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EPU_Exp 6.20.14 8.12.14 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY hk LY} | Abe REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one ariginalo General Accounting. Asch a necessary erllal receipts and other supporing documents to thie form, Including ny por wien approval of extses registro, fodging, and out cstla/couny travel. Retin one (1) coy for you eco, Complete amount. ‘company, account, and center feds, Fl atleast monly erd net lata than 30 days afer month ands. Prepare In Fx oF yp, aye We Pa ar TAT Reimbursement for approved taining expenses must be eubmitied to OSDT. aa th Pras js <= Stee Mitra Retroh Socutve Proteaton Dota Payers Aseass (Srad) i oar tae Hor [200 orth Blount Street Lnooper Raleigh, 61 (6h. Ss, 2 eo gra eo ‘ao Cory Raa eto} atte os.20-18 /06.23-14 TFavemanrad is ovouveman se ancl ul isn anaraneorale (pete, are ener pont oar vl anu pr soa = 06 20[E"G 93 (4 (Sai Teoh (Raleigh, NC_ 27661-1006 _ ‘Ua pects © py lent is iobe aoe an arlene ly hag, eepnst ed slower naredin te an he Sie, Tete exs2044 Tae) ZA) wei won [oe cons 064 on EB i nae ys siete oa matt ts sie irirte woe wae pets leis tetrtite 0s rs ee eirtett 008 t ono gh iol 25-5 eb efrtetet tet i Sete eae |i siete 4 Tastee Spi) 204 U 1a! bd poereeae BO, remo _GPTBN 2D Ate “y 4D 4 Record the actual ime of departure and arval in blocks indiated. 7 dy ‘Subailance InSiate [ows sa| ‘Other Trove Expenses, ‘explanation | _Arount Travel chow each aly wed) rom ‘Transporation Day In-State [oust OTT ay Foo omy rai xa Sipe iy Pe Ca eae B20 10.70 ve 18.40 hy Plo coo ee ‘GRAND TOTALS 1 2 z = A t a 2 r. 1 = = a L - . a A t 2 > 00 7 Type of exbeltenoe cs MOTE: Daly tel subsltence rt CHERGET Uda oul [EE oaestae vee D=Dnnw Rory O1007 WSO W! Form CNTR 008 Reimbursement of Travel and Other Expenses Incaed in the Discharge of Offa Oaty Foim strctre lat reiced Fobruary 2013 [NO Deparment of Pub Safly. Dison of Admlistaon |) Mode of Tava: P= Private car © Other, ral bus, tax parking fees, A= Ar Re Rents car ‘eave chow each cty vst) “Tranaporation Subettonso (Other Travel Expenses Day trom % InSiae [outer sub TnSiate [Ouctsue] Explanation | Amount S]__Torars srovnt onward | rE 300 ae Sear 520, Bs Pavia a ate Ga i "spree Carte Pile Col i Fs aie crags Erle Ce Megs ie psi rveie oa ie Pi ar age Dy Pri ea st Pa cert rte Ce Meso Prt Coreg ‘A i ris CE ove Cr ae ra ar ag [ay Prt Cor Maen PEE at [ay Po era Pa are Tose at Pv a a: (sy Ca An EPI] (e-o2f= 22 f= fele dele [=tel-lelep=lol-letetslol-lotefclol-lolet-tol-lelafelol-lela4 (GRAND TOTALS Form CNTR 009 Relmbureement of Travel and Other ExponéosIncurod nthe Discharge of Of Duty Foim svucture lat revised February 2019 INC Department of Publ Safely, Distan of Acmintaton 2 NORTH CAROLINA DEPARTMENT OF PuBLic SAFETY 141 ]/[pZloS_ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED i IN THE DISCHARGE OF OFFICIAL DUTY Z ee A leg tte X | INSTRUCTIONS TO CLAIMANT. Submil oe orga! 0 Genara Account. Atcha macessary orga reaps an ale suppeting documents tts frm, | including any por writen approval of exces rgstralion lodging, and ou-F-alecounty travel, Relaln on 1) copy fr your records, Complete emcunt, ‘company, eacoun, and center elds, Feat set monthly and not ater than 30 days afer mani ens. Prepare nk or ype aati Pars ber OTEROTT Relmbursement for approved tralning expences must bo submited to OSDT. sina Poona Daeaiane Fence i State Riga wararrexscatoe erowexon Dexa ——— a Pascoe Aaess (SF) Te aalonnoze aber i 1200 North Blount Street Irrooper sloigh, 51 "OW, 20) oral wig Ra om Fa Covey gins Yontoh Intact. log20-14 08-25-14 (Batoign, NC_27601-1005 ‘Une pene pry ler soko poms oomnla aac ey diompn, sxprat ed abnor trated went St Vator ont ott emt or ary obras prs e Wepre, Tava hen repeal or ovenigh vl ane oprcona ‘“ fl whan ensn014 ai) RG 727. 2PM ipo aal- 26 221¢ Tas ar swe eg rca Has a nao | ansz0% ‘ba an moon oan con, soa ifs cpa ils se He He / a woes Seite | 008 Rett ett te Bieter att “0006. Te le |s (2 }7 j2}2 i ‘0007 PA rts Isle ir tote I $e BRP Heer sae He Tae BRE nee Ce reomon TBO AS “Travel (ehow each oy visog) ‘tom © ‘other Travel Epansee Day inStale [owotsiate] Explanation | Amount oT Deon i rr Nou [Dy ai car SET aT [bey Pree Cnn zane | Ca ania cecal ‘GRAND TOTALS 8} =|ol-fe||\ol-=|2] [olla] w $88.00 (2) Type of subsistence: PEGE eT Uh fbn i D=pier (room NUS INOTE: Daty tot for subsistence no suthrized amount for fatale travel. kt ode of Travet P= Prive cer O- Olher, rll bus, tax parking foes A= Ar R= Rental car Form CNTR 008 Reinbureement of Travl and Other Expanee cured in the Dlechatge of Otel Duty For structure fet releed February 2013 Re