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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 Ph6ne (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: Attendance at ISAC meeting <br />AM <br />Individual Requesting the Trip: DAVID MARMOREK <br />Travel From I Travel To <br />Date ( Location I Location T Lodging <br />Mof 3,'.oiI G iVlr i ag x-32 <br />041 3,3 -oit ;lout <br />I bertJ -a.� <br />r 3,1011 Per U;a.AM <br />�," a" 3,101 l ' 4ncalv�r <br />1>pn <br />Per Diem Rate (enter under Brkfast) or Actual Expenses <br />Mileage <br />Brkfast Lunch Dinner Other Miles Rate <br />Expenses <br />4O -aa <br />�9s-v <br />Amount I Air Fare I Total <br />�— '787-go <br />,aIMPORTANT: One for is required for each trip. Travel must be itemized for each day. Receipts must be attached for all expenses, excluding mileage or per diem. This <br />proval form and A ceipts should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />Signature of Claiman <br />Approval <br />Executive Director <br />;Date <br />o 7/ 26 `'* <br />Date <br />aq6 3 -I_ <br />40.E <br />4q. S-L) <br />"78 ?,1?o <br />