TRAVEL ORDER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP74-00005R000200090007-7
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 11, 2016
• Document Release Date: August 29, 1998
• Sequence Number: 7
• Content Type: FORM

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TOY
OFFICE TRAVEL ORDER NO.
?
TRAVEL
ORDER
ace
INVITATIONAL
LO 111 66-XG
NAME
John Doe
SERVICE TRAVEL ORDER NO.
OFFICIAL STATION O
FFICE PHONE
1111
GRAD[
GS-12
YOU ARE UTHORIZED TO TRAVEL AND INCUR NECESSARY EXPENSES IN ACCORDANCE WITH REGULATIONS. THIS TRAVEL
OR CHANGE OF OFFICIAL STATION, IF SO DESIGNATED, IS MADE FOR OFFICIAL PURPOSES AND NOT FOR YOUR PERSONAL
CONVENIENCE.
ITINERARY. MODE OF TRAVEL AND PURPOSE
Travel from Washington, D. C., to Newark, Nev Jersey, and return by air.
Purpose of this trip is to review depot operations.
TRAVEL DURATION
AUTOMOBILE ALLOWANCE
BV 6
E6717/65
CENTS PER MIL[. NOT TO EXCEED COST BY COMMON CARRIER
PER DIEM ALLOWANCE
CENTS PER MILE. AS MORE ADVANTAGEOUS TO THE GOVERNMENT BECAUSE OF.
DOMESTICS 16.00
LACK OF OTHER TRANSPORTATION
MAXIMUM
AVAILABLE TRANSPORTATION 18 UNSUITABLE DUE TO TIME. COST OR SECURITY FACTORS
FOREIGN --
OTHER (see below)
--
_= -
OTHER (specify)
ALLOWANCES AND SPECIAL PROVISIONS WITH REASONS
DEPENDENT TRAVEL AUTHORIZED
PROCURE TRANSPORTATION BY
ESTIMATED COST OP TRAVEL
NAME
DATE OF BIRTH
RELATIONSHIP
TRANSPORTATION REQUEST
Z
CASH OR OTHER
~
$8 l.00
Y^~
DISPOSITION OF EFFECTS
AUTHORIZATION
SHIPMENT STORAGE
I CERTIFY FUNDS ARE AVAILABLE
SHIPMENT POA AUTHORIZED
OBLIGATION REFERENCE NO.
EXCESS BAGGAGE AUTHORIZED
ACCOMPANIED
UNACCOMPANIED
LIES. AND MOOR
LBS. AND MOD[
CHARGE COST CENTER NO.
6
8
27
-1010
_- _- =
ACCOMPANY TRAVELER
ADVANCE OF FUNDS REQUESTED
DATE
SIGNATURE OF B Y F OFFICER
FOLLOW M(ITHIN S MONTHS
Y[E A
CCDUNTINO Du[ DATE
ADVANCE RETURN
NO
COORDINATION
REQUESTING OFFICIAL
SIGNATURE
TITLE ? COMPONENT
DATE
TYPED NAME AND TITLE
COMPONENT
Division Chief
Logistics
jM/,9=yjX Div.
SIGNATURE
DATE
AUTHORIZING OFFICI
AL
T
YPED NAME AND TITLE
COMPONENT
Executive Officer
Logistics
S
IGNATURE
DATE
FORM CAO USE
?-SS J'F PREVIOUS
MFG. 64S EDITIONS.
p oved F-or Release ~199"9/09CQ7 CIA=RDP74=00005R000200090007-7
roved For Releas"'
999/09/07 : CIA-RDP74- 0006000200090007-7
 REQUEST FOR ADVANCE
OF FUNDS
loved For Release
Doe
Travel order # LO/111/66 ZG
Period 15 July thru 17 July 1965
ON ARR::.L AT OFTTINAIION
ON OR ABJUT
sIONTHLY- ON THE LAST
WORKDAY OF FACH MONTH
14 July 1965 John Doe
n
I agree that I will fully ar count for this advance by submission of vouchers and refund of any unexpended balance to the place
Of n. , .... nr~ng stared and by the due dater hecked below In the event of my failure to so account and ref und any unexpended
bnlenrr, I nuthonrc drductinn from my salary to effect settlement.
