AC i32Rev. STATE OF NEW YORK ^ TRAVEL VOUCHER 



EDUCATION DEPARTMENT 



SC-50 3/66 lOM CORNELL UNIVERSITY— STATE COLLEGES AND EXPERIMENT STATIONS 



State Agency: 



Voucher No. 



Dept./Div. Code 



Pay to: 



Payee Nnme HOBERO? ELLIOI SILBERG-LIED 



Social Security No. 



Transportation „ ^ 



Requests Used: □ No □ 



Date 



1967 



ITEMS OF EXPENDITURE 

 Specify Purpose of Travel 



TIME 



Transpor- 

 tation 



Paid 



SUBSISTENCE 



Miscel- 

 laneous 



Sub. 

 Vo. 

 No. 



TOTAL 



De- 

 parture 



Arrival 



Break- 

 fast 



Lunch 



Dinner 



Room or 

 Rm. & Bd. 



9/12 



Bring totals from final T E V-3, sheet No 















2.0c 

















9/13 













1.00 



1.75 



l.OC 



5. 



15 

























1.00 



1.00 



1.75 





























.75 



1.00 



2,0c 





























1.00 



1.00 



















































10/3 













.50 



1.25 



2.00 

















10 /i^ 













.75 



1.00 



2,25 

















10/5 













1.00 



1.00 



2.00 

















10/6 













.75 



1.00 



2.50 

















































TOTAL 



























Travel Order 

 No.(s) 



Official Station 



Total Amount of this Voucher 



CERTIFICATION AND AGENCY APPROVAL 



STATE COMPTROLLER'S PRE-AUDIT 



I hereby certify that the above account and schedules annexed are just, true and correct; that no part 

 thereof has been paid, except as stated therein, and that the balance therein stated is actually due and 

 owing. 



Dated 



Home 



19.V 



.62 



Verified 



Address 



cj^y Ithaca, New York 



Signature 



Grad-imt 



OfficialTitle ' 



T. R. Stamped 



FOR FINANCE AND BUSINESS OFFICE USE ONLY 



Approved for 

 Payment 



Signature 



Title 



Audited 



CERTIFIED FOR PAYMENT 

 OF THE 

 TOTAL AMOUNT 



By. 



EXPENDITURE CODES 



Appropriation Identification 

 Including Reappropriating Chapter /Sec. /Laws 



Fund 



Dept. 



Div. 



Line 



Original 



Ch. 



Obj. 



Appropriation 

 Charges 



Chap. 



Sec. 



Laws 











































































