(UNTITLED)

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 02778426
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 44
• Document Creation Date: December 28, 2022
• Document Release Date: September 29, 2017
• Case Number: F-2016-00788
• Publication Date: April 25, 1963

Approved for Release: 2017/09/13 CO2778426
Parking fee
1.00
POV National Airport to home, 12 miles @ .10
1. 20
Per Diem, 1/2 day at $16
8.00
TOTAL,
Approved for Release: 2017/09/13 CO2778426
Approved for Release: 2017/09/13 CO2778426
Received from Lawrence B. Houston
One Hundred Dollars ($100.00).
25 Apr 63
If
Approved for Release: 2017/09/13 CO2778426
REQUEST FOR ADVANCE
OF FUNDS
PURPOSE
Approved for Release: 2017/09/13 002778426
SE ET
(When F lied In)
4.AME OF ADVANCEZ
.Lawrence ic. Houston
PAYABLE TO
Lawrence R. Houston
2gEApril 1963
ROOM
7130 1
BUILDING
Hq.
16V:bo
TELEPHONE EXT.
6111
VOUCHER NO. (Finance use only)
This request for advance of funds in the amount of $100.00 will be advanced by Mr. Houston to
a Project MOSES agent to be used for operational and travel and related expenses. The agent
is to account to Mr. Houston for this advance.
STATUS OF OUTSTANDING ADVANCES
DATE
Dig April 63
AMOUNT
UNACCOUNTED BALANCE
REQUESTING OFFICER
I agree that I will fully account for this advance by submission of vouchers and refund of any unexpended balance
to the reporting point stated and by the due date checked below. In the event �flay failure to so account and refund
any unexpended balance. I authorize deduction from my salary to effect settlement.
REPORTING POINT
FINANCE DIVISION HEADQUARTERS
SIGNATURE ;.).L.11.2. DATg
Lawrence R. Houston 25 April 1963
I CERTIFY FUNDS ARE AVAILABLE
OBLIGATION REFERENCE NO.
18-63
CHARGE ALLOTMENT NO.
3117-4000-8000
DATE
25 April 196
PREPP
,,MAT.EICIFI i
fESCII TION-ALL OTHER ACCOUNTS 13-33
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
28-33
T/A NO.
P.O. NO.
.132.4
.DIV.
4014SI 1114 igi:0;'1 17 11/1110-t47.1r:
1414P.1
�,�
�,�����,
1111 1 1 1 1 1 1 1 1 1 1
111111111 I 1111
I I I I
1 1 1 I
FORM
5-60 281 USE PREVIOUS EDITIONS.
DATE
APPROVED
SIGNATURE OF APPROVING OFFICER
Lawrence R. Henoten
CERTIFIED FOR PAYMENT OR CREDIT
AUTHORIZED CERTIFYING OFFICER
DUE DATE
ON ARRIVAL AT DESTINATION
ON OR ABOUT
MONTHLY - ON THE LAST
WORKDAY OF EACH MONTH
VI
RECEIPT
FOR FUNDS ADVANCED
I acknowledge receipt of funds in the amount stated here-
under to be used for the purpose stated and accounted for
as shown above.
DATE
25 April 1963
SIGNATURE OF ADVANCEE
Lawrence R. Houston
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
REVIEWED BY
34-39
STATION 40-42
CODE EXPEND
CODE
PROP.NO
PROJECT NO.
43
45.46
PAY
PER.
L1Q.
CODE
47-52
OSLIG.
REF. NO.
ADVANCE
ACCT. NO.
EMP. NO.
eV/5r
53
CA
YR
54-57
GENERAL
LEDGER
ACHT. NO.
SE ET
VOUCHER NO. 7-12
58-67
ALLOT. OR COST
ACCT. NO.
Approved for Release: 2017/09/13 002778426
62-67
CK. NO.
REF. NO.
68-70
DUE
DATE
OBJECT
CLASS
-TOTALS
DEBIT
AMOUNT
$100.00
(b)(1)
(b)(3)
71-80
AMOUNT
(b)(1)
(b)(3)
CREDIT
(38-49)
Approved for Release: 2017/09/13 002778426
SECRET
(When Filled In)
REQUEST FOR ADVANCE
OF FUNDS
UAME OF ADVANCU
Lawrence R. Houston
igEApril 1943
AMOUNT
100.00
VOUCHER NO. (Finance use only)
PAYABLE TO
Lawrence R. Houston
ROOM
7D01
BUILDING
TELEPHONE EXT.
