AC. i32Rev. STATE OF NEW YORK ^ TRAVEL VOUCHER 



SC.50 3/66 lOM EDUCATION DEPARTMENT 



CORNELL UNIVERSITY— STATE COLLEGES AND EXPERIMENT STATIONS 



State Agency: 



Voucher No. 



Dept./Div. Code 



Pay to: 



Payee Name 



wmm MMm simmmjm 



Social Security No, 



Transportation ^_ „ r—, 

 Requests Used: ^es □ No □ 



Date 

 19 ' 



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 

 Km. & Bd. 



9/12 



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















2.0( 



> 















9/13 



* 











1.00 



1.7i 



1.0< 



) 5. 



15 













9/l4 













1.00 



1.0€ 



1.7i 



• 















9/15 













.75 



1.0€ 



2.0( 



1 















9/16 













1.00 



1.00 



mm 

















9/17 - 



. 10/2 































10/3 













.50 



1.25 



2,0C 

















10/4 













.75 



1.00 



















10/5 













1.00 



1.00 



2,0C 

















10/6 













.75 



1.00 



2.5C 



















^ \\ \ 

































' 1 i 



\ TOTAL 

























1 



Travel Order 

 No.(s) 



\ 



Official Station 



Total Amount of this Voucher 



I, the claimant's superior, certify that 

 this account has been examined and, to 

 the best of my knowledge and belief, 

 the amounts claimed therein were 

 necessary for the performance of the 

 claimant's authorized assignments. 



MAJOR 









FUNCTION 



X 





MINOR 



X 







OBJECT 



X 





DEPT. 



X 







SUB. 







ACCOUNT 









PROJECT 







TRAVEL NOTICE NUMBER . 



Signature of Superior 



ENCUMBRANCE LIQUIDATION $_ 



Title 



EXPENDITURE CODES 



Appropriation Identification 

 Including Reappropriating Chapter /Sec/Laws 



Fund 



Dept. 



Div. 



Line 



Original 



Ch. 



Obj. 



Appropriation 

 Charges 



Chap. 



Sec. 



Laws 











































































DUPLICATE 



