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EXPENSE VOUCHER <br />Platte River Recovery Impie rile, ntation Program <br />mdepend_ernt Scientific Advisory Committee <br />Jerry K Kenny, Eh. 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 />Ntpuse Of Tripi Attendance at ISAC meeting <br />Individual Re4u8ting the' Trio, ,bAVID.MAftl 0AEk:, <br />_. _.. _..�_.. , " .. ,, �g -imccagc u, Nei uiern. i nis <br />approval forrn and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />y <br />Signature of Claimant Date <br />Appe6val <br />xecutive Director Date <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 />Expenses <br />Miles <br />Rate <br />Amount <br />Air Fare <br />Total <br />n.3 %1Ca�eri <br />d�ffLCt�i�t J1 <br />ifr,t1W <br />Vii, r ct,t {, <br />vti�Cc'tit.LJ fl, <br />161T-J- l CC <br />17 <br />IMPORTANT: <br />77 <br />One form is recluired <br />i <br />for each <br />i <br />trip. Travel <br />must be itemized <br />for each day. <br />RPraintc rmict <br />ha mtt3rhni <br />f— iii ,:. <br />_..,, -J. <br />_ _ ,: <br />_. _.. _..�_.. , " .. ,, �g -imccagc u, Nei uiern. i nis <br />approval forrn and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />y <br />Signature of Claimant Date <br />Appe6val <br />xecutive Director Date <br />