611/
PURPOSE
This request for advance of funda in
a Project MOSES agent to be used for operational and travel and related exposuma. The agent
is to account to Mr. Houston for this advance.
$100.00 will be advanced by Mr. Hesston to
STATUS OF OUTSTANDING ADVANCES
I agree that I will fully account for this advance by submission of vouchers and refund of any unexpended balance
to the reporting point stated and by the due date checked below. In the event of my failure to so account and refund
any unexpended balance, I authorize deduction from my salary to effect settlement.
DATE
AMOUNT
UNACCOUNTED BALANCE
REPORTING POINT
DUE DATE
VI
FINANCE DIVISION - HEADQUARTERS
ON ARRIVAL AT DESTINATION
ON OR ABOUT
MONTHLY - ON THE LAST
WORKDAY OF EACH MONTH
Dig April 63
REQUESTING OFFICEa.,,,,,
1,41
SIGNATURE
Lawrence R. Houston
APPROVED
RECEIPT FOR FUNDS ADVANCED
I CERTIFY FUNDS ARE AVAILABLE
DALE
25 April 1943
SIGNATURE OF APPROVING OFFICER
Lawrence R . Houston
I acknowledge receipt of funds in the amount stated here-
under to be used for the purpose stated and accounted for
as shown above.
OBLIGATION REFERENCE NO.
18-63
CHARGE ALLOTMENT NO.
3117-00004000
DATE
25 April 196
PREPARE
'
SIGNATURE
3
DATE
CERTIFIED FOR PAYMENT OR CREDIT
AUTHORIZED CERTIFYING OFFICER
DATE
2.5 April 1963
SIGNATURE prqpviqicm
AMOUNT
$100.00
Lawrence R. Houston (b)(1)
SPACE BELOW FOR EXCLUSIVE USE OF FINANCE DIVISION
(b)(3)
REVIEWED BY
VOUCHER NO. 7-12
ESC4 7101,4-ALL OTHER ACCOUNTS 13-33 34-39
DESCRIPTION-
ADVANCE ACCOUNTS 13-27
28-33
T/A NO.
P.O. NO.
132-33
CODE
PROP. NO.
40-42
EXPEND
CODE
PROJECT NO.
!FY
43
45-46 47-52
OBLIG.
PAY REF. NO.
PER.
ADVANCE
LIO. ACCT. NO.
CODE
EMP. NO.
53
CA
YR
54-57
GENERAL
LEDGER
ACCT. NO.
58-67
ALLOT. OR COST
ACCT. NO.
68-70
DUE
DATE
71-80
AMOUNT
62-67
CF. NO.
REF. NO.
OBJECT
CLASS
DEBIT
CREDIT
141It
, 1-
t# 49-
�,1
1
et-3/51--
1
i)V411.0' '
11111111
111111111
111111111
111111111
1 1 I
1 1 1
� 4,
TOTALS
FORM
5-60 281 USE PREVIOUS EDITIONS.
SECRET
Approved for Release: 2017/09/13 002778426
(38-49)
Approved for Release: 2017/09/13 CO2778426
NAME OF TRAVELER
TRAVEL ORDER NO.
DOMESTIC TRAVEL
Prtdoct MOSES 9.63
(See instructions on reverse
side)
OFFICIAL STATION
OFFICE OF ASSIGNMENT
ESTIMATED COST OF ---
(b)(1)
--
AUTHORIZATION
(b)(3)
YOU ARE AUTHORIZED TO TRAVEL BETWEEN THE FOLLOWING POINTS
Washington. D. C. � to Now York
Agoncy 11,11101241119 including authorisation
FOR THE PURPOSE STATED (See instruction #2)
City, Now York, and return on *Maid -
for operational expenses.
PER DIEM
DURATION OF TRAVEL
PROCURE TRANSPORTATION
BY
APPROVAL FOR ADVANCE OF FUNDS
BEGIN
END
TRANSPORTATION
REQUEST
YES
AMOUNT
ACCOUNTING DUE DATE
16
22 Apr 63
23 Apr 63
CASH (For security
reasons only)
NO
I CERTIFY FUNDS ARE AVAILABLE
DATE SIGNED
OBLIGATION REFERENCE NO.
CHARGE COST CENTER NO.
SIGNEAVOF B 6, F OFFICER
22_44,r 63
17-63
3117.00004000 (b)('
SIISNAIUIIL LII- WUIHUK
ZING OFFICIAL-
SIGNED.
