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EXPENSE VOUCHER <br />Platte River Recovery Implementation Program <br />Independent Scientific Advisory Committee <br />Jerry F. Kenny, Ph. D. 3710 Central Avenue, Suite E Phone (308) 237 -5728, Fax (308) 237 -4651 <br />Executive Director for the Governance Committee Kearney, Nebraska 68847 Email: kennyj @headwaterscorp.com <br />Purpose of Trip: Attend ISAC and ISAC /GC meetings in Cheyenne, WY <br />Individual Requesting the Trip: CHAD SMITH <br />IMPORTANT: One form is required for each trip. Travel must be itemized for each day. Receipts must be attached for all expenses, excluding mileag or per digm. This <br />approval form and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. fv "4$9 <br />nez W7 <br />Signa re of Claimant <br />.F�1 +b 1. <br />`^J6Lh M' 1 e" <br />MS <br />C- „z:, A <br />3q 186 <br />t <br />S 07 <br />Date <br />A0- <br />Travel From <br />Travel To <br />Per Diem Rate (enter under Brkfast) or Actual Expenses <br />Mileage <br />Date <br />Location <br />Location <br />Lodging <br />Brkfast <br />Lunch <br />Dinner <br />Other <br />Miles <br />Rate <br />Amount <br />Air Fare <br />Total <br />Expenses <br />31 May <br />Vicksburg, <br />Cheyenne,W <br />120.99 <br />$39 /Day <br />55 <br />0.55 /Mi <br />30.25 <br />299 <br />4�4 <br />MS <br />y <br />1 June <br />120.99 <br />$39 /Day <br />159.99 <br />2June <br />120.99 <br />$39 /Day <br />159.99 <br />3 June <br />Cheyenne, <br />Vicksburg, M <br />$39 /Day <br />Jackson <br />55 <br />0.55 /Mi <br />30.25 <br />;4-5-fO <br />362 -95 <br />WY <br />Airport Park <br />yam,17 <br />� <br />$40 <br />3 June <br />,Co <br />8.00 Cab <br />11,72.87 <br />Fare to <br />��. <br />! <br />Airport <br />IMPORTANT: One form is required for each trip. Travel must be itemized for each day. Receipts must be attached for all expenses, excluding mileag or per digm. This <br />approval form and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. fv "4$9 <br />nez W7 <br />Signa re of Claimant <br />.F�1 +b 1. <br />`^J6Lh M' 1 e" <br />MS <br />C- „z:, A <br />3q 186 <br />t <br />S 07 <br />Date <br />A0- <br />