GENERAL VOUCHER - PETRAEUS, DAVID H.

• Document Type: SPECIALCOLLECTION
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 06407641
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 6
• Document Creation Date: March 16, 2022
• Document Release Date: January 20, 2016
• Case Number: F-2013-00268
• Publication Date: October 4, 2012

Approved for Release: 2016/01/12 C06407641
US Classification/Mon USHSCl//Codeword//FG1//Dissem Controls/Mon-IntelV/Dedass (as appropriate) .
�
General Voucher
Shaded areas for
Doc
Please read Privacy Act Statement on page 2 before completing this form
finance use only
ID
SECTION 1 �
Name (Last, First, MI)
Security File No. or
Staff) (Non
Staff)
oom.and Building
Extension
CLAIMANT
DCIA Petraeus, David H.
CIA/DIR/DCIA
1
N/A
Reimbursements . .
I certify that the disbursements itemized were necessarily made by me on official business and
that I have not been nor will I be reimbursed therefor from any other source and that this claim
8. attachments are true and correct. The receipts required per regulations are attached.
Personal Services .
The amount requested is due the payee for satisfactory performance
of duties in accordance with the terms of the payee's contract or other
written or oral agreements.
Date
Signa ure of Claimant
Advance Information
Total Advanced
-
Total Expenses
SECTION 2
Type of.Disbursement
Amount Due from Employee
X EFT
of
mount Owed to Employee
.DISBURSMENT
' TYPE AND
ADVANCE INFO
Cash. .
.
Required field on screen; fill with 000 when not used) .
Description (Use page 2 for additional space)
Amount
Who: DCIA David H Petraeus
76,50
' SECTION: 3
What: Manual travel accounting voucher for official travel
DESCRIPTION
Where New York City New York
Who, What,
When: 17.18 September 2012
When, Where,
Why: Manual,travel accounting voucher to reimburse DCIA David H Petraeus for official travel to New York City, New York. 17-18 September
end Why must
be staled ,
2012. to conduct official business on behalf of the USG. Please see attached documents.
� �40'
(b)(3)_J
TOTAL AMOUNT.03anes1and 0
�(b)(3)
. r---L------,--(b)(3)
SECTION 4
AUTHORIZATIONS Li
'IV 84
( b)(6)
(b)(
)
Dale
0 c ao I;
(b)(6)
Acknc
esc....cipi. VI rUllUb
Desig a on Of
w.......,.. i ....,. i,i., uiius
SECTION 5
I acknowledge receipt of funds in the amount of $ ..
I authorize my agent, whose signature
Date
Signature of Claimant
Badge Na.
to be used for the purpose stated and accounted for as shown above
appears here to receive currency' �
to
RECEIPT
Dale
Signature of Claimant
Badge No..
amounting $ of official
OF
FUNDS
funds on my behalf and acknowledge
Dote
Signature of Claimant
Badge Na.
Date
Signature of Claimant
Badge No,
responsibility therefor, when paid to my
agent.
SECTION 6
OBLIGATION REF
ate
Prepared By Ext.
09/20/2012
FORM /4442
05-12
(b)(3)
-
(b)(3)
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
Privacy Act
The Privacy Act, Public Law 93-579, requires that Federal agencies inform individuals when they are asked to provide their
Social SecuritY Number (SSN) whether the disclosure is mandatory or voluntary, by what authority such number is solicited and
what uses will be made of the SSN. Disclosure by you of your SSN on this form is mandatory. The authority for this solicitation
is Executive Order 9397. The SSN is used as an identifier in processing and collating financial data. It is necessary to ensure
the association.of the data with the individual and therefore provide kir accurate financial record keeping.
Description
Amount
Please note meals verified with the Agent In Charge. Lodging paid on behalf of the Director.
Please Include, Subtotal on the Front of the Voucher
Subtotal
FORM 4442
05-12
5E C
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
DCIA David H. Petraeus
TDY locations:
TDY dates:
New York City, New York
17-18 September 2012
New York City, New York, M&IE ($71) = Breakfast ($12), Lunch ($18), Dinner ($36), Incidentals ($5)
9/17/2012 75% Less: 1 Lunch provided on the official aircraft
9/18/2012 75% Less: 1 Breakfast provided on the official aircraft
he per diem allowable for day travel begins and day travel ends is 75% of the authorized M&IE
M&IE due to Traveler:
Less:
N/A
Total due to Traveler:
$ 35.25
$ 41.25
76;50
76.50
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
II a Pr.= 11
Information Posted:
10/03/2011
Information Updated :
10/03/2011
Effective Start Date:
10/01/2011
Effective End Date:
Season Start:
09/01
Season End:
09/30
State:
NEW YORK
County and/or Other
Defined Location
City
Maximum Lodging
Amount
M&IE Rate
Maximum Per Diem
Rate
Seasonal Dates: 09/01
GMT Offset:
Comments:
09/30
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
Approved for Release: 2016/01/12 C06407641
Travel Itinerary,
Notifications sent to
VIPS(s):
DCIA
Trip date(s): 09/17/2012-09/18/2012
Previous Comments
Updated 09/17/2012 04:58:33 PM by
Created on 09/07/2012 by
Destination(s):
Approved for Release: 2016/01/12 C06407641