DATE SIGNED
(b)(',
22 Aro 43___
OR ADVANCE
OF FUNDS
I ACKNOWLEDGE RECEIPT OF $ rdt TO BE ACCOUNTED
CERTIFIED FOR PAYMENT
FOR ON DUE DATE SPECIFIED
SIGNATURE OF AUTHORIZED CERTIFYING OFFICER
DATE
SIGNATURE OF ADVANCEE
/4/
, VOUCHER
TRANSPORTATION (Attach receipts, stubs and unused tickets)
TRANSPORTATION
AGENTS
NAME OF
MODE AND CLASS
DATE
I POINTS OF TRAVEL
CASH PAID
REQUEST NUMBER
VALUATION
OF TICKET
CARRIER
(Initials)
OF SERVICE
ISSUED
FROM
TO
BY
TRAVELER
ZA
EA
Shuttle
NJ
'2 Apr
r. 2 Apr
Washington
New York
New York
Washington
15.00
17.22
TOTAL
DATE
DETAIL OF ITINERARY AND DESCRIPTION OF EXPENSES
AMOUNT
Z2 April 1963
POY Langley to National Airport
Lv. Washington, D.C.. 4:00 p.m.
Arr. New York City, New York. 5:20 p.m.
Taxi from Airport to Foley Square
1.20
5.00
23 April 1963
Taxi from Foley Square to 60th Street
Taxi from 60th Street to Foley Square
Lv. New York City, New York, 11:50 p.
Arr. Washington, D. C. , 1:10 a.m.
Taxi from Dulles Airport to home
Pe r Diem, 3/4 day @ $16
M yo; 1963
2.10
2.00
6.45
12.00
TOTAL
2.5k 75
SUMMARY OF EXPENSES
TRAVELER'S CERTIFICATION
TRANSPORTATION PAID BY TRAVELER
$ 32. 22
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE
CORRECT AND JUST IN ALL RESPECTS, AND THAT PAYMENT OR
PER DIEM AND OTHER
20.75
CREDIT HAS NOT BEEN RECEIVED.
TOTAL
DATE
SIGNATURE OF PAYEE
LESS
ADVANCE
St_09at-7 -:,,�
BALANCE DUE TRAVELER
4pp 19
9 (Signed)
(b)
EXCESS ADVANCE TO BE REFUNDED
T-Ir---
(b)
INDICATE WHERE CHECK IS TO
BE SENT OR EXTENSION OF d/ * 77
TRAVELER. (See instruction rr5) I
FORM
10.61 540b USE PREVIOUS EDITION. Approved for Release: 2017/09/13 CO2778426
I28-48/
pproved for Release: 2017/09/13 CO2778426
INSTRUCTIONS
VOUCHER NO.
I. PREPARE IN ORIGINAL AND ONLY THOSE COPIES REQUIRED BELOW: (WHEN TRAVEL IS TO BE PERFORMED WITH VOUCHERED FUNDS.
THE TRAVEL ORDER NUMBER WILL INCLUDE AN "XG" SUFFIX)
B.
ORIGINAL (A) IF AN ADVANCE IS AUTHORIZED AND REQUIRED, THE ORIGINAL WILL BE USED TO DRAW THE AD-
VANCE FROM FINANCE OR FISCAL DIVISION, AS APPROPRIATE.
(B) IF NO ADVANCE IS R'EQUIRED, THE ORIGINAL WILL BE USED TO CLAIM REIMBURSEMENT FOR
TRAVEL EXPENSES.
FIRST COPY ORIGINATING OFFICE'S RECORD COPY.
SECOND COPY TO FINANCE OR FISCAL DIVISION, AS APPROPRIATE, FOR RECORD PURPOSES.
IF THE ORIGINAL WAS USED TO DRAW AN ADVANCE. THE THIRD COPY WILL BE USED AS THE TRAVEL ACCOUNTING FOR
THE ADVANCE.
FIRST-CLASS ACCOMMODATIONS ON COMMON CARRIERS OR USE OF POA NOT TO EXCEED COST BY COMMON CARRIER INCLUDING
PER DIEM AND ALL EXPENSES' ALLOWABLE UNDER AGENCY TRAVEL REGULATIONS WHEN NECESSARILY INCURRED IN PERFORM.
ANCE OF TRAVEL ARE AUTHORIZED.
