! b ti) . ..

CORPS
AUTHORIZATION OF OFFICIAL TRAVEL

I';

1. AUTHORIZATION NUMBER
Obligation# for airfare (vendor: Sato):

$225.00

2.DATE

10-Nov-11

You are hereby authorized to travel at Peace Corps expense subject to applicable laws and regulations; and the conditions specified in this Authorization. Unless
otherwise noted, all expenses and the maximum per diem and/or actual subsistence under the regulations are authorized. The travel and transportation authorized
herein are in the interest and to the advantage of the Peace Corps and are not made primarily for the convenience or benefit of the employee or at his request. The
official travel specified herein may not be performed until item 12C has been executed by a designated authorizing officer.

THIS FORM MUST BE TYPED

3. NAME AND THE ADDRESS OF TRAVELER

4. STATUS OF TRAVELER

Kerry, Vanessa Bradford

A.

Street address: 1 Charles Street South, Apt 14H

B.

City, State zip: Boston MA 02116

D
0

EMPLOYEE
OTHER (SPECIFY)

SS#

n/a

5. OFFICIAL STATION
Washington DC

Signature of traveler
6. TELEPHONE
NUMBERS

HOME

IOFFICE

617-669-3039

617-495-4169

7. PURPOSE OF TRAVEL
Vanessa Kerry will be traveling to Washington on November 18th to meet with officials from Peace Corps and other government and private
partners collaborating on the Global Health Service Partnership.

ITINERARY

8.

C. PLACES TO BE VISITED ON OFFICIAL BUSINESS (and applicable M&IE/Lodging rates)

A. POINT OF ORIGIN

Washignton, DC: I

Boston, MA

1--------------------'--l-__________________________________

B. RETURN TO
Boston, MA

MODE OF TRANSPORTATION

10.

B. PRIVATELY OWNED VEHICLE

Determined to be advantageous to the Government at the rate of_51 _ _ per mile, plus ferry fares,
parking fees, road and tunnel tolls.

A. COMMON CARRIER

AIR

BUS

D
D

D
D

RAIL
SHIP

Personal reference rate of _ _ _ _ per mile. Cost cannot exceed travel by common carrier.

11A. SPECIAL EXPENSES AUTHORIZED

Hire of taxis between lodging and/or place(s) of business, as
advantageous to the Government.

D
D

ENDING on/about: 18-Nov-11

BEGINNING on/about: 18-Nov-11

9. OFFICIAL DATES OF TRAVEL:

11 B. REMARKS

Excess baggage, not to exceed __200__ pounds and/or

_ _2_ pieces.

Invitational Travel

GSA or rental car authorized as advantageous to the Government

(Specify reasons in 11 b remarks)

Other (Specify) see 11 b remarks

({I I v

12. INTERMEDIATE APPROVAL IF REQUIRED

Rebeen Pasha, Administrative Officer
Approving Officer Signat
TRAVEL APPROVED
Warren (Buck) Buckingham, Director, Office of AIDS Relief
Approving Officer Signature, Title, Date

7-u 1 1
e under the conditions specified in this Authorization.

CERTIFICATE OF AUTHORIZATION- The person named in item 1 is autno

)! - Jt/- //

Patricia Kreamer, Chief, Transportation division (M/AS/T)

Approving Officer Signature, Title, Date
B. APPROPRIATION

A. ESTIMATED COST
01 TRANSPORTATION (Carrier)
02 PER DIEM (Traveler)
030THER

I
I

04 Excess Baggage

05 Rental Car

$
$0.00

VENDOR

ACCOUNTING CLASSIFICATION

AMOUNT

DESCRIPTION

$225.00 xx.19x103109 (
$0.00 xx.19x103109 (

.020.10 (HQ

21091 (Invite 3615.000.00

.020.10 (HQ

21091 (Invite 3615.000.00

OBLIGATION NUMBER

(PI Citibank/Sato
i .)..CC -,{q
(PI Kerry, Vanessa Bradford

$0.00

$0.00

l(f

$0.00

TOTAL$

$225.00

i(/,.-f /

-c?-cll

D. FUNDS OBLIGATED BY: (initials and date)

Traveler's Copy

PC-1537 4/18/96 v7

Travel authorization computation worksheet

(must be attached to each TA)
Traveler name: Kerry, Vanessa Bradford
Travel dates:
18-Nov-11 I
18-Nov-11
Prepared by:
on:

1-T_ra_v_is_Jo_h_n_s'T""o_n_ _ _ _ _ _
. 10-Nov-11 I

Estimated cost
01 Transportation (comm. carrier)
$215.00
02 Per diem:
$0.00
Other (mise):
$0.00
04 Excess baggage:
$0.00
08 Rental car:
$0.00
Subtotal for per diem obi:
$0.00
Total:
$215.00

I
___,j

domestic rates: www.gsa.gov/perdiem

foreign rates: htto://aoorals.state.aov/content.aso?content id=184&menu id=

new section! Enter info here and it will flow to theTA form ...
Applicable per diem rates: City and Country
M&IE
(where you will lodge)
Washignton, DC

Lodging

Subsistence (per diem):

0.00

Allow
%

Date
18-Nov-11
19-Nov-11
20-Nov-11
21-Nov-11
22-Nov-11
23-Nov-11
24-Nov-11
25-Nov-11
26-Nov-11
27-Nov-11
28-Nov-11
29-Nov-11
30-Nov-11
1-Dec-11
2-Dec-11
3-Dec-11

