Laserfiche WebLink
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: L' '/l C Mee - +7"'- � <br />Individual Requesting the Trip: 1�L'z1` C <br />IF <br />Travel From <br />Travel To <br />Per Diem Rate lent 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 />LAT'r` S <br />�' 3 • ' <br />3 c <br />3 • <br />i 7 <br />ai b <br />inannornni • r-i— fn:�d is rpnifirpri fnr Parh trip_ Travel <br />must be itemized <br />for each day. <br />Receipts must be attached for all expenses. excludinp milpanp nr nor diom Tkic <br />approval form,arlld all receipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />Signature of Cl <br />App <br />Executive D <br />ant <br />Date <br />c3 �Z`j- // <br />Date <br />