&    z^F d DATE (Month/Day)   !"#                            <  <&    n^ d CITY   !"#                            <  <&    o^ d STATE    !"#                            <  <&    n^f d TIME    !"#                            <  <&    y^.  q TO TDY LOCATION    !"#                            <  &&&&    p^N  d COUNTY   !"#                            <  <&    z^   d DATE (Month/Day)    !"#                            <  <&    n^   d CITY    !"#                            <  <&    o^   d STATE   !"#                            <  <&    n^   d TIME   !"#                            <  <&    r^  q PER DIEM   !"#                            <  &&&&    u^n d NO. OF DAYS   !"#                            <  <&    ^6 ? LODGING  d (Receipt Required)   !"#      U                      <  <&    ^ ? MEALS AND  ? INCIDENTAL EXPENSES   !"#      Z                      <  <&    ^ ? LESS MEALS  ? AT GOVERNMENT EXPENSE   !"#      Z                      <  <&    y^ d PER DIEM AMOUNT   !"#                            <  <&&&    ^ d  ACTUAL SUBSISTENCE    !"#      d                      <  <&&    s^v d BREAKFAST   !"#                            <  <&    o^> d LUNCH   !"#                            <  <&    p^ d DINNER   !"#                            <  <&    t^ d M&IE/OTHER   !"#                            <  <    ^ d ACTUAL  d SUBSISTENCE AMOUNT    !"#      d                      <  <&&&    ^ ?  LODGING  d (Receipt Required)   !"#      U                      <  <&    u^ d NO. OF DAYS   !"#                            <  <&    q^& q MILEAGE "  !"#                            <  &&&&    o^ d MILES #  !"#                            <  <&    w^ d RATE PER MILE $  !"#                            <  <&    x^~ d MILEAGE AMOUNT %  !"#                            <  <&&&    ~^ d PARKING, TOLLS, ETC. '  !"#                            <  <&&&    ^   q PLANE, BUS, TRAIN  }  (Paid By Traveler) )  !"#                            <  &&    ^#! q LOCAL  q TRANSPORTATION -  !"#      Z                      <  &&&    s^$" d NO. TRIPS .  !"#                            <  <&    w^N%# d DAILY EXPENSE /  !"#                            <  <&    ^&$ q MISCELLANEOUS  q| EXPENSES 0  !"#      Z                      <  &&&    y^&% d TELEPHONE CALLS 1  !"#                            <  <&    x^'& d SUPPLIES, ETC. 2  !"#                            <  <&    ^n(X' qB CAR RENTAL  }  (Paid by Traveler)  } Receipt and Car Rental  } Agreement Required 3  !"#      P                      <  && &    x^)( d RENTAL EXPENSE 5  !"#                            <  <&    z^*) d GASOLINE EXPENSE 6  !"#                            <  <&    ^."* q UNACCOMPANIED  q BAGGAGE  +  !"#                            <  &&     V^.  +      <     V^% ,      <     V^% -      <     V^&% .      <     V^% /      <     V^ % 0      <     V^."% 1      <     V^#% 2      <     V^n(% 3      <     V^&% 4      < ??P    V^+% 5      <    h^.%R6 } PRIVACY ACT NOTICE. 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, Chapter 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 and allowances 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 in the 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 a requirement 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 the information required will result in delay or suspension of the employee's claim for reimbursement. <O !"#      _                      <  <<    ' #T_6#$(7),-./3012456789                                  < ! "{$%&')*                      Y@$.,!  ( &&&& 3 &&&&    AX     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     AX     A     ?    9X"8$%&')*                      Y@$.,/!  ( &&    @MESSAGE("If you do need to use the AD 617 [Con't Sheet], enter the figures from that page into page three of this form. The totals will then be added onto page one of the AD 616.")   If you do need to use the AD 617 [Con't Sheet], enter the figures from that page into page three of this form. The totals will then be added onto page one of the AD 616.  