AUTHORIZATION, OR. POST APPROVAL ON,A SEPARATE SHEET ATqACHED, IS REOUIRED FROM INCURRING EXPENSES OF THE
FOLLOWING: (1) EXTRA FARE PLANES AND TRAINS, (2) USE OF POA NOT TO EXCEeD 12 CtNT5 PER MILE, (3) HIRE
OF SPECIAL CONVEYANCES, (4) HIRE OF ROOM FOR OFFICIAL USE. (5) CMARGES FOR EXCESS BAGGAGE, (5) DOMESTIC
TRAVEL ON ACTUAL EXPENSE BASIS NOT TO EXCEED $30 PER DAY. (7) USE bF CONVEYANCE ON ACTUAL EXPENSE BASIS.
(8) OTHER EXPENSES NOT NORMALLY RELATED TO TRAVEL NECESSARILY INCURRED FOR OFFICIAL PURPOSES'.
3. WHEN TRANSPORTATION REQUESTS ARE USED, RECORD THE NUMBER OF EACH AND THE AGENT'S VALUATION OF THE TICKET IN THE
COLUMNS PROVIDED. WITH NO AMOUNT ENTERED IN THE COLUMN HEADED "CASH PAID BY TRKVELER." USE.THE LATTER COLUMN ONLY
WHEN TRANSPORTATION IS PURCHASED WITH CASH. IN WHICH CASE THE COLUMNS HEADED ''TRANSPORTATION REQUEST NUMBER" AND
"AGENT'S VALUATION OF TICKET" WILL NOT BE USED:
ATTACH COPIES OF EACH TRANSPORTATION REQUEST ISSUED. IF ANY, RECEIPTS, AlsiDA Lojugo_TicKus.
, '. �.1
5. PAYMENT OF ANY BALANCE DUE TRAVELER SHALL BE MADE BY U. S. TREASURY CHECk uNLEi-s.:WITIgN Aq
SUED TO THE CONTRARY.
S ARE IS-
6. ANY UNUSED BALANCE OF AN ADVANCE SHALL BE REFUNDED BY ATTACHING THE TRAVELER'S PERSONAL CHECK OR A COPY or A
RECEIPT ISSUED BY THE DISBURSING OFFICE IN ACKNOWLEDGEMENT OF A REFUND IN CASH.
FOR COMPTROLLER USE ONLY
TOTAL CLAIMED
$
CERTIFIED FOR PAYMENT OR CREDIT
LESS ADJUSTMENTS
;umudilLeful
deutr /d4:6 .ey/
4 (efV
NET APPROVED
CREDIT TO ADVANCE
NET TO PAYEE
DESCRIPTION 13.33
40-42
EXPEND
CODE
V
43
47-52
OBLIG.
REF. NO.
ADVANCE
ACCT. NO.
7127 N/ pfac( irg
1-3
/7
55-4,4,59
54.57
GENERAL
LEDGER
ACCT. NO.
42/no
DATE
DATE PAID
AMT. OF CASH
AUTHORIZED CERTIFYING OFFICE(b)(1)
(b)(3)
CHECK NUMBER
SIGNATURE OF PAYEE (Cash payment only)
58.67
ALLOT. OR COST
ACCT. NO.
62-67
CR. NO.
X REF. NO.
Oae
TOTALS
66.70
DUE
DATE
71-80
AMOUNT
OBJECT
CLASS
DEB IT
(b)(1)
(b)(3)
�
ACCOUNTING CLASSIFICATION ( Appropriate symbol must be shown; other classification optional)
Approved for Release: 2017/09/13 CO2778426
Approved for Release: 2017/09/13 CO2778426
4
- DOMESTIC TRAVEL
(See instructions on reverse
Side)
NAM --
OFFICIAL STATION
it
OFFICE OF ASSIGNMENT
TRAVEL ORDER NO.
Proleet MOIIE8 8-63
ESTIMATED COST OF TRAVEL
11320
Geworal Vituativel, (b)(1)
AUTHORIZATION (b)(3)
YOU ARE AUTHORIZED TO TRAVEL BETWEEN THE FOLLOWING POINTS FOR THE PURPOSE STATED (See instruction #2)
Waskingtest. D.C. , to West Paint 13011011. Florida, to Miami. Florida, to
14inr York City, Nis, York, and :stern ea Wilda Agosty business including
authorisiatIoa for operational expeases.