100%

Itinerary
Location

M&IE
Rate

Washington, DC

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
75%

Rate

Deductions for

Used

meals provided

Expl

s
s

I
-

s
s

s
s
s
s

s
s
s

M&IE
Amt

0.00

ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok
ok

$0.00

Miscellaneous expenses (per approved Travel Authorization):

Privately owed vehicle (POV)
Airport parking, if applicable
Cab fare - to airport
Cab fare - from airport
Hotel taxes (domestic destinations only)
Official calls, fax, internet
Local transportation

0.00

Lodging
rate

Imiles

$0.510 rate

Excess baggage (per approved Travel Authorization):

$0.00

Excess baggal!e

Rental car (per approved Travel Authorization) must include justification in Remarks field 118
car

end

S:\0\D_OAR\Admin\Travei\Other\VK TA TV Form DC 11-11-10 TJ

$0.00

SALES PERSON: FM
ITINERARY/INVOICE NO. 0127595
DATE: 15 NOV 11
CUSTOMER NBR: S6689SW
PHGPGN
PAGE: 01
TO: PEACE CORPS
1111 20TH STREET
ROOM 1702
WASHINGTON, DC 20526

FOR: KERRYNANESSA BRADFORD REF: 440034,114501

*TICKET PURCHASED WITH Vl ...... 3909

THIS DOCUMENT BECOMES AN INVOICE WHEN THE PASSENGER
*NAME/INVOICE AND TICKET NUMBERS APPEAR
*IN THE PRICING BOX.
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

*YOUR ESTIMATED AIRFARE ON 10NOV IS 205.40

18 NOV 11 - FRIDAY
AIR US AIRWAYS
FLT:2025 COACH CLASS
LV BOSTON
0800
EQP: AIRBUS A319
DEPART: TERMINAL B
01HR 38MIN
AR WASHINGTON REAGAN
0938
NON-STOP
ARRIVE: TERMINAL C
REF: D2T2M7
AIR USAIRWAYS
FLT:2040 COACH CLASS
LV WASHINGTON REAGAN
1630
EQP: AIRBUS A319
DEPART: TERMINAL C
01 HR 30M IN
AR BOSTON
1800
NON-STOP
ARRIVE: TERMINAL B
REF:D2T2M7
AIR TICKET
ELEC TKT

US8722758300
KERRY VANESSA BRADFO
BILLED TO VISA
205.40*
SUB TOTAL
NET CC BILLING
TOTAL AMOUNT DUE

205.40
205.40*
0.00

THANK YOU FOR USING SATOTRAVEL

FOR AFTER HOURS AND EMERGENCY
FLIGHT RESERVATIONS, PLEASE CALL** 1-800-735-2554 **
YOUR SATOTRAVEL REFERENCE CODE IS ** HJ21 **
THIS AIRLINE TICKET IS THE PROPERTY OF THE
U.S. GOVERNMENT. ANY UNUSED
PORTION OF TICKET MUST BE REFUNDED. RETURN TICKETS TO
CWTSATOTRAVEL, PEACE CORPS, 1111 20TH STREET NW
RM 1702,WASHINGTON, D.C. 20526
CONTINUED ON PAGE 2

SALES PERSON: FM
ITINERARY/INVOICE NO. 0127595
DATE: 15 NOV 11
CUSTOMER NBR: S6689SW
PHGPGN
PAGE: 02
TO: PEACE CORPS
1111 20TH STREET
ROOM 1702
WASHINGTON, DC 20526

FOR: KERRYNANESSA BRADFORD REF: 440034,114501

NEED EMERGENCY AFTER HOURS ASSISTANCE .. CONTACT US TOLL

FREE AT 800-735-2554 OR COLLECT AT 210-877-3255
GIVE REFERENCE CODE SABRE HJ21 FOR ASSISTANCE.
........ FARE SUBJECT TO CHANGE UNTIL TICKETED ......
INTERNATIONAL RESERVATIONS REQUIRE CHECKIN AT LEAST
2 HOURS PRIOR TO DEPARTURE AND RE-CONFIRMATION WITH
THE AIRLINES AT LEAST 72 HOURS BEFORE YOUR SCHEDULED
RETURN.
NON-CONTRACT/NON-GOVERNMENT FARES ARE NOT GUARANTEED
UNTIL PURCHASED AND ARE SUBJECT TO CANCELLATION BY
THE AIRLINE WITHOUT NOTIFICATION. EARLY TICKETING
IS RECOMMENDED.
TO VIEW ITINERARIES ONLINE PLEASE GO TO
ADD YOUR SABRE RESERVATION CODE AND NAME
IN THE APPROPRIATE BOXES AND ENTER.
THE FLY AMERICA ACT REQUIRES FEDERAL EMPLOYEES
AND OTHERS PERFORMING U.S. GOVERNMENT FINANCED TRAVEL
TO USE U.S. FLAG CARRIERS UNLESS U.S. CARRIERS ARE
UNAVAILABLE. A VALID JUSTIFICATION STATEMENT MUST
BE ATTACHED TO THE TRAVEL ORDER WHEN FOREIGN CARRIERS
ARE USED.
FOR INFORMATION ON TSA SECURE FLIGHT PROGRAM VISIT
WWW.TSA.GOV
SO ESTIMATED COST OF TRAVEL ON 10NOV IS 205.40
U57-440034
U18-P
U7-01
U19-440034, 114501
U35-NA
U21-NA
U17-661
U3-1200749