Deperiment of Puble Safely, Divsin of Adminstration 1 "Travel (enow each ly vised) ‘tom cy ‘TOTALS BROUGHT FORWARD sty Pincers Paty ica a. iy Pr Gang im Car Mone te ly Pair Prt en (GRAND TOTALS “Transporation 1 | insite [omar stn lel-[=21=|2|-|=| i =I |- fo] 1 =|2-|2] =| <|2]-|=] 2} =/ol-\o]2|xfol-lefett=lol-el el Brakfst (elim H= Housing De Dinar ices baty toi for subsistence no fo ereea ators amon oh ia routes vel. 9 Mose of rove, P= Prvacer_O = Other, rl bus, lx, pang fos AA R= Rona ar For CNTR 003 Rerbursement of Travel and Other Expenses Ioured In he Discharge of Ofc Duty Form suclre inst revised February 2073 NC Osparrmont of Publ Safty, Divlon of Adminstieton 1 “Travel (haw eech oly vated) Thaneporain| ‘Saba Triate [our Tr-Site | curek si e280] $605 aa 7 fom © TOTALS BROUGHT FORWARD. er ete fy res ies Ca Wine si ria beige ae as Pi a Poca ha ba i Cr apna cer is rH ae Pi Ce Gore a 2 : F 2 = ¢ : = - 2 a Te ronan Pa Care sit “RAND TOTALS “Vet=[=|-l-]==/2}-lo]e]=Jo}-f=fe}=/ol-[o}el-/ol-lo]e||o|-fo]s||o|-fo|st-[2}-lols}=lol-lelapetol-lefetqlolslelat-/o|-( Form CNTR 003 Relmburcomont of Travl ane Oar Expenses ineuredin fhe Oiechaige of Oia Duy Ferm sic las reviced February 2012 [NC Dapartnant of Pub Safty, Divison of Administ ‘Otay Travel Expenses Explanation [__Anavet NORTH CAROLINADEPARTMENT OF PUBLIC SAFETY . . Ve Dele: REIMBURSEMENT OF TRAVEE, VE AN PTH RU ARERISES INCURE IN THE DISCHAR dsl, ogg and oi ofsaeoury tv, Ran one (1 ‘company, account, and center Reds. Fle at tast monthly end nat ater than 30 daye alec month ends. Prepare in nk cr ype. JANE al and other supporting documents to this fot, 9 fr Your records. Compete moun, Reimbursement for approved traning expenses must be submited to OSDT. Trac : —— see [tale Highway Patrol / Executive Protection Dotall — wpe fa | fee cay Fares mend iso oath Uncertain Tw wad RSS DROSS Trans omni Rinse eof aj onan cling, evouos ed lnencas hated a wa oe Be, shor {onoade, nae nie epee ar ee pcenet aya net rine omy areas fern te term ‘Gimeno ‘oa nero, Es 001 002 0003 0004 ts 008" 007 0008 0000, Teale ees nance Ta. Da (One) ares SFY Uy x ii ae MAY 2.9 2014 SS rh “lk E ail i Ee Blo ae WHE $$ 2 lids ov Nae MI a. 2 * r = f- n a t OTe i 3 S090] 77 i a t = 1 n 1 7 3070 7 { a EAD $50.80 1) Mode of Travot: LTB of subsstoncs: lore: Dat ota for euveltior Phar © Otte tue in song tes ABD Rela ch MMCHBE ct ls excnd suber aaa Letineh” H=Houg_ feats orouatct tava Da uoiner a190% Feo nT O70 Rotem ote od Ge Dad Bu AABe eee ompR ogy NAD NI G23 Form srctue lst vised Fotruay:2013, RETO ST Hattie DPs_ NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY 4M le3tes REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY U: INSTRUCTIONS TO CLAIMANT. Submit one cig fo General Accounting. Atach all nacessary ergnal recaps and ob eupporting documents to this fom, Incluaing ony por witen aprova of excess regleralion,fging, end outcsatrcaunky travel. Real ona (1 copy for your records. Camplote smaunt, company, account, ard coer feds, Flea east monthiy and not later than 30 cays afer mann ands. Prepare ink or ype. sed Wo as aba: ——GISTSTETA_——TRotnburerent for approved ang expanses must be submited to OST. Ta ian ——_ RT RTE PANE — Fea aR a HON Sak Tae sr ects PGR OT my Fa Pea a ar Fai Gaal PT ‘Under pansies of parry I ary ist bow hws and accuein vinleman ofthe lly “i The sama ator quad ay as Fan ano iaseeae, he er or apr one kv ae ee prea is eet ele oom) Baar . KF 733 377 Fret raed ont ee Toone Meet aoe) Bioantaa Taaneay eta, ewer i Gf2s}4 Ete Record the actual time of departure and arrival in blocks Indicated, Subsistence ISiato | Osteria 36 0.70 “Travel (show each ety vied) tom e Other Travel Expenses Explanation [Amount Day Fao ave abi arog et a IEE ‘Ae ivr oa Fone Coch ir Sevan ee Pine Cor igs ae cena (GRAND TOTALS, 2 t L H ® H my ae $74.60, 1) Mode of Trav 2) Type of subsistence: P= Private car O Other, ra, bun tex, parking fees. A= Ak R= Rentalcar Daly tla fr subststence net B= rosifast to excsed authogad! amount fori Lele stove, lee raaiaryiirart D= Dimer ‘ : 4 Fam CNTR einbemertt Tv an Cer Ege Ice Dice fea Duy «1 0'1 NBO N Ferm sce stent Foay 2073 IN Daprments Pune Sey vain of Annan 6.03 NORTH CAROLINA DEPARTMENT OF PuBLiC SAFETY [44 [[(¢3lo5” REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY iQ. INSTRUCTIONS TO CLAIMANT. Submit one gna to Generel Accounting. Attach all necessary orignal recelpts and other supporting dacuments fo this form, Incuding any prior wien approval of excess registaon lodging, and ourofstatlcounly travel Relain one (1) copy for your records. Complete amount, ‘company, account, and center elds. Flea east ronly and not later than 30 days afer monn ends. Prepare ink