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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: %.5A Cr- /W9,--6 <br />Individual Requesting the Trip: " V tP"CLOLI-i0f <br />approval fOT and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />/I ( <br />Signature of Clofmant <br />Executiv4 Dire <br />Date <br />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 />Miles <br />Rate <br />Amount <br />Air Fare <br />Total <br />Expenses <br />) (l <br />/� f <br />AAAr- <br />S <br />tnADnoTAKIT. nnn form is rpntdrnri for aarh trin_ Travel <br />must be itemized <br />for each day. <br />Receipts must be attached for all exnPnsPS. Pxrlurlina milnaa❑ nr nnr acs., -, T;,;, <br />approval fOT and all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />/I ( <br />Signature of Clofmant <br />Executiv4 Dire <br />Date <br />Date ! <br />