34-39
STAT ~0s
28-33
CODE
E
...
X C
DESCRIPTION--
I'A NO
RE C APT
P 0
ADVANCE ACCOJN-513-27
- SHIP_ DOC. NO.
NO
F D
32-33
PROJECT
N E
Div
too
D
42-47
OBUG.
REF. NO.
ADVANCE
ACCT NO._j
EMP. NO.
ODL
F F F
SUB
NO.
GENERAL
LEDGER
ACCT. NO.
DATE
FORM 281 OBSOLETE PREVIOUS EDITIONS
7. 65
Approved For Release
l Executive Officer/OL_
CERTIFIED FOR PAYMENT OR CREDIT
67-70
OBJECT
CLASS
61-66
CK. NO.
DUE
DATE
TOTALS
moo! ?r I FOR TRAINING
999/09/07 : CIA-RDP74-00005R00t12(~bf~~~1007-7puRPOSES ONLY
I authorize my agent, whose signature appears below, to receive
currency amounting to _ of official funds on my
behalf and acknowledge receipt of sue h funds and my responsi-
bility therefor, when paid to my agent
DATE
(signed in
is to pick
signed in
advance if other individual
up advance)
advance by agent
I acktowledge receipt of funds in the amount stated hereunder
to be used for the purpose stated and accounted for as shown
above.
(1)
(2)
(3) (1,2&3 campleted at time money
is received)
55-66
COST--FAN
ACCOUNT SYMBOL
71-80
AMOUNT
 TRAVEL VOUCHE
SUBMIT AN ORIGINAL AND ONE COPY. USE THIS FORM IN
LIEU OF TRAVEL VOUCHER STANDARD FORM 1012.
Y e Joyce a nel no., !f en)
J~Nyr~
John Doe #000 0
2- ,
OFFICIAL DUTY STATION OR OFFICE.
M
BLOC- RO
TELEPHONE EXT.
PAYMENT AND/OR BANKING INSTRUCTIONS
TRAVEL ORDER NUMBER OR AUTHORITY FOR TRAVEL
O
Am
0000 V CB
1111
1.LJ1
CASH DEPOSIT U.5. TREAS-Q4ECK BANK CASHIER CHECK
IA/111/66-11G
SUMMARY OF EXPENSES CLAIMED
I CERTIFY FUNDS ARE AVAILABLE
FROM 15 J111Y 1965 TO 17 July 1965 L
OBLIG. REF . N(
. CHARGE FAN ACCOUNT NO.
PER DIEM
TRANSPORTATION
DATE
AUTHORIZED SIGNATURE
OTHER
8.00
TOTAL
84.00
CERTIFICATIONS AND APPROVAL
LESS ADV ANCES& TICKETS FWRNISHEp
8o. w
1 certify that this voucher and any attachments are correct, the
BALANCE DUE TRAVELER
expenses were incurred an official business, and that payment
or credit has not been received.
I authorize my agent, whose signature appears below, to
receive currency amounting to of
ESS ADVANCED TO BE REFUNDED
DATE
SIGNATURE OF PAYEE
official funds on my behalf and acknowledge receipt of such
(Attach copy of refund receipt)
funds and my responsibility therefor, when paid to my agent.
THIS SPACE FOR OFFIICE OF FINANCE USE
20 July
John Doe
DATE
SIGNATURE OF PAYEE
TOTAL CLAIMED
APPROVAL
REQUIRED
SIGNATURE OF AUDITOR
LESS ADJUSTMENTS:
NOT
REQUIRED
DATE
SIGNATURE OF AGENT
APPROVED
DATE
SIGNATURE OF APPROVING OFFICER
NET APPROVED
RECEIPT
CREDIT TO ADVANCE
ry~
Executive Officer/OL
RECEIVED IN CURRENCY
ACCOUNT
CERTIFIED FOR PAYMENT OR CREDIT
NET TO PAYEE
DATE
SIGNATURE OF CERTIFYING OFFICER
DATE
SIGNATURE OF- PAYEE AGENT
TRAVELER NOTIFIED
THIS BALANCE DUE
SPACE BELOW FOR EXCLUSIVE USE OF OFFICE OF FINANCE
DESCRIPTION-ALL OTHER AOEOUNTS 13.33
34.39
40.