or ype. Fae Wa Pw ar THUTSETETT ——]Retmbursomont for approved walang expenses must he submited to SDT, aa La itor : = sta Highs Patri Execuivr Protection Beis — rasa oe The Labor tana & Rast [200 North Btount Stost Trooper Raleigh, $4 (Cn SZ) Joma Wong os onto Fad Gara oy ea eo (Raloiah, 96 27608 a angen ‘hen protec py (ont haToba nfo UROOrNe TOA Sa Ts carn rt an cy Oa wa waa aTSO titra xprve ed aliencaseanoc Pm ew te. Tee apple, ave on lr ppv ane preeal Caray tt eb need hm my ose Mee ae ae ven 620.1 i — rs es ‘ we Sain : $74.80 Travel show each cly vied) Bay ‘tom , TnrState [oursrsiate| Explanation Saint $1070 ‘i, 18.40 Esra Gane zy os en cerong Wands ie it Car ng Get GRAND TOTALS |NOTE: Daily iota for subsistence no (1) bode of Travel '= Private car © = Other, rall, bus, tax, parking foes A! ital | 5 |to exceed authorized amount for in- conten tet armas AGB CB Af Be TN Jstnoranetente ve Form CNTR 009 Rolmureemert of Travel and Other Exponsos incur in tho Discharge of Ofc! Duy Form structure lat revised February 2013 NO Deperiment of Pubic Safely, Division of Administtion 1 Des? =: NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY } 4 | | WBS” REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Je INSTRUCTIONS TO CLAIMANT, Submit one orginal o Gonerl Accounlng. Allch all mecessary orga acalpls and other suppetng docurnenis to thie frm, ‘ncluding any ptr witen approval of excess egstaon led, and ovte.saafeundy ave. Retin one (1) copy for your records, Complete ern, ‘company, account, and conte oles, Fle at least monthly and nt llr than 30 dey afar month end. Prepare Innk or ype. Foal Wa Pro ae Ware [Reimbursomont for approved training expenses must be submited to OSDT, avai Rano a neo a MAMMA | iiocon Sie wa ois Eva Paacan DART a [ramet Acess ern) 200 Norn Biount St ae iooper ‘atin tome &haniocRalsgh St 1G Sie 20) RSISGRNOTTOOH | idea ‘aia Some ogee BOSE sett arisi2014-onrta014 ir pono guy Tey isle abun dma Hao et oy Thais rai alohrconent requ nde at Jana eSNona ofl6araenpanats ed elonanor heures nce ct Sa arb appa, nee en ar pve ln e prsene! ‘yt eter my sc ee ene pe wre ts amy rel “af —— et - —_— ‘Cipwan Teaana 000% 0002" 008 0004 0006- 00 0007 0006; 0 Ta Benet Lae Adve et 010mm) i “Travel (show ooch ly ved) 0 ora iy ren coat ‘eh appar Ce ig ay Povae Cartage ERA 974580 ei ae ‘GRAND TOTALS 11) Mode of Travel: (2) Type of subistonce: Daly otal for eubsstanco nai P= Private car O-= Other, al, bus, tx paring fees ANAK ReReniatcer | = Breakast fo exceed amour ork Le tuneh Hs Hosa tg rave. Beier i yg wa0 NIG93S Form CNTR 009 Relnbureement of Travel an Other Expenses Inu nthe Dcharge of Of Duy 0% Farm scr a eve Pty 203 1 Depron o ube Satety, ston of nian ‘ NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY / WeBle Sa REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orignal to General Accounting. Aitach all necessary oral recolpts an cher supporting documents to this fern, Inulding any prio wet approval f excess region lodging, and ou-c-tatelecuntywavel,Retan one (1) copy fr your records, Complate amount, ‘mpary, about, end centr fle Fle test monty sr not later then 30 days after month ends, Prepare In nk oF yee. Reimbursement for approved training expenses must he submitted fo OSDT, Ta WP SETRTETA a aa inom e -fsrnigouy Farol nacuve Preteen Dea aes Peres iat =). 7 - Cost ase Tae 200 Worth Blot Soot hiooser rath, 61 (con 28 ad Agra Tae Saat ey 1-108 s reser pee ent Soe waa zeta NTIS TTasasinTnacbe esta oe alo Tan oT Ted agen ater eset eno abe Tate ia gener ponte owe ator pen Dp ae aa 419-793-8311 {eam Pestana) Bata Tone ! : ‘0001 oe 008 ‘008 is 008 ‘nr ‘008 000 Ta ee a O10) “Travel (how each cay vistod) ‘Ober Travel pense Dey ‘rom 0 OT TreSiale [Owersee| Exploration | _Arount fa, ima iy Fr Oa Mn Fie Co Mma ir 2 t D, rr 2 = 2 ‘Seameme ce ‘GRAND TOTALS $63.80 (1) Mode of travel (2) Typo of subsistence: |NOTE: Day teal for subsistence no ‘Pe Privale car O= Ofer, ral, bus tad, parking fees A=Ar R= Rontl car Bs Breakfast No exceed eunorans aroun forin- LeLungy—-H=Hoosing [stale or cutofslate travel . = Dimer (Room) Form CNTR 008 Reimbursement of Trovel and Other Expenses Incured in the Discharge of Of Duty Form stucture lat rvised February 2013 Ne Department of Puc Safety, iilon of Asministraton DPs > NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY” / Yq / if 3 LS REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRE| IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Suimilone xghal fo General Accounting. Atach ai necessary orignal reels and cher supporting documanis to this form, Including any per writen approval excess regitaton,lcgng, and ou-otsiatefcounty travel. Ratan one (1) copy fr