ITEMIZED SCHEDULE OF TRAVEL AND OTHER EXPENSES 
1. 
2 . 
Date and hour of departure from official headquarters MtfltiL 
Give duty status on first day of voucher period: (Date) (Hour) 
* Arrived at on _4SS-#— i® - 
for temporary duty for approximate period - — — — 
Approximate date of return to official headquarters , 19 .40 
3. f State authorized per diem in lieu of subsistence, 00 
4. f State authorized allowance for actual subsistence expenses: .Not to exceed $ per day. 
Where for traveler’s personal convenience or through the taking of leave there is interruption of travel, deviation 
from the direct route, or where traveler delays at a place other than post of duty, a statement showing the facts 
should appear on the voucher. 
♦If authority provides for travel to more than one point, time of arrival and departure from each should be stated in the body of the account in chronological order, 
flf more than one rate of allowance is authorized, full statement of application of each rate must be given in some convenient place on this voucher. 
5. 
DATE 
19 .. 
Aug.* 
CHARACTER OF EXPENDITURE 
(To be itemized by the day and fully explained) 
•:** 
f.t. 
P.C.A * f * f. A* - U. A* t 6 m my far© 
iac lading berth. 
*• S.C. to 
with stopover 
ia OaXif . ( 
(BMTtti 
■, a'aafc. t 
3*«4 IVtMiMO fill,. 
SUB- 
vou. 
NO.** 
{Sea 
m 
4 
♦ 
AMOUNT 
Subsistence 
Other 
NOTATIONS 
(Payee must not 
use this column) 
U 
is 
14 
Bepsrt ifeahlsgtoi*, ?,<54, - T.W.A., 10*§S p.», 
arrive mn fmtmimm #s5t p*m* 
Depart mm for Pmltto ©rove by 0 myitamA 
Baa (Vftttafew #1) far®. Arrive faelfto Qrev# 
It mm a (Boa Am 10*43) 
'im&o Hoateroy {Jfcalti* are*®} $»p, 8*30 a,®.* Arrive 
Baa Fmmtmo 11:30 *.*• 
1 
t 
laxl t© bot*l 
Depart esa ImieiMO 6*4® a*®. tor mio Alt® by Srey- 
houad Boa, roaMtrip fare. 
Arrive mio Alto 9*89 »*»* 
leave r-alo Alt® 6*0? p.a. 
