Box 22, Folder 19, Document 1

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Box 22, Folder 19, Document 1

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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


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  1. http://allenarchive.iac.gatech.edu/originals/ahc_CAR_015_022_019_001.pdf

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