PER DIEM
DURATION OF TRAVEL
PROCURE TRANSPORTATION BY
BEGIN
111 Apr
I CERTIFY FUNDS ARE
SIGNATURE OF B B F OFFICER
END
Apr
AVAILABLE
5/
SIGNATURE OF AUTHORAG'&01TCrAt
TRANSPORTATION REQUEST
CASH (For security reasons only)
DATE SIGNED
APPROVAL FOR ADVANCE OF FUNDS
AMOUNT
OBLIGATION REFERENCE NO.
16-43
larwronce B. Houston, General Counsel
ACCOUNTING DUE DATE
CHARGE COST CENTER NO(b)(1)
3117.0.00-8000(b)(3)
RECEIPT FOR ADVANCE OF FUNDS
I ACKNOWLEDGE RECEIPT OF On*
FOR ON DUE DATE SPECIFIED
CERTIFIED FOR PAYMENT
TO BE ACCOUNTED
SIGNATURE OF ADVANCEE
SIGNATURE OF AUTHORIZED CERTIFYING OFFICER
VOUCHER
TRANSPORTATION (Attach receipts, stubs and unused tickets)
TRANSPORTATION
REQUEST NUMBER
AGENTS NAME OF
VALUATION CARRIER
OF TICKET (Initials)
**
**N
EA
rchased tickets for se
(b)(1)
(b)(3)
MODE AND CLASS DATE POINTS OF TRAVEL CASH PAID
BY
OF SERVICE ISSUED FROM TO TRAVELER
FX 18 Apr Washington est Palm :Be ch 220.
Shuttle 22 Apr New York Washington 12.00
and two agent .
DATE
18 April
22 April
DETAIL OF ITINERARY AND DESCRIPTION OF EXPENSES
TOTAL
POV Langley to National Airport and return (with several
stops along way). 37 miles to .10 3.70
Lv. Washington, 1). C., 6:45 p.rn. , Transportation furnished
Arr. West Palm Beach, 9:45 p.m.
Government transportation furnished to Miami, Florida
Lv. Homestead Air Force Base, 1:15 p.m. (Ai e costs
for three non-Government agents on airc ) 10.00
Arr, Idlewild, 4:00 p.m.
Lv. New York, New York, Eastern Airlines,
Arr. Washington, D. C. , 11:25 m.
Mont. on &Mir.
5232. 9
AMOUNT
SUMMARY OF EXPENSES
TRANSPORTATION PAID BY TRAVELER
PER DIEM AND OTHER
TOTAL
LESS ADVANCE
BALANCE DUE TRAVELER
EXCESS ADVANCE TO BE REFUNDED
#5)
INDICATE WHERE CHECK IS TO
BE SENT OR EXTENSION OF
TRAVELER. (See instruction
232. 98
63. 90
296. 88
3ZO. 00
23.12
TRAVELER'S CERTIFICATION
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE
CORRECT AND JUST IN ALL RESPECTS, AND THAT PAYMENT OR
CREDIT HAS NOT BEEN RECEIVED.
DATE
IV
SIGNATURE OF PAYE
963 ha
(b)(1)
(b)(3)
FORM
10-61 5140b USE PREVIOUS EDITION. Approved for Release: 2017/09/13 CO2778426
128.461
pproved for Release: 2017/09/13 CO2778426
INSTRUCTIONS
VOUCHER NO.
1. PREPARE IN ORIGINAL AND ONLY THOSE COPIES REQUIRED BELOW: (WHEN TRAVEL IS TO BE PERFORMED WITH VOUCHERED FUNDS.
THE TRAVEL ORDER NUMBER WILL INCLUDE AN "XG" SUFFIX)
B.
ORIGINAL (A) IF AN ADVANCE IS AUTHORIZED AND REQUIRED. THE ORIGINAL WILL BE USED TO DRAW THE AD-
VANCE FROM FINANCE 'OR FISCAL DIVISION. AS APPROPRIATE.
(13) IF NO ADVANCE IS REQUIRED. THE ORIGINAL WILL BE USED TO CLAIM REIMBURSEMENT FOR
TRAVEL EXPENSES.
FIRST COPY ORIGINATING OFFICE'S RrCaRD COPY.
SECOND COPY TO FINANCE OR FISCAL DIVISION. AS APPROPRIATE, FOR RECORD PURPOSES.
IF THE ORIGINAL WAS USED TO DRAW AN ADVANCE. THE THIRD COPY WILL BE USED AS THE TRAVEL ACCOUNTING FOR
THE ADVANCE.
