CLAIM AND RECEIPT CHIT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP56-00071A000100040007-7
• Release Decision: RIFPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: July 6, 1998
• Sequence Number: 7
• Content Type: FORM

Approved
CLAIM AND RECEIPT CHIT
Received $ representing reimbursement for
actual official expenses for:
taxi, bus or streetcar
(FRONT)
Date No. Trips Amount
I certify that I have not nor will I be reimbursed
for the above expenses from any other source and that
such expenses were not incurred in travel between
home or places where meals were taken, and places
of duty, Justification for this.expense is shown on
reverse hereof.
Approved
00100040007-
Date igna~ure
17 1. Government transportation not available in
reasonable time and urgent fixed appointment.
2. Government transportation-not useable due
security reasons.
(BACK)
Other reasons why advantageous to government.
(Specify)
Approved For le e ? I - DP56-00071A000100040007-7