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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: <br />Individual Requesting the Trip: <br />Attendance at ISAC meeting <br />DAVID MARMOREK <br />— <br />Travel From <br />Travel To <br />Per Diem Rate (enter under Brkfast) or Actual Expenses <br />Mileage <br />:[:-r <br />Date <br />j <br />Ly6f 3,za(I <br />Location <br />ITax+ No" <br />Location <br />Lodging <br />Brkfast <br />Lunch <br />Dinner <br />Other <br />Expenses <br />Miles <br />Rate <br />Amount <br />Fare <br />Total <br />p <br />O -X/ <br />i <br />PORTANT: <br />One form is required <br />for each <br />trip. Travel <br />must be itemized <br />for each dav- <br />Rnrpfnrc miicr ha nrr„ -k-,4 <br />cam. u ,,,,. --- <br />49proval form and all <br />Signature of Claimant <br />Approval <br />Executive Director <br />should be sent to the Executive Director, Jerry F. Kenny, at 3710 Central Avenue, Suite E, Kearney, NE 68847. <br />Date <br />-0-1/'1/0 <br />0 <br />Date <br />