FIELD TRAVEL
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP80T00704A000100110001-5
Release Decision:
RIPPUB
Original Classification:
S
Document Page Count:
2
Document Creation Date:
November 17, 2016
Document Release Date:
August 4, 2000
Sequence Number:
1
Case Number:
Publication Date:
January 24, 1978
Content Type:
FORM
File:
Attachment | Size |
---|---|
![]() | 92.95 KB |
Body:
Approved For Release 2000/08/16 : CIA-RDP80TOO704A000100110001-5
SECRET
(When Fi f led In)
25X1A
CAUTION: Blank form requires
secure storage in field.
TRAVEL ORULR NO.
78-32
NAME OF 'TRAVELER -~-- .~.~~-
F~IELD TRAVEL
_j5X1A
-
__ _
_
(See instructions on reverse
OFFICIAL
~
ESTIMAFED COST OF TRAVEL
aide)
$450 t L371.00
_ AUTHORIZATION
__
____ _
_
'OU ARE AUTHORIZED TO TRAVEL BETWEEN THE FOLLOWING POINTS FOR THE PURPOSE STATED (See instruction s2)
ER DIEM DURATION OF TRAVEL TRANSPORTATION TO BE PROCURED BY APPROVAL FOR ADVANCE OF FUNDS
$450 O 'r LIN ND ~X ST rION X [S
-
-
AMOUNT ACCOUNTINU OIE DATE
`
TRPYELfR ND
9 Feb 78 21 Feb
7~
e7..S L~VOVC 21 MGZr 78
DATE SIGNED
CIIAR GE: COST.CINTER N0.
W
_ SU OTt
IGNATURE OF AUTHORIZING OFFICIAL
TE
DA
A~
,,J
RECEIPT
Fp ADVANCE OF FUNDS __ `
`- _
ACKNOWLEDGE RECEIPT OF $ TO BE
CERTIFIED FOR PAYMENT (This space for Class A stations only)
CCOUNTED FOR ON DUE DATE SPECIFIED
SIGNATURE OF AUTHORIZED CERTIFYING OFFICER DATE
IIGNATURE OF ADVANCEE
2 5X 1 A
Y
VOUCHER _~_! __ ___
_
__-_
TRANSPORTATION (Attach receipts, stubs and unrsed tickets) -
MODE AND CLASS POINTS OF TRAVEL TRANSPOR Tr,TION COSTS
NAME OF CARRIER
OF SERVICE
FROM FOREIGN CURRENCY $
v
SUB-TOTALS
DETAIL~OF ITINERARY AND DESCRIPTION OF EXPENSES
FOREIGN CURRENCY
$
SUB-TOTALS-
_
$
-
TOTALS --
-- -
-f
__----___ -----
SUMMARY OF EXPENSES
AMOUNT
TRAVELER'S CERTIFICATION
'RANSPORTAT I ON COSTS
I certify that this voucher and any attachrnenfs ore Correct, the expenses
wore Incurred on official business of n confide s tin l nature
Imyment or
'ER DIEM AND OTHER
,
erodlt has not been reccivod; all quarters or mauls furnished wlthouf
ro
ri
t
h
t
t
d
ith n
d
d
ti
di
d
l
t
TOTAL
p
e
c
arge are s
a
e
TV
pp
a
om; an
e
uc
on
ramper
any
eave
taken has been noted in the Ilinerary,
.ESS ADVANCE
DATE
SIGNATURE OF PAYEE
IALANCE DUE TRAVELER
~
~
'XCESS ADVANCE TO DE REFUNDED
_
RECEIPT FOR CASH REIM
BURSEMENT OF EXPENSES
SATE PAID
SIGNATURE OF PAYEE
AMOUNT
ORM 5IIOG, U5E RREVIOUS
0. 7 4 'F E o 1 T-I O N
Approved For Release 2000/08/16 : CIA-RDP80T00704A000100110001-5
Approved For Release 2000/08/16 :CIA-RDP80T00704A000100110001-5
i~lo. 39625a
25X1A
4
Approved For Release 2000f08/16 :CIA-R~DP80T00704A0001001~~0001-5
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