youc records, Complete amount, Company, account, ard centor fells. Fle atest monthly and not later than 30 days flee monih ends. Prepare In ink o ype. Papen Wo Ps bor {GiB} 7553E7T ~~ ]Relmbursemont for approved training expenses must be submited to OSDT. Z eae i Teen IDPSINESHP— = - Popa eae (Sa Te Tsien Hers Niet {200 Blount st Lrrooper _— EY Andail [Executive DotallS4_ iy, Sn, 2) erat cra aa teniok Paved Covey in Ragen omar {Ralaian, NG 27604 ARONA T2018 (ne peas pony coy Ws elie wed acolo vo Tra warn iene reget nd xy Bal ano anon tt expat sn aaron oars nine info of eS ise {peat hee npr prover origi nd wa of eel ‘ay Paw ott rtd rom yo at Pas sane ere vate onszote YL [earantcsn) ‘Dae umn) ‘oa —_ 5-733 #7) ' 3 ls ie 5 efi st indi “Transportation ‘Subsltence Other Travel Expanear ‘estate [owersmie] Expimaton [Amount Travel (ehow ooeh ay vad) Day ro Sine [OwarSat Ta iy re of a iy Poi Ca Me THOT tn iy Pe Oar ea rma ly Pini ara cent a (GRAND TOTALS $97.30, 1 todo ef Tevet {2) Typo of eubeetnce: InoTE: Dat toa fr subsistence no Pe Private cer O= Other, ra, bus, tx, paring foes AZAI R=Rentelcar, | B= Breakfast le exceed auoreed amount or Le Lunch H= Housing. |siate or out ctate rave. + | b= Dener ‘Boon 2 = 2 : f a. — Form CNIR 003 Reimbursement of Travel ad Other Expenses Inoured inthe Discharge of Ocal Duty For siruclur last revisd Fobruary 2013 [NC Department of Publ Saat, Division of Aaniastration 1 “eave gia each cy veled) from. . ther Travel Bwenees Bipanation [Avot cee Die Ga Mage Osi rite cor Prva Cane Fayre cr Pale Ce Gy erie Caries ly Prle Ger aoe ALS PEE ‘GRAND TOTALS Form CNTR 063 Relmbursemeni of Travel and Other Exponet Incured in the Discharge of Ofc Duly Fim structure last rovsed Fobruary 2013 NO Department of Public Safely, vision of Admiistraton i NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY /' Lf, I leZloy~ Dps? “REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY / co ncossery erie! recep another supportrg documents to this fom, iefcoutry vel, Ratan one (1) copy for your records, Complete amount, days afer menih ends. Propore in rk or (pa, including any por written spprovat of exces regstaon, login, and outa ‘company, account, end ctor Fels, Fil at least monihly ane nt later than Tee ok Pia Nartar_ BTE-7SEGBTT__]Rolmbursamnt for approve tring expenses must be subiied to OSDT. a Tomes __[State Highway Patrol / Executive Protection Dota eaaieebeairaa —_ Bs Deter ave Sita {200 North Blount Street [Trooper aloigh, 1 ‘Cryst, 2) hg a BST ied ody Ros 'Raleioh. NC 27604-1006. dija-tio. Lo7/18/2016 - 97/21/2016 Ua pnts op ea Cb Teuton eaeea amma "ive garine anbcenal gl acai apdcboni stegha epenss ad lsfaneas rearsin i arion fe Sa, Aor apse. reno plover tw ander ne arson Ne no. 000 9002" ni 000 6 08 0007 008 cou Tas Eape nts Ber aid ‘Record the actual time of departure and arrival in blocks indicated. "Taneportaon ‘Subsistence ‘Other Travel parses insiato [outer soe In-State [OuretSite] Explanation | _ Amount 5 “Travel chow each ay vised) ‘rom to Day Te rar ‘Syraaar 3a PvaaCec se. Tazo ft Siypmeer a sea, 8.0) 0.70 $18.0 a 10.70 a. 18. Hirpaastar ta ln 2 = i 3 aie ‘GRAND TOTALS $98.0 ) Mode of Travet Pe Pale car O= ler lbs, te.patigtees A=At Re Reniar 7 2) pe oases SEIN? AlRusne Se threr "aon OLOOV N39 NTS: fam NTR 003 Rlnbusanen of Tn nd Or Exeses new te Deca of fl Cay Form stcture ast rvied February 2013 NC Department of Pub Safety, Dion of Acinitraon INOTE: Datta for subestence > exceed authorized amount fr n- site or out-of ravel. REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ‘THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal to Ganorat Accounting. Atach all necsesary aig receipts and oer supparing documents to hs form, ineuding any pir welten approval of excess rgitraton, lodging, and ou-fstaelceunty rae, Relan one (1) copy for your recrce. Complete emoun, company, aocount an centerfold, Fil at east menihy ane mot lator than 30 days afer merih ends. Prepare Ink or pe. Faved Wa Porat HOTS inbureoment for approved rang expenses nus be aubmited to OSDT. edn a a Ta ie ame Rana | eae ae aan Sve) — 700 NO Blount ST Tae Tooper Taten Nase 8 tater Rallgh St ‘Gin Bia Raion NOZTEOT Few ing owe ad Garay bs Rare omar l2014-07 72912014. ‘Tin prin opin out rab ao rd wate Walon vO Tae ar ersten anode ha ater a ‘io sparse alovaes resent enc Bie tat ‘esses, tava gion i opel oer eel ede a ‘erty toate mies we ay ba owes for ese perce Sire aoe is BESEEEE EE 0901 000% ‘00s. D005 0068 ‘0G. 0908 maf Al a ‘CEN WL y WED Travel (eho each aly vse) Sutasionce ‘Other Travel Bponnos Da = : Insiate [owetsiae| Explanation | Amount TROT Desa sip Cor os Pre ca Tani te iy Preis ig Pi art Teas ss rasan ‘Beare