FIRST-CLASS ACCOMMODATIONS ON COMMON CARRIERS OR USE OF p0A NOT TO EXCEED COST BY COMMON CARRIER INCLUDING
PER DIEM AND ALL EXPENSES ALLOWABLE UNDER AGENCY TRAVEL REGULATIONS WHEN NECESSARILY INCURRED IN PERFORM-
ANCE OF TRAVEL ARE. AUTHORIZED.
AUTHORIZATION, OR POST APPROVAL ON A SEPARATE SHEET ATTACHED. IS REQUIRED FROM INCURRING EXPENSES OF THE
FOLLOWING: (1) EXTRA FARE PLANES AND TRAINS. (2) USE OF POA NOT TO EXCEED 12 CENTS PER MILE. (3) HIRE
OF SPECIAL CONVEYANCES, (4) HIRE OF ROOM FOR OFFICIAL USE, (5) CHARGES FOR EXCESS BAGGAE. (6) DOMESTIC
TRAVEL ON ACTUAL EXPENSE BASIS NOT TO EXCEED $30 PER DAY, (7) USE OF ,CONVEYANCE ON ACTUAL EXPENSE BASIS,
(8) OTHER EXPENSES NOT NORMALLY RELATED TO TRAVEL NECESSARILY INCURRED FOR OFFICIAL PURPOSES.
3. WHEN TRANSPORTATION REQUESTS ARE USED, RECORD THE NUMBER OF EACH AND THE AGENT'S VALUATION OF THE TICKET IN THE
COLUMNS PROVIDED, WITH NO AMOUNT ENTERED IN THE COLUMN HEADED "CASH'PAID BY TRAVELER." USE THE LATTER COLUMN ONLY
WHEN TRANSPORTATION IS PURCHASED WITH CASH. IN WHICH CASE THE COLUMNS HEADED "TRANSPORTATION REQUEST NUMBER" AND
"AGENT'S VALUATION OF TICKET" WILL NOT BE USED. *
ATTACH COPIES OF EACH TRANSPORTATION REQUEST ISSUED, IF ANY, RECEIPTS. AND ANY UNUSED TICKETS.
5. PAYMENT OF ANY BALANCE DUE TRAVELER SHALL BE MADE BY U. S. TREASURY CHECK UNLESS WRITTEN INSTRUCTIONS ARE IS-
SUED TO THE CONTRARY.
6 ANY UNUSED BALANCE OF AN ADVANCE SHALL BE REFUNDED BY ATTACHING THE TRAVELER'S PERSONAL CHECK OR A COPY OF
RECEIPT ISSUED BY THE DISBURSING OFFICE IN ACKNOWLEDGEMENT OF A REFUND IN CASH.
FOR COMPTROLLER USE ONLY
TOTAL CLAIMED
LESS ADJUSTMENTS
NET APPROVED
CREDIT TO ADVANCE
NET TO PAYEE
DESCRIPTION 13-33
40.42
EXPEND
CODE
43
47.52 54.57
OBLIG. GENERAL
REF. NO. LEDGER
ADVANCE ACCT.NO.
ACCT. NO.
CERTIFIED FOR PAYMENT OR CREDIT
DATE
DATE PAID
AMT. OF CASH
AUTHORIZED CERTIFYING OFFICER
CHECK NUMBER
SIGNATURE OF PAYEE (Cash payment only)
58-67
ALLOT. OR COST
ACCT. NO.
68.70
DUE
DATE
71-80
AMOUNT
60/ 0 /7- 000
v 4
62-67
CR. NO.
I< REF. NO.
OBJECT
CLASS
a)'.3
TOTALS
CREDIT
ACCOUNTING CLASSIFICATION ( Appropriate symbol must be shown; other classification optional)
AA.
*A.
(b)(1)
(b)(3)
I.
Approved for Release: 2017/09/13 CO2778426
Approved for Release: 2017/09/13 CO2778426
Transportation home from National Airport
Per Diem, 3 1/4 days $16, less 40% for Government
quarters furnished ($52. 00 $20. SO $31. 20) plus
1 day $16, no Government quarters furnished
TOTAL
3.00
47. 20
63.90
Approved for Release: 2017/09/13 CO2778426
Approved for Release: 2017/09/13 CO2778426
DOMESTIC TRAVEL
(See instructions on reverse
side)
NAME OF TRAVELER
TRAVEL ORDER NO. I
Project MOSES 7.63 0
ESTIMATED COST OF TRAVEL (
OFFICIAL STATION
Washington
OFFICE OF ASSIGNMENT
General Counsel
AUTHORIZATION
YOU ARE AUTHORIZED TO TRAVEL BETWEEN THE FOLLOWING POINTS FOR THE PURPOSE STATED (See instruction #2)
Washington, D. C. to New York. New York and return on
official Agency business including authorization for operational expenses.