42.47
46-
50
51.54
55-66
CO
T
F
67-70
71-80
26:33
T/A we.
STATION
CODE
41
E
OBLIG.
REF. NO.
49
PAY
CA
OR
C
GENERAL
-
S
AN
ACCOUNT SYMBOL
OBJECT
CLASS
AMOUNT
DESCRIPTION -
ADVANCE ACCOUNTS 13-27
.... ....
......
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a[c.arT.
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PROJECT
MO.
xC
PO
ED
NE
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AovANCE-
ACCT. ?10.
0
Er~? .
PER'
LID-
CODE
0
S
T
YR.
LEDGER
ACCT. NO.
'Y.
i
r~p~
S
61.66
C[. no.
-~~?~~~?-?
x a[F. M0.
:66.70
,DC OR
DUE
DATE
DEBIT
CREDIT
RITE
PREPARED BY
DATE
REVIEWED BY
TOTALS
GSM 22 OBSOLETE PREVIOUS EDITIONS T ONLY 1491
Approved For Release 1999/ /07 : CIA-RDP74-00d 6h Fi_ U~OS"'
 FURDS774b T
RAH PORTA TION TICKETS ADVANCED TO 05VELER
DATE
,S 65
SOURCE
AMOUNT OF
FOREIGN CURRENCY
RATE OF
EXCHANGE
AMOUNT
1 Jul
Office of Finance
$80.00
TOTAL
TRANSPORTATION AND EXCHANGE ORDERS BOTH USED AND NOT USED (Attach receipts, stubs and unused items)
TRANSPORTATION REQUESTS
NAME OF
MODE
CLASS
POINTS OF TRAVEL
,
NUMBER
AGENTS
VALUATION
OF TICKET
DATE
ISSUED
CARRIER
(Initials)
OF SERVICE AND
ACCOMMODATIONS
FROM
TO
COST*
EAL
-
Shuttle
Washington Na
'1 Newark
1 ,00
FjM
Shuttle
Newark
Washington Na
1 16. 00
*Do not include value of Transportation Requests used in this colulml. TOTAL
36.00
QUARTERS OR MEALS FURNISHED WITHOUT COST AND LEAVE TAKEN
Specify below any quarters or meals furnished without cost during period covered by this travel voucher and make appropriate
deduction from schedule of expenses. Record any leave taken. It none, ?o indicate.
QUARTERS - DATE(S)
MEALS - DATE(S) AND NUMBER
LEAVE - TYPE - DATE(S) - TIME
None
SCHEDULE OF EXPENSES AND ITINERARY OF TRAVELER
DATE
19 6
DESCRIPTION OF EXPENDITURE AND DETAIL OF ITINERARY
(Furnish complete itinerary, showing departure and arrival times, per diem claimed
AMOUNT CLAIMED
5
,
and other expenses, in chronological ?equglce.)
PER DIEM
OTHER
15 Jul
Mileage from residence to Washington National Airport
15 miles at $.10 per mile
$ 1.50
Depart Washington National Airport via Eastern Airlines
shuttle at 0730 (ticket attached)
Arrive Newark New Jersey, at 0830
Per diem - 4 at 16.00 per day
12.00
-16 Jul
Per diem - one day at $16.00 per day
16.00
17
art Newark Nev Jerse via Eastern Airlines shuttle
at 1530 ticket attached
Arrive Washington National Airport at 1655
Parking at Washington National Airport
5.00
P
er diem - 3/4 da at $16.00 per day
12.00
M
ileage from Washington National Ai ort to residence
1.50
CHECK ONE: - TOTALS CARRIED FORWARD 40.00 A.00
USE CONTINUA SHEET FORM NO. 22&. F ADDITIONAL IS REQUIRED
Approved-For-Release -1999109107: CIA-RDP74=00:005R000200090007-7-
Appruved
l5F*i'G1A::Rr"12;E4 00