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Title
Box 22, Folder 19, Document 1
Text Item Type Metadata
Text
STANDARD FORM NO. 1012a
7 GAO $300
1012-206
DEPARTMENT, BUREAU. OR ESTABLISHMENT
Housing and Urben Development
Cc r for May ALL
TRAVEL VOUCHER ——~S
MEMORANDUM
PAYEE’ S NAME
Ivan Allen, Jr.
MAILING ADDRESS
City Hell
Atlenta, Georgia 30303
OFFICIAL DUTY STATION
eis Cc.
[RESIDENCE
Atlenta, Georgia
FOR TRAVEL AND OTHER EXPENSES
FROM (DATE) TO (DATE)
27 ovember 28,1
APPLICABLE TRAVEL AUTHORIZATION (S)
TRAVEL ADVANCE
s NONE
Outstanding
Amount to be applied
NO. DATE
12-10-66 —
Balance to remain
outstanding
TRANSPORTATION REQUESTS ISSUED __ a:
POINTS OF TRAVEL
ENT INITIALS OF | MODE, CLASS |
VALUE CARRIER OF SERVICE, | DATE wea oa
OFTICKET | ISSUING | AND ACCOM. | ISSUED
TICKET | MODATIONS * |
TRANSPORTATION
REQUEST NUMBER
FROM—
|
Dollars
116
AMOUNT
CLAIMED
APPROVED (Supervisory and other approvals when required ) DIFFERENCES:
NEXT PREVIOUS VOUCHER PAID UNDER SAME TRAVEL AUTHORITY
VOUCHER NO. D.O, SYMBOL DATE (MONTH-YEAR)
Total verified correct for charge to appropriation(s)
Applied to travel advance (appropriation symbol )
NET TO ~
TRAVELER
ACCOUNTING CLASSIFICATION ( Appropriation symbol must be shown; other classification optional )
= een for Pullman accommodations: MR, master room; DR, drawing room; CP, compartment; Be Redioom; DSR, duplex single room; RM, roomette;
DRM, duplex roomette; SOS, single occupancy section; LB, lower berth; UB, upper berth; LB~UB, lower and upper be seat.
SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED
PREVIOUS TEMPORARY DUTY ( Complete these blocks only if in aa Status immediately prior to pertod covered by this voucher and if admin-
istratively required )
ARTURE ST RARY DUTY STATION LAST DAY OF PRECEDING VOUCHER PERIOD
(DATE) (HOUR) (LOCATION) (DATE OF ARRIVAL)
AUTHORIZED
MILEAGE AMOUNT CLAIMED
NATURE OF EXPENSE RATE ¢
SPEEDOMETER | No. OF
READINGS Mice MILEAGE SUBSISTENCE OTHER
Grand total to face of voucher
(Subtotals, to be carried forward if necessary) >
U.S. GOVERNMENT PRINTINGMBrige\Yos2 0
7 GAO $300
1012-206
DEPARTMENT, BUREAU. OR ESTABLISHMENT
Housing and Urben Development
Cc r for May ALL
TRAVEL VOUCHER ——~S
MEMORANDUM
PAYEE’ S NAME
Ivan Allen, Jr.
MAILING ADDRESS
City Hell
Atlenta, Georgia 30303
OFFICIAL DUTY STATION
eis Cc.
[RESIDENCE
Atlenta, Georgia
FOR TRAVEL AND OTHER EXPENSES
FROM (DATE) TO (DATE)
27 ovember 28,1
APPLICABLE TRAVEL AUTHORIZATION (S)
TRAVEL ADVANCE
s NONE
Outstanding
Amount to be applied
NO. DATE
12-10-66 —
Balance to remain
outstanding
TRANSPORTATION REQUESTS ISSUED __ a:
POINTS OF TRAVEL
ENT INITIALS OF | MODE, CLASS |
VALUE CARRIER OF SERVICE, | DATE wea oa
OFTICKET | ISSUING | AND ACCOM. | ISSUED
TICKET | MODATIONS * |
TRANSPORTATION
REQUEST NUMBER
FROM—
|
Dollars
116
AMOUNT
CLAIMED
APPROVED (Supervisory and other approvals when required ) DIFFERENCES:
NEXT PREVIOUS VOUCHER PAID UNDER SAME TRAVEL AUTHORITY
VOUCHER NO. D.O, SYMBOL DATE (MONTH-YEAR)
Total verified correct for charge to appropriation(s)
Applied to travel advance (appropriation symbol )
NET TO ~
TRAVELER
ACCOUNTING CLASSIFICATION ( Appropriation symbol must be shown; other classification optional )
= een for Pullman accommodations: MR, master room; DR, drawing room; CP, compartment; Be Redioom; DSR, duplex single room; RM, roomette;
DRM, duplex roomette; SOS, single occupancy section; LB, lower berth; UB, upper berth; LB~UB, lower and upper be seat.
SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED
PREVIOUS TEMPORARY DUTY ( Complete these blocks only if in aa Status immediately prior to pertod covered by this voucher and if admin-
istratively required )
ARTURE ST RARY DUTY STATION LAST DAY OF PRECEDING VOUCHER PERIOD
(DATE) (HOUR) (LOCATION) (DATE OF ARRIVAL)
AUTHORIZED
MILEAGE AMOUNT CLAIMED
NATURE OF EXPENSE RATE ¢
SPEEDOMETER | No. OF
READINGS Mice MILEAGE SUBSISTENCE OTHER
Grand total to face of voucher
(Subtotals, to be carried forward if necessary) >
U.S. GOVERNMENT PRINTINGMBrige\Yos2 0
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