PER DIEM
DURATION OF TRAVEL
PROCURE TRANSPORTATION BY
APPROVAL FOR ADVANCE OF FUNDS
BEGIN
END
TRANSPORTATION REQUEST
YES
AMOUNT
ACCOUNTING DUE DATE
6
23 Mar
1 23 max 63
x
c A sn (For security reasons only)
NO
I CERTIFY FUNDS ARE AVAILABLE
DATE SIGNED
OBLIGATION REFERENCE NO.
CHARGE COST CENTER NO.
SIGNATURE OF B & F OFFiCERI
15-63
3117-0000-8000 0

eZZA01,84,
SIGNATURE OF AUTHORIZING OFFICIAL si ,,,,,,,,iv�, ii
t
Lawrence It. Flentstan, denerei
.' '''' a741
'''''
DATE SIGNED
0
22 March 1963
RECEIPT FOR ADVANCE
OF FUNDS
I ACKNOWLEDGE RECEIPT OF $ TO BE ACCOUNTED
CERTIFIED FOR PAYMENT
FOR ON DUE DATE SPECIFIED
SIGNATURE OF AUTHORIZED CERTIFYING OFFICER DATE
SIGNATURE OF ADVANCEE
VOUCHER
TRANSPORTATION (Attach receipts,
stubs and unused tickets)
TRANSPORTATION
AGENTS
NAME OF
MODE AND CLASS
DATE
POINTS OF TRAVEL
CASH PAID
REQUEST NUMBER
VALUATION
OF TICKET
CARRIER
(Initials)
OF SERVICE
ISSUED
FROM
TO
BY
TRAVELER
EA
AA
First Class
(No other class
Tourist
23 Ma
avail
Z3Msz
Washington
le at that Ui
New York
New York
e)
Washington
18.85
16.12
TOTAL
$34.97
DATE
DETAIL OF ITINERARY AND DESCRIPTION OF EXPENSES
AMOUNT
23 March
POV home to National Airport. 14 miles ft .10
Lv. Washington, D.C.. 10:05 a.m.
Arr. Newark, 11:20 a.m.
Bus fare from Newark to Westside Terminal
Taxi from Westside Terminal to Last 60th
Taxi from Plaza to LaGuardia
Lve New York. 4:30 p.rn.
Arr. Washington, D.C. , 5:35 p.m.
Parking Fee, National Airport
POV National Airport to home, 16 miles @ .10
.1:\ .1-1_,cFN
AY 3 sl
,
, 4/
L
1.40
1.50
1.00
5.00
.75
1.60
TOTAL
11.25
SUMMARY OF EXPENSES
TRAVELER'S CERTIFICATION
TRANSPORTATION PAID BY TRAVELER
3497
I CERTIFY THAT THIS VOUCHER AND ANY ATTACHMENTS ARE
CORRECT AND JUST IN ALL RESPECTS, AND THAT PAYMENT OR
CREDIT HAS NOT BEEN RECEIVED.
PER DIEM AND OTHER
11.2
TOTAL
46.2.2_
DATE
6 tVt R
SIGNATURE OF PAYEE
6�
/
LESS ADVANCE
BALANCE DUE TRAVELER
-4C-24t
is/.
EXCESS ADVANCE TO BE REFUNDED
INDICATE WHERE CHECK IS TO
BE SENT OR EXTENSION OF 7D07
TRAVELER. (See instruction 15)
FORM
10-61 5140b USE PREVIOUS EDITION. Approved for Release: 2017/09/13 CO2778426
(28-481
pproved for Release: 2017/09/13 CO2778426
INSTRUCTIONS
VOUCHER NO.
I. PREPARE IN ORIGINAL AND ONLY THOSE COPIES REQUIRED BELOW: (WHEN TRAVEL IS TO BE PERFORMED WITH VOLICHERED FUNDS,
THE TRAVEL ORDER NUMBER WILL INCLUDE AN "XG" SUFFIX)
ORIGINAL (A) IF AN ADVANCE IS AUTHORIZED AND REQUIRED. THE ORIGINAL WILL BE USED TO DRAW THE AD-
VANCE FROM FINANCE OR FISCAL DIVISION. AS APPROPRIATE.