Pica os EE > GRAND TOTALS $45.60 7 i 1 Mode of trav @ ype of subsistence: |NOTE: Daly total or subitente oH Pe Phuc O* Obed te.pubrates AA Re Ramat | ‘set Heme fears ef=lo|-fole [fo 9L90¥ N30 NI @0TY Form CNTR 003 Relmbureemen of Treva and Otter Exponcee incurred nth Discharge of Oficial Duty Form sttuctue lat revised February 2013 NC Departmeat of Public Safely, Dison of Adminstration ‘ NORTH CAROLINA DEPARTMENT OF PuaLic sareTy // Y), YYZ. Ls” Dps! ~ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Leu ye. ix kz ! INSTRUCTIONS TO CLAIMANT. Submit one original to General Azcountng.Altach ll necessery gl receipts and other supporting documents tos orn, Indludig any prior writan approval of exces rpistation, lodging, and out aflaefecurtry travel, Retain ons () copy for your records, Complete amoun, ‘company, accour, and coner feds, Flea least monthly and not atr than 30 days aller month ends. Prepare inink o ype. mbursoment for approved tslning oxponees must be submited to OSDT. Tapa we aren IOTSAETT —— ‘praca real Payers Addroms (Sev ~ Tie 0 North Blount Steet aster Trooper ‘Gy, Sn 2) eer ah GF esas it oon lriweova. razors Thar pasa i enbsamert ques an ne RN od nae ‘eg, I gen rr seal or rei Ue nl se opts ten IRaleiah. NG 27601 Ur pane ey Ty Pst ako nd mare niactPa ‘fisting, epee ed wnoeoaoared min soni be Sl, Har conty ba wi tara ty ese bas spe pees. weno une oot 3 ERE hh Sot i peetriite Seer : Speirs 0 i eter its oa i eset oe 3 pe etriete a0r 2 i Seeiriete I a i SHetriets a wef woe a Fealid RECEIVE ZL. Maa / rd tho actual Toner con ay va Tita came [Sorte] = % i z Gaaitaal —Eetanon [ei z z 7 treo 3 [aaa (aT 7 2 : ta é 2 = ee earns 3 iaraereemage ge ? a reas aa ; hee RAID TOTA a0 1) Mode of Tevet eater ee (2) Type of subsistence: PASI st ee mhsnce cl rer onotecemneieneegnes 8 SET OF LAME OR ede fierce Seser Fe 9105¥ N39 NI @.93¥ Form ONTR 008 Relmbursoraet cf Travel and Otnor Expentes inured a he Discharge of Ofte Duty Frm struct lst revised February 2013 INC Department of ble Safely, Deon of Administration ww ~.... NORTH CAROLINA DEPARTMENT oF PuBLic sareTy /C///(p3lo 5” 5=REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one gna to Genoral Accounthg. Ate sl ecoesay erg! receipts and other supporting documents to this farm, Including any prior writen approval of excess reistalo,iodging, and cu-osialefcaunky travel. Ratan one (1) cy for Your records. Complete amount, ‘company, accoun, and colar leds, Fle at oast morihy and nat ater than 20 days aor month ende, Prepare in nk or ype, ‘Fajen ie Psa te OTST |Relmbureement for epprovod talning: a ay ‘Bratonbeioe ponses must be submited fo OSDT. Farsi Pays acess (an Tr ‘arbor . [200 North Blount Stroot lrrooper (ey, S89, 2) ee oar reae anlar Farad Condy Henao fomtos rsa The or i reborn equa are cr tai ei ne saa "aptati, trar gen er appear eight art n ctfrvon! Bupa Tera I ee, sme Travel how each aly vietad) rom 2 rstato [outer sat] 2 t cl 3 Saiypnem ermine Dat Proc eae hte = EE ‘GRAND TOTALS $57.20 (1) Mode of Travel: (2) Type of subsistence Dal tla for subcistence no PPralecar 0 Or ra, bute patgiees AsAK R=Rendlegy QT} BRBORST Inn zea aoe amour c dato fate oroutotette ave D = Dimer (Room) DOV NSO NT Gay Form CNTR 003 Reimbursement of Travel and ther Exposes Incurred in he Dlachergo of Off! Duty Form structure lst rovsed Febiusry 2013 [NC Deperiment of Pubic Safely Diiblon of Adinetaton 1 NORTH CAROLINA DEPARTMENT oF PuBLic sareTY ./L)IILoRlo™ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Z INSTRUCTIONS TO CLAIMANT. Submit ae arial o General Acourting. tach ll neassary aga recep and other supporting documents to hs form, Inching any ror witen aporova of excess regskaton,fodyin, and cu-o-tate/county tral, lain one (1) copy for your records. Complete amour, ‘company, account, and ctor lds. Fie et leat monthly and not Iter than 30 days afer month ends. Prepare nok or pa [PasoeWonPictinier 670.793.3671 __]Relmursement for approved taining exponses must bo submitted to OSDT, Sia al an) Dratowtan Faroe state Highway Patrol Executive Protection Data | = - ai er [200 North Blount Stoet Irrooper [Raletgh, 1 (Gi. Ss Zp, Iemeloing race antay Pain Convey ie Roa omtoy P lemansa 17014 ‘User gonote cf psa eat bin bs au wd avaa Hono ey Tne asic oatreeet tid nd cay alt OU ro ttn expnee and ators aan vncn the Sle aba ‘apoeni,hgn opel rn tel ane use pcre ta an er mea Bae tne pn vet ny ad ig RECEIvep $20 mastenttetie wctetincanat Travel (show each ely vstad) "Tranepetalin ‘Subsstonco ‘Other Travel Exponses| irom a Tn-Siate [outers in-Stae [ouwersate] Exenaion my Day TE 2 i a aly Cora TiO, “Amoont ee ‘Biprrniecotaege Ca Waa i ‘Tipe ce ease Saeie ‘By Pet Ca tn eet (GRAND TOTALS 