TRAVEL VOUCHER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-05551A000200040002-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 7
• Document Creation Date: November 11, 2016
• Document Release Date: December 14, 1998
• Sequence Number: 2
• Publication Date: December 24, 1958
• Content Type: FORM

(When Fill T )
Approved
- TRAVEL VOUCHER
it or gs e m additional
copy if the originating office desires an audited copy
of the voucher returned.
NAME OF PAYEE
OFFICIAL DUTY STATION
~/~II
VNhiq09% D. C.
TELEPHONE EXT.
PERIOD COVERED BY THIS VOUCHER
TRAVEL ORDER NUMBER OR AUTHORITY FOR TRAVEL
OM
FR 1
20 Qqt~ 290 1
TO "'' 3338
13
pr-g6-
SUMMARY OF EXPENSES CLAIMED BY TRAVELER
THIS SPACE FOR FINANCE USE ONLY
PER DIEM
$
VOUCHER NO.
TRANSPORTATION
OTHER
21,2L
TOTAL
E
TOTAL CLAIMED
S
LESS ADVANCES AND TICKETS FURNISHED
9-.559-73
LESS ADJUSTMENTS:
BALANCE DUE TRAVELER
-
-
EXCESS ADVANCED TO BE REFUNDED
-----'_~~-_ -
-
--
(Attach copy of refund receipt)
PAYMENT INSTRUCTIONS
CERTIFICATIONS AND APPROVAL
I certify that this voucher and any attachments are correct, the eX_
penses were incurred on official business of a confidential nature,
AUDI TED BY
NET APPROVED
$
payment or credit has not been received; all quarters or meals fur-
nished without charge are stated with appropriate deduction from
di
d
l
k
h
CREDIT TO ADVANCE
ACCOUNT
$
per
em; an
any
eave ta
en
as been noted in the itinerary.
DATE
SIGNATURE OF PAYEE
NET TO PAYEE
$
$ TRAVELER NOTIFIED
THIS BALANCE DUE
APPROVED
CERTIFIED FOR PAYMENT OR CREDIT
DATE
SIGNATURE OF APPROVING OFFICER
DATE
AUTHORIZED CERTIFYING OFFICER
ii!
I CERTIFY FUNDS ARE AVAILABLE-
OBLIGAIION REFERENCE NO. CHARGE ALLOTMENT NO.
9-6300-l0-001
DATE SIGNATURE OF AUTHORIZING OFFICER
4 Dec. 1.958
25X1
OR FINANCE USE ONLY
(13.22)
DESCRIPTION
(40.42)
EXPEND.
147-52)
ADVANCE
(53.57)
GENERAL
LEDGER
(59.671
ALLOTMENT LEDGERACCT.NO.
(66-70)
OBJEC-
(71-80)
AMOUNT
CODE
ACCT. NO.
ACCT. NO.
x vouCHER
NO.
TIVE
CLASS
DEBIT
CREDir
T-q
two
~tG C9
~ ~
Ev
9a
FORM NO. 22 USE PREVIOUS EDITION OF THIS FORM.
I SEP 55 c? REPLACES FORM 33-12 WHICH IS OBSOLETE. (49)
 CO TUNI I Ml
(When Filled In)
eas toi
UNDS AND TRANS ORTATION TICKETS ADVANCED TO TRAVELER
DATE
I9
SOURCE
AMOUNT OF
FOREIGN CURRENCY
RATE TO
.
U. S
U. S. $ AMOUNT
----------
--
TOTAL
TRANSPORTATION AND EXCHANGE ORDERS. BOTH USED AND NOT USED (Attach receipts,
stubs, and unused items)
INCLUSI
VE DATES
MODE OF TRAVEL-
POINTS OF TRAVEL
FROM
T O
COST
Show initials of common carrier. name of vessel. class of service used. etc.
TOTAL
SCHEDULE OF EXPENSES AND ITINERARY OF TRAVELER
DATE
C9k
I9
DESCRIPTION OF EXPENDITURE AND DETAIL OF ITINERARY
(Deduct 1/5 from the applicable per them for each
meal and lood.ging furnished without charge)
-----
AMOUNT CLAIMED
PER DIEM OTHER
--
----- I
< ,,,fir
?ye Sii i +
-
is low ilii a t ari
--T
a m D. C.F. via Lo YIU*t 47U__
----
it P4rPwt
Q z
4
ed
g
p~,~
~
Airpoft at 20(*
2 Oct
21 Oct
21 Oct
22 Ocrt
23 -_.__
29 00t
arm
CHECK ONE: TOTALS CARRIED FORWARD
1.0
<
MOM
73-00
168.00
9 5
x+'.35
U.'C ONT U Tl(' Sf7 ~2 P~1F L
a?a~``fa1PACP ~f5ti~i98~ifL~ ~'51445T~?ik` r S~~ nd~fi
' _a
f ffRndnnm
1 A6a
 25X1A6a
Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
 Appioved For E l{N I A T MT V L R
AT
D
DESCRIPTION OF EXPENDI TURE AND DETAIL OF ITINERARY
AMOUNT CLAIMED
I
'
1 9
(DEDUCT 1/5 FROM THE PER DIEM FOR EACH
APPLICABLE
MEAL AND LODGING FURNISHED WITHOUT CHARGE)
P E R D I E M
O T H E R
Brought forward
.50
6
- -- -
fro
-12-DW-
32.00
1
,V D. C. 4 2133
11 BW
V4 &W 12.00
9.00
1.50
e
SUPPLENO
-
9 ' ~~
cer eofar a the
eupplementar: per diem
-- -
s concerned the entire sum claime has been expended
-
or necessary purposes ? offer normal living and
-
-
travel ------
_____ ing expenses in the maintenance of By official
---
position.
CHECK ONE: TOTALS CARRIED FORWARD
824.0
11.21
Amoroued ?S 1
A6a
 Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
Fee of $10.00 paid by Chief of Station,
for extra plans fare.
25X1A6a
Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
 Approved For Release, 1999/09/01 : CIA-RDP78-05551 A000200040002-9
,War
STATEMENT OF ADVANCES
25X1A6a
Washington, D. C.
$6w. 00 V'
300.00
100.00
200.00
20.00
$ 1,220.00
/,/a If IS
Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
 Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9
RECEIPT
NUMBER 24263
CHECK (V) APPROPRIATE ACCT. (S)
FORM NO. OBSOLETE
1 NOV. 55 1 02 PREVIOUS EDITIONS
THIS WILL ACKNOWLEDGE RECEIPT OF
Ai # "E.01 d de- A nr
25X1
9a
Approved For Release 1999/09/01 : CIA-RDP78-05551A000200040002-9