E  ("9$%&')*                      Y@$.,!  ( &&    (":$%&')*                      Y@$.,!  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( &T&&    N@SUBTRACT (@PRODUCT(@SUM (T_11[A13..A14]), T_11[A12]),T_11[A15])  T_11     k  T_11     T  T_11      *"$%&')*                       A$.,!  ( &T&&    *"$%&')*                       $.,!  ( T&    *"$%&')*                       $.,!  ( T&    *"$%&')*                       $.,!  ( T&    *"$%&')*                       $.,!  ( T&    *"$%&')*                       $.,!  ( T&    ,"$%&')*                       A$.,!  ( T&    "@SUM(T_11[A18..A22])  T_11    k  *"$%&')*                       A$.,!  ( &&&&    *"$%&')*                       A$.,!  ( &&&    ," $%&')*                       $.,!  ( &T&&    '(T_11[A24]*T_11[A25])/100  T_11  T_11    d    *" $%&')*                       $.,!  ( T&    *" $%&')*                       @$.,!  ( T&    *" $%&')*                       $.,!  ( T&    *" $%&')*                       A$.,!  (     *"$%&')*                       $.,!  ( &T&&    *"$%&')*                       $.,!  ( &T&&    * "$%&')*                       $.,!  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( T&    *"1$%&')*                       A$.,!  (     *"2$%&')*                       $.,!  ( &T&&    *"3$%&')*                       $.,!  ( &T&&    * "4$%&')*                       $.,!  ( &T&&    *X!"5$%&')*                       $.,!  ( &T&&    *""6$%&')*                       $.,!  ( &T&&    hH ,7 q&  $ !"#                            <  &<&&    h,8 q&  $$ !"#                            <  &<&&    h,9 q&  ,$ !"#                            <  &<&&    hj,: q&  4$ !"#                            <  &<&&    h ,; q&  <$ !"#                            <  &<&&    h,< q&  C$ !"#                            <  &<&&     Vz   =      <     V0  >      <     V  ?      <     V  @      <     VR  A      <     V   B      <     Vz ~@ C      <     V0~@ D      <     V~@ E      <     V~@ F      <     VR~@ G      <     V ~@ H      <     Vz N%@ I      <     V0N%@ J      <     VN%@ K      <     VN%@ L      <     VRN%@ M      <     V N%@ N      <    ]!x O &K TOTALS  &K Transfer  &k these totals to  & Section D on  &D Voucher Front.  & If additional  &? days are  & required, use  & continuation  & sheet F  !"#                            <  &&&&    T!x d TOTAL NO. DAYSx PDiemDay! "-P./5F67 89: ;>?@ABCG                         < #     $     '    A$.,! *  < && = &&    U@SUM(T_6[A12],T_7[A12],T_8[A12],T_9[A12],T_10[A12],T_11[A12],T_12[A12])  T_6   T_7   T_8   T_9   T_10   T_11   T_12     k  [!6xXQ F  !"#                            <  &&&&    U!x d TOTAL PER DIEMx PDiemTotl! "-R./5F67 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    U@SUM(T_6[A16],T_7[A16],T_8[A16],T_9[A16],T_10[A16],T_11[A16],T_12[A16])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k   V%V S      <    e!V,T q& $ F !"#                            <  &&    T!x d TOTAL NO. DAYSx SubsDays! "-U./5F67 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = &&    U@SUM(T_6[A17],T_7[A17],T_8[A17],T_9[A17],T_10[A17],T_11[A17],T_12[A17])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  [!xV F  !"#                            <  &&&&    2!^x SubsTotl! "-W./5F6!7 89:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    U@SUM(T_6[A23],T_7[A23],T_8[A23],T_9[A23],T_10[A23],T_11[A23],T_12[A23])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  !xX d TOTAL ACTUAL  d SUBSISTENCE F   !"#      Z                      <  &&&    e!^,[ q& $ F! !"#                            <  &&     V%^ \      <    ?V?U4X=4]?z = <,#^oOZ?U4S!~x d TOTAL MILEAGEx MAmtTotl!"-]./5F6%7 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    U@SUM(T_6[A26],T_7[A26],T_8[A26],T_9[A26],T_10[A26],T_11[A26],T_12[A26])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  R!&xX d TOTAL MILESx MilesTotl!"-^./5F6"7 89: ;>?@ABCG                         < #     $     '    A$.,! *  < && = &&    U@SUM(T_6[A24],T_7[A24],T_8[A24],T_9[A24],T_10[A24],T_11[A24],T_12[A24])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  e!F,_ q& $ F& !"