1) Mode of Travel: P= Prvate car Ox Other, ral bus, tex, perking feos A=Ar ReRentalcar | B= Broskas, TOT UY ogee: Mita 9100 N39 NI dogg Form CNTR 003 Reimburement of Travel and Other Expenses Incred Inthe Diecharge of OficatDuty Form stucture last revised February 2013 i NC Department of Pubic Safoy, Divan of Adminsralon 1 (2) Typo of subetstonce: |WOTE: Day ct for subseence na [ie exco0d authorized amount fori state or uote rave. i NORTH CAROLINA DEPARTMENT OF PuBLic sarety /Z/// 635 REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one ofginal to Gonerl Accounting, Ailach al necessary orginal ocrpts and oe supporting documents fo this fr, IRcuding any prior wlten approval of excess retro, lodging, and outa slstatcounty val, Rein ane (1) copy for your records, Complate amount, ‘Spry, socout bn contr ot, Fe tae mony amet tr than 30 dys alsa ends, Prepare in nk or yp, [Fart Wri amiae TS] TEESE ]Ralebreoment or approved traning exponnes must be submitad to O80T. Fin Nai aa aan ——————— 7 Te Rosset ao 00 N Bldunt St Looper tive DetailSt ye, 2) Ree gaa or Fa Rot eek Igalniah,NC-27601 “azozots Mea a epee ade aia TSO Tat Sai i a en ena elt ap aTon Alina pend alread vente Sie. hor ona intr rrr eon ee tor {et ueteraned tone scfm pet vee vs Poy m= ay ‘oes 209 282. IP1 ‘peo Tomine) ERIC aucune 625/14" 06.29 )/4- i AID ci i Fa oa a Tana fame cae Ta ay ‘rom . 77] westate [owa'swe] 2] wie [owersive| Erplenation —[, Amount 7 : = 7 z toe cote $ z a= ae : : z z 3 ee | tai sa $ . chat —— f ‘Dope A va a a — ; — : : Swi mts otra catyestonwumes am bet eed ntners al SRE! oncmatnntntes tom anemone} a, Ramen ST oT Uy oc ‘ap fi fe 938 ougav waa ui 0,9899¥ N39 NI 6.92 Form ONTR 008 Remmbursemant of Travel and Othor Expantes Incurred in the Discharge of Ofc! Oty Fim structure tac rovieed February 2013 | NC Department of Public Safty, Divison of Admbistraion - 1 Teva ow och cy vid) Day ro TOTALS BROUGHT FORWARD Tana i aor it er OTe sires Cort Pia Gara [sie corns ie Es Pate Car Wings ay Pai Ce: eae pa iy vaio Cringe Pele uy Prt Cort | os Core fw at Cor ese a i ca wl fat Prt orcas ee Pe Cov igs (GRAND TOTALS af =lo|-fo]s | [o}-lo] =] =\ol-lafe|slo|-lote[=lol-lalal=le|-lele}xfo|-lela|=|ol-lel Ie\o|-lelef=|>]-|=4z]=|2}-f2| = | ‘Substtonce Tniate [ours] 0070 20, 3107, 6.40 $168.90 Form CNTR 009 Reimbucsement of rave and Other Exponses cured in the Discharge of Of Duty Form structure last revised February 2013 [NG Depariment of Public Sefety, Dvislon of Adminisation a ‘Otter Travel Expneee. Explanation ‘Amount No a ~ NORTH CAROLINA DEPARTMENT oF PUBLICsAFETY = /U/ILs2i05 * REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURREDS Yeo hV2_ IN THE DISCHARGE OF OFFICIAL DUTY Date. INSTRUCTIONS TO CLAMANT. Submit one og! to General Accourng. Alach all necessary right recips and her supparing documents fo this frm, ‘ndudng any Bro writen approve of excoss realstaton, edging, and out-of talercountry travel, Reis ano (*) epy for your recor, Complete smount ‘company, a2counl and cana felis, Flea leas monty nnd not ater than 30 days afer month ends. Prepa in nko ype. Se rr nnrnennntnenmash = a —_ ss oe = A = ae es =e ees ae = ll Sp au, 2 Ss Exh ajo Ey -o oll $ ie eit ae a a ; Seelhe ‘5006 2 t sis [2] ats. fg pO ete Pe dt coed a PAT holy CEIVED “Tet Dus (Owe) Fhe, WLS 420% of Li ‘Travel (show each ot visio) ‘Transporation ‘Subsistence ‘ir Travel Expenees| trom © State [Oxtor Sat Tnstate [ouerSae| Explanation [Amount TO. 60 10.70 Bie.a0 crt iy Pate Co Poe Ca ios aoe ene [Pri na ‘Garant Pre a ge car ‘GRAND TOTALS ‘$3108.40 $0.20 040 $1880 e|z\cl-lele[=lo|-[al3| () Mode of rave (2) Type of subse: ; Dal toa for subsistence Pe Piva car ©= Cierra bus tox parking fees A= Ar R= Renal car B= Broakast note expesirauthoraed amount tne "Hang fimo De Dimer, 9.81 0.038 Fo CAIRO Rlnbreent of Tel ad Oe Exes nara Desh tonto S00¥ 83 Form siosu el ovo etry 203 “Travel (@how each aly vod) Transporation Siiaistonoe ‘Other Travel Beare Day ‘tom co In-State [ower sie te-Sate [OwatSiae| Explanation | Amount "TOTALS BROUGHT FORWARD $1030 Hane m0 Bisel iy Pts Care [en Pre ca 1 Ea ‘Ache Pr Ca nag Cr age Ps Gar Minpe Pa ge iy iar A =[>]-lete|=lo}-lole |= }ol- lols t=lel- lols pelol-lelz ilo |-lalz}etol-lelapelel-lelst 18.40 Pro age o Ca a er Tasz0rt 2 Prise Te = # Pt Car Meas che = ‘GRAND TOTALS $45.60 (1) Mode of Travel, 2) ype of subsistance: |NOTE: Daly ca for subeltonce rt, P= Private car © Other, ral, bus, tx, parting feet A= Ak R=Rentalcar | B= Brookist to exceed authorized amount oI Le Lunch” H= Housing jotta or out ot state travel DeDiner a aaa 7 gt ot o : om ovr 09 Fenturoean a 400m Expenses ae cbs a.d 1 NO Dorariment of Pull Safely, DNsion of Administration - NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY I YW), Nb Slos~ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Zu Ave De INSTRUCTIONS TO CLAIMANT. Submit one righ! fo Genel Accounting. Atach all nocestary og recalps and ater supporting documents fo this for, Including any por witenspproval of exces reqitalon lodging, end out-oFtaefoounty travel, Retan one (1) copy for your racers, Complete amount, ‘Company, account, and center elds, Fe a eas monthly and not ater than 30 dye afer mann ends, Prepare in nko: pe. Fajass Wak Frew Rar (SIO/TSTSETT ]Relmbursomont or approved training expenses must be submited to OBDT. a. ee [Stato Highway PatroTTExacive Protection bata - rz J i L200. Blount Steet Mastor Trooper (Cnr. m2) sr Wir Has omar Feat Goto IRalelab, NG zze01 tsat4e rao TDN tear prs pyc Ba obv an ac r= Ta cine rn weary STH ro ase {Cota npareneat sownaslnred no coven he Se Te on, ve eno opr owen vl pre ‘Sry etberaeared Pen eyelet wa Dae en een oh : na Flo. 1% a at ear Be 75 7371 ‘pare Teper) (Genet Pre Ha) 14 Foy C ZAC stat Record the actual time of departure and arrival in blocks Indicated. “Travel (hw each oly vised) 7 ‘Subestonce ‘ior Travel Exponess Day rom © insite [ousesaie| Explanation | _Ancunt Tae wom cm 540 iy ie cor . iy Pl Cores sO Be a a t z ‘he 2 [si Por cl fa = Bs tL iy Peo u iy Parse = (GRAND TOTALS It Mede of Travot: (2) Type of subsistence ITE Daly toa or subsistence no P= Private car O= Othe, ral, bus, tx parking fees AsAK R= Renlal car fo oxcsed autoriznd amour fain Hs Housing {stato or outoF state revel ST OLUY O¢ Tr reer on Raxouserrtt Tae Ee Dees li cy ono Fer Ee ee eee nL 2O¥.NA NI O.93Y 1 DPS) NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY IY | lb 26S REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED, IN THE DISCHARGE OF OFFICIAL DUTY Zz key 2 ye chy Se J INSTRUCTIONS TO CLAIMANT. Submit one egal fo General Accounting. Aach al necasary ois ecspfe and ther supporting documonts fo this fre, Iueing any peor writen approval of excess registration, fogin, and eu-o-satecouiry trae. Retah one (1) copy for your ecows. Complata amount, ‘company, account and center fells, Float ast ently and et later than 30 days aor merth ends. Prepare ink o type. aja Wr Pos Rae cual mburserent for approved tralning expenses must bo submited to OSDT. aa a ‘Bramieon am sia ray Pa rexwenve bottom Det —~— Pays rer (Seo) The 1200 North Blount Streot [trooper Ss, Zi) wal wing Rae omer Fad Cosy i Re font [Ralelgh, NC_ 27601-1006 nas20 = 0727/2016 ‘Uae nal pra et is iobe au ed ci sae Oy a cg etanste and alorteeered ne mee ae. Ina ‘rope, Ian gm lr mpl avrg av ern erect ety at vob abe en ahha suet sae eae. wien ZRF 1, me) 7 ‘Day ey = A 2222 077 S SREP EE =h tet bun (One) WAN PAID HL 405 18 2514 Record: ture Traval (chow gach ay visted) Transporation ‘Substtonee ‘other Travel pense Day ‘rom © In-State [outatsia InStae [owetsicie] Explanation | Amount TESROTD Be Day Pat Cer eaoe le Cal Tis04 05 S180 ST 37 0.70 cn 80 Ff =|0|-|2|z}=]o|-J2| m Ta Tae 5820 10.70, S160 cent EA | ‘GRAND TOTALS #11190 (2) Typ of aubistance: NOTE: Daily total for sssterce na ute patng foes AwAK Re Renalcar — | Be Braliast exceed authrzod amount fol L=LinchH=Housing_ siete or utofstato tevel Be Dimer (Room) (1) Modo of Travot vale car O# Other, Form CNTR 009 Reimbursement of Travel and Othar Expenses Ircured nf scharg of Offelal Duy Form structure last revieed Febroscy 2013 NC Deperiment of Pubic Safely, Dislon of Adminlstvation 1 NoRTH CAROLINA DEPARTMENT oF PuBuc sarery. /¢///1 lp ble EIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orignal o General Accounting, Attach all neoessary right reclps and oer supporting documents to this form, Inauding any ror writen approvelof excess ceglaon, lodging and ou-otstalecouny travel, Relan on 1) e99y fr your records, Complote amount, ‘Company, socouny, end center fel, Fie atloast monly ond not later than 30 daye ar month ends. Propere in rk o po. ayers Wo Pos taniar HOTT bursoment for approved traning expenses must bo submited to OSDT. ny Batol anntiva Prolactin a L. Local Nene & Haba lRateian, Fata Goma Regu toto 14-0720 Tavs ad bier ea ay Baad neo {oqo Thave dene ope eroroigh lan wee prea —_ Tot 1f 09 777 8 Bonar Tan Payot srs (Ste 1200 North Blount Stroet 7 RECEIVED _ AUG 19 2019 ‘Recor! the actual imo of departure and arrival in blocks indicated, “Favel (how each oy wea) Subsistence ‘Other Travel Expenses Day from a Trsiate [oussww| Explanation [Amount TOTS pat Pinetree Pil ore Tazagre PCa ae fst Pr cera TRaPOTE i 7840. Somme Pa Cx es ‘GRAND TOTALS |) Mode of ava: (2) Type of subsistence: IOTE: Daly oat for evbsisence not P= Private car © Other, albus, tx, paking fees ANAK