(8) IF NO ADVANCE IS REQUIRED, THE ORIGINAL WILL BE USED TO CLAIM REIMBURSEMENT FOR
TRAVEL EXPENSES.
FIRST COPY ORIGINATING OFFICE'S RECORD COPY.
SECOND COPY TO FINANCE OR FISCAL DIVISION. AS APPROPRIATE. FOR RECORD PURPOSES.
IF THE ORIGINAL WAS USED TO DRAW AN ADVANCE, THE THIRD COPY WILL BE USED AS THE TRAVEL ACCOUNTING, FOR
THE ADVANCE.
A. FIRST-CLASS ACCOMMODATIONS ON COMMON CARRIERS OR USE OF POA NOT TO EXCEED COST BY COMMON CARRIER INCLUDING
PER DIEM AND ALL EXPENSES ALLOWABLE UNDER AGENCY TRAVEL REGULATIONS WHEN NECESSARILY INCURRED IN PERFORM-
ANCE OF TRAVEL ARE AUTHORIZED:
AUTHORIZATION, OR POST APPROVAL ON A SEPARATE SHEET ATTACHED. IS REQUIRED FROM INCURRING EXPENSES OF THE
FOLLOWING: (1) EXTRA FARE PLANES AND TRAINS. (2) USE OF 0'0A NOT TO EXCEED 12 CENTS PER MILE, (3) HIRE
OF SPECIAL CONVEYANCES. (4) HIRE OF ROOM EOR OFFICIAL USE. (5) CHARGES FOR EXCESS BAGGAGE, (6) DOMESTIC
TRAVEL ON ACTUAL EXPENSE BASIS NOT TO EXCEED $30 PER DAY. (7) USE OF CONVEYANCE ON ACTUAL EXPENSE BASIS.
(8) OTHER EXPENSES NOT NORMALLY RELATED TO TRAVEL NECESSARILY INCURRED FOR OFFICIAL PURPOSES.
B.
3. WHEN TRANSPORTATION REQUESTS ARE USED, RECORD THE NUMBER OF EACH AND THE AGENT'S VALUATION OF.THE TICKET IN THE
COLUMNS PROVIDED, WITH NO AMOUNT ENTERED IN THE COLUMN HEADED "CASH PAID BY TRAVELER." USE THE LATTER COLUMN ONLY
WHEN TRANSPORTATION IS PURCHASED WITH CASH, IN WHICH CASE THE COLUMNS HEADED "TRANSPORTATION REQUEST NUMBER" AND
"AGENT'S VALUATION OF TICKET" WILL NOT, BE USED.
. ATTACH COPIES OF EACH TRANSPORTATION REQUE'ST IS'SUED. IF ANY, RECEIPTS. AND ANY UNUSED TICKETS.
5. PAYMENT OF ANY BALANCE DUE TRAVELER SHALL BE MADE BY U. S. TREASURY CHECK UNLESS WRITTEN INSTRUCTIONS ARE IS-
SUED TO THE CONTRARY.
6. ANY UNUSED BALANCE OF AN ADVANCE SHALL BE REFUNDED BY ATTACHING THE TRAVELER'S PERSONAL CHECK OR A COPY OF A
RECEIPT ISSUED BY THE DISBURSING OFFICE IN ACKNOWLEDGEMENT OF A REFUND IN CASH.
FOR COMPTROLLER USE ONLY
TOTAL CLAIMED
LESS ADJUSTMENTS
NET APPROVED
CREDIT TO ADVANCE
NET TO PAYEE
DESCRIPTION 13-33
40-42
EXPEND
CODE
FY
43
47-52
OBLIG.
REF. NO.
ADVANCE
ACCT. NO.
54-57
GENERAL
LEDGER
ACCT. NO
Pt /5-
CERTIFIED FOR PAYMENT OR CREDIT
DATE
DATE PAID
AMT. OF CASH
AUTHORIZED CERTIFYING OFFICER
CHECK NUMBER
SIGNATURE OF PAYEE (Cash payment only)
58-67
ALLOT. OR COST
ACCT. NO,
68-70
DUE
DATE
71-80
AMOUNT
62-67
CE. NO,
X REF. NO,
OBJECT
CLASS
DEBI T
070/
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6,98'96
cRE(b)(1)
(b)(3)-
TOTALS %