#                            <  &&     V%F `      <    ! xa d TOTAL PLANE, BUS,  d TRAIN F)  !"#      Z                      <  &&&    T!x d TOTAL PARKINGx ParkgTotl!"-b./5F6'7 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    U@SUM(T_6[A27],T_7[A27],T_8[A27],T_9[A27],T_10[A27],T_11[A27],T_12[A27])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  e!,c q& $ F( !"#                            <  &&     V% d      <    4!f!x PlnBusTotl!"-e./5F6*7 89:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    U@SUM(T_6[A28],T_7[A28],T_8[A28],T_9[A28],T_10[A28],T_11[A28],T_12[A28])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  e!f!,f q& $ F* !"#                            <  &&     V%f! g      <    n!#xX d TOTAL LOCAL  d TRANSPORTATIONx ^LoclTotl!"-h./5F6-7 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    U@SUM(T_6[A31],T_7[A31],T_8[A31],T_9[A31],T_10[A31],T_11[A31],T_12[A31])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  g!&xX d TOTAL  d MISCELLANEOUSx ^MiscTotl!"-k./5F607 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    x@SUM(T_6[A32..A33],T_7[A32..A33],T_8[A32..A33],T_9[A32..A33],T_10[A32..A33],T_11[A32..A33],T_12[A32..A33])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  U!n(x  d TOTAL CAR RENTALx CarTotl!"-n./5F637 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x    x@SUM(T_6[A34..A35],T_7[A34..A35],T_8[A34..A35],T_9[A34..A35],T_10[A34..A35],T_11[A34..A35],T_12[A34..A35])  T_6!"  T_7!"  T_8!"  T_9!"  T_10!"  T_11!"  T_12!"    k  !."xq d TOTAL UNACCOMPANIED  d BAGGAGE F+  !"#      Z                      <  &&&    e!",r q& $ F, !"#                            <  &&     V%" s      <    3!"x UnAccTotl!"-t./5F6,7 89:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    U@SUM(T_6[A29],T_7[A29],T_8[A29],T_9[A29],T_10[A29],T_11[A29],T_12[A29])  T_6  T_7  T_8  T_9  T_10  T_11  T_12    k  e!N%,u q& $ F/ !"#                            <  &&     V%N% v      <    e!',w q& $ F2 !"#                            <  &&     V%' x      <    e!*,y q& $ F6 !"#                            <  &&     V%* z      <    H^+%R d REMARKS% REMARKS!"-{./5677O89:O;>?@ABCG                         < #     $     '    Y@$.,! *  < && = x&      V ^^%0 |      <    ^22~ & Print Form A_1   @  !"#$%                @PRINTRANGE(1,2)        ?=4defghijk =?z U\x d TOTAL CAR RENTALx TtlCarRnt! "-}./567 89: ;>?@ABCG                         < #     $     '    $.,! *  < && = x     exX d TOTAL  d MISCELLANEOUSx ^TotlMisc! "-~./567 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&& = x&    n xX d TOTAL LOCAL  d TRANSPORTATIONx ^TotalLocal! "-./567 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&& = x&    R x d TOTAL PARKINGx TotlPrkng!"-./56 7 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    S4x d TOTAL MILEAGEx TtlMileage!"-./56 7 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    PxX d TOTAL MILESx TotlMiles!"-./567 89: ;>?@ABCG                         < #     $     '    A$.,! *  < &&&& = &&&&    XT xX d TOTAL ACTUAL  d SUBSISTENCE   !"#      Z                      <  &&     SX x d TOTAL NO. DAYSx TotlDays2!"-./56 7 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&  = &&    SX4x d TOTAL PER DIEMx TotlPDiem!"-./56 7 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    SXxX d TOTAL NO. DAYSx TotalDays!"-./567 89: ;>?@ABCG                         < #     $     '    $.,! *  < &&&& = &&     XX &  The Totals from any continuation sheet (AD-617) should be  & entered below. These figures will then be added into totals on  & page one of the AD-616. ' !"#                             <      1X x TtlActSub!"-./567 89:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x    T xX d TOTAL PLANE, BUS,  d TRAIN   !"#      Z                      <  &&&    24 , TtlPlanBus!"-./567 89:;>?@ABCG                         < #     $     '    $.,! *  < &&&& = x     ?j=d =<,defghi <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=Z "Zm