GENERAL VOUCHER - PETRAEUS, DAVID H.

• Document Type: SPECIALCOLLECTION
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 06407639
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 7
• Document Creation Date: March 16, 2022
• Document Release Date: January 20, 2016
• Case Number: F-2013-00268
• Publication Date: August 23, 2012

Approved for Release: 2016/01/12 C06407639
US Classification/Non US//S odewordUFGP/Dissern ControlsdNon-IptellilDeclass (as appropriate)
General Voucher
Please read Privacy Act Statement on page 2 before completing this form
Shaded areas for
finance use only
Doc
ID
SECTION 1
CLAIMANT
Name (Last, First, MI)
DCIA Petraeus,,David H.
Security File No. or .8N
(Staff) . (Non-Staff).
office
CIA/DIR/DCIA
Room and Building
Ej 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
& attachments are true and correct. The receipts required per regulations are attached.
Extension
N/A
0 � 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
t123V
SECTION 2
DISBURSMENT
TYPE AND
ADVANCE INFO
[11 EFT, :
0 Cash
SECTION 3
DESCRIPTION
Who, What,
When, Where,
and Why must
be stated
Signatw of Claimant
Type of Disbursement
Advance Information
Who: DCIA David H
Petraeus
raaauaIeajtrP..a. arpr�IIIL� .1F-V2E)
Total Advanced �
-Total Exeenies'":,
Amount Due from Employee
lArncluni Owed to Employee
,(P.equifed tfeid Onicreeknt Viltb'o:ors wIsen0t. used)
Amount
47.00
What: Manual travel accounting voucher for official travel
Where: Ft Campbell, Kentucky
When: 16-17 August 2012
Why:
Manual travel accounting voucher to reimburse DCIA Petraeus for official travel to Ft. Campbell, Kentucky, 16-17 August 2012. The
Director had a
speaking engagement and conducted business on behalf of the USG
SECTION 4
� AUTHORIZATIONS
SECTION 5
RECEIPT
OF
FUNDS
Ackn
ndb
(b)(6),-4\ Certifi(b)(3),..,
(b)(6)
(b)(6) uesignalion of 1.110.1.
I acknowledge receipt of funds in the amount of $
tope used for the purpose stated. and accounted torus shown above.
Date
Signature of Claimant
Badge No.
Date
� SECTION 6
. OBLIGATION REF
Signature of, Claimant
Badge Na.
I auLuuii�u in), agent, whose signature Date Signature of Claimant
appears here to receive currency
amounting to $ of official
funds on.my behalf and acknowledge Date Signature of Claimant
responsibility therefor, when paid to my
agent. .
Badge No.
Badge No.
�
08/22/2012
F�Rm 05-i2 14442
0.4
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DCIA David
Address code
TDY locations:
TDY dates:
Ft. Campbell, Kentucky
16-17 August 2012
All Locations not Specifically Listed, Kentucky, M&IE ($46) = Breakfast ($7), Lunch ($11), Dinner ($23), Incidentals ($5)
8/16/2012 75% Less: 1 Lunch provided on the official aircraft
23.50
8/17/2012
75%
Less: 1 Lunch provided on the official aircraft
23.50.
Less:
N/A.
7,e1011.tie:'0,
�
WW1'
,e';...11Z.r471
'WPM,441FINAKiPtI6.;j
(b)(3)
(b)(3)
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Notifications sent to
Travel Itinerary
Updated 08/16/2012 10:24:54 AM by
Created on 08/14/2012 by
VIPS(s):
DCIA
Trip date(s): 08/16/2012-08/17/2012
Itinerary Version: 7
What changed: Departure time from Reagan
Itinerary:
Destination(s):
Ft. Campbell, KY
Flight Itinerary for 16-17 August 2012 trip to Fort Campbell, KY
Passengers: (7)
Principal
Hollister P
Aircraft Point of Contact:
. If the group is going to be late or have aizy issues, please. inforin one of the POCs above.
(b)(3)
(b)(3)
(b)(3)
(b)(3)
(b)(3)
(b)(3)
(b)(6)
(b)(3)
(b)(6)
(b)(3)
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Catering: Dinner to be served on 16 August and lunch on 17 August. All meals to be served as per previously
coordinated menu,
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Information Posted:
10/03/2011
Information Updated:
10/03/2011
Effective Start Date:
10/01/2011
Effective End Date:
Season Start:
10/01
Season End:
09/30
State:
Kentucky.

County and/or Other
Defined Location
Maximum Lodging
Amount
M&IE Rate
Maximum Per Diem
Rate
All Locations Not
Specifically Listed
All Locations Not
Specifically Listed
� Seasonal Dates: 10/01 - 09/30
�GMT Offset:
Comments:
(b)(3)
(b)(3)
(b)(3)
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ARMY
HOTELS
12STAYBRIDGERII
" -
�,-De_.1 A s
11
08-17-12
(b)(6)
Folio No. Room No.
(b)(3)
A/R Number
Arrival
:
08-16-12
United States
Group Code
Departure
:
08-17-12
(b)(3)
Company
Conf. No.
(b)(3)
Membership No.
:
Rate Code
Invoice No. Page No.
:
1 of 1
Date
1
Description
I Charges
J Credits
08-16-12
*Accommodation
77.00
08-16-12
State Sales Tax 9.5%
7.32
08-16-12
County Occupancy Tax 5%
3.85
08-17-12
Visa
88.17
Guest Signature:
Total
� 88.17 88.17
Balance 0.00 t/
I have received the goods and / or services in the amount shown heron. lagree that my liabfity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to.perform the obligations set forth in the cardholders agreement with the issuer.
IHG Army Hotels Fort Campbell
Building 82 Texas Ave. �
Fort Campbell, KY 42223 �
Tel: [phone] Fax: [phone]
Owned by LendLease DBA Rest Easy LLC and operated by InterContinental Hotels Group,
(b)(6)
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