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EXPENSE VOUCHER <br />Plattekiv,er Rec"VetyiMpleme htatiOh PrOgr <br />i M <br />i nd.e. pehdent Scientific Advisory ConMittee -41TRIP <br />(AA t b <br />Jerry F. Kerinyj: Ph. D. 3710 Central Avenue, Suite E Ph6ne (308) 237-5728, Fax (308) 237-4651 <br />Executive Director for the Governance Committee Kearney, Nebraska 68847 Email: kehnyj@hoadWatetscorp.com <br />purpose of TH0. Atteridan.r-eia't (SAC rrieeting <br />individual kejueWng the Trip., DAVID rOMMOREIK <br />Travel From <br />TraVel To <br />Per Diem Rate (enter under Brkfast) or Actual.Expenses <br />Mileage <br />i l <br />Date, Location <br />ation <br />Lodging <br />Brlcfast <br />Lunch <br />Dinner <br />Other <br />Miles <br />Rate <br />Amount <br />Air Fare <br />Total <br />Expenses <br />b <br />VA K60 <br />IMPORTANTI One f6thi i0e"Ouiried <br />for each <br />trip. travel <br />must b6 itemized <br />for each day. <br />Reci4bts <br />muqt hp Affnrhcicl <br />fnr 211 nvn-- <br />--1-4;— <br />approval form and All r,e:Cei46tss.hould: be sent to the Ex6cUtiVe Ditector, Jerry F. Kenny, at 3710 . Central Avenue, Suite E, Kearney, NE 68847. <br />Signat'ute of Claimant <br />Approval <br />Date <br />Executive Director Date <br />