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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: 15A C <br />Individual Requesting the Trip: <br />(� <br />I <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 />Y' S <br />4. 9 C <br />,ate - <br />f�Gtr �( <br />S•S <br />�n —NIT. f-1— Fran is rnn —rnd fnr p�srh trip Travel <br />must be itemized for each day. <br />Receipts must be attached for all exoenses. excluding milpapp or npr Hiprn Thic <br />approval forifi and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />Signature of Coifnant <br />Executive\ Dire <br />a <br />P,-,2,2, ;c))2, <br />Date <br />Ca <br />'51 2-1 / /Z- <br />Date <br />