R= Rental car Broakiet foexceod suorzed emount fr Cetuneh stale or outa atate tava. B= Diner Form CNTR 003 Reimbursement of Travel and Oer Exponsos Incued In fhe Discharge of Ofiil Oty Form skuciu lest revised Februcry 2013 Ne Dopertment of Publ Safety, Dhsion of Admiistaton 1 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY IG I bb Ble BPs? REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ‘ : IN THE DISCHARGE OF OFFICIAL DUTY Z Yee hy lg Dota. { Ht INSTRUCTIONS TO CLAIMANT. Submit one original to General Accounting. Aitach aif necessary orignal recelpts end other supporting documents to this form, Indluding any pror wren approval of xcoee regltaton, ldgig, and ou-tstatecounty travel. Retan one 1) copy for you records. Complete amount, ‘company, eccounl, and coner fas, Fle a leet monthly ad not lator than 30 daye ator month ends. Prepare in ink or ype. Feat aT onbursement or apoved wong penser mut be eb to OBO. aa Ta _ reamed ee a . a [STATE TROOPER [RALEIGH S/1 eas ETERS i Mae Liazotsonnan's cima aT aetna diary opran nidiveranendvtnmnaas an cence eee cee = i erlatf: el | "(Oate) ‘(Oeiey | J W277 FBA a aes —_ om ‘oa 0008. D008 0008. 0006- ‘007 0008 ove) i - EL RECEIVp, "Travel (ow each ey ved) "Traneporiaton ‘Subsitenoe ‘Or Travel Expenses © Stale [Oator Se WpStato [owstSaie| Explanation | Anount OT Gay rs or age [sy ne er ong = 3 ‘GRAND TOTALS ct) Mode of Tove: (2) Type of subsistence: IwoTE: Day ttt forsubsstonce nol Prvalo cor = Other, rel bus, tad, parking oss AS Ax ReRentalcar | B= Sreaklast [to exceed authazed amount for Letunch——-H=Housing |stte or outof-state travel. D=Dinret Form GNTR 003 Reimbursement of Travel and Other Expenses incurad Inthe Discharge of Offlet Duty Form stucturo last revised February 2013 [NC Devsment of Puble Safely, Division of Adminitatin DDocusSign Envelope ID: 1FDOCEAS-ICC8-44®-9EAF-O0E4 1009000, REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED Drs) NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY INTHE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one agnalts Gaeral Aczourting. Atcha necestar cri fecens and other eupporing documento tis form, Ircucig an peor writen approval of cess regiaraton lodging ard cutot-ltloxrryvaval Rett on (1 coy fr your reso. Complete amour, ‘company, acon, and canter fads. Fle atleast meri erdnot lator than 30 days afer monn ends. Prepare ininker ype sea Pw rae bureement or approved training expenees must be submited 9 OSDT. ‘919-733-3871 Tae a ase Cp aioe Ps Ts ei Ban a [inet Wars row FOTO ara Coandb Ras omy a pers pny ay Rise os dn naa Tine sani nina ean een aaa ae ‘song, epot nd etre eae 8/15/2014 | 11:53:42 am ‘eee, te a re enh ae ns po oo Peo om wy aqua Bea ep Tea Ta _ 8/19/2014 | 10:18:05 AM ET arene) oar ebony Heart curtis oar) BeaaRaT 4 Staff 8/25/2014 | 15:19:55 pw ET aaa So = ap staff 9193241074 vR Tezaro Pa ry Please use 14116365 for 532724, Employee's Supervisor: Do you wish to attach a document? ‘Yes No ‘SHP Reimbursement Quality Assurance: Do you wish to attach a document? Farm CNTR 008 DosuSgn Cover Reinkursement of Tavl and Other Expenses Insured nthe Discharge of fea Duty Form stuctur ast resed May 2013, [NC Deparment of ble Stety ‘ xYes No [ nen rsp. OECEND1CCOMMD RAF REANDHROE NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Siem one orignal to General Accouning Atach al necessary egal cles and che uppoting dorurens to tif, Inckcing any err writen epprovel of excess registration, edging, and oubosatfeouty Vavel. Rela eno) copy for yer reeds. Completa amour, ‘cornpany, account, and enter fai, Fl ateekt monly and not ater than 30 Gaye ar manh ends. Prepero anor yee at ae STS TETT Ptr or prove ang xe mates OST ae cau io aw enerconent Dilon/ Sie Hghvay Patol - = Ane [200 N. Blount Street re Raleigh, $1 ean haar Ta Ra stein, NG zreo1tooe ei saniaed-banaa0v4 fap atric aetideeedeeenheid tre ‘hate eee og tomentose ‘ach noamnsweomromattna wos pom Sopentan tensor yoo ono = aaa oanszota —7 cxrsnote a a —_— or ee aa aera — “Teal ohow each ay vlad) ny ‘tom ‘e Eat ia aero ee raat Best iy Gara Be Pe Grieg ee ‘GRAND TOTALS $83.50 (Nene etter Pe nicar O* Clara wo padeytone k= bit Seat eee Day lense ete cod oad mau esterase Form CNTR 008 for NCSHP Employee Relnturesment ct Tevel and Other ExcentaeIncued inthe Discharge of Ofc Duy Form suture as eis uy 2054 [NCSHP Racorch & Planning 1 ren np FDIC 139.4 HEA SEE ABODE Travel (how each oy wed) Sabato ‘Oar Travel expan ‘com © ‘Ste [owtGate] Expiration [Ancor "TOTALS BROUGHT FORWARD 325.50 fol -|=fe[=|21-lbel=|2l-Lel2}=lolelel2llo]-|=]eE1-L2] 2] =fo] lof} =||-l-feb|ol-lel Form CTR 003 fr NOBHP Employee Reimbirement of rave and Oar Expenses Ince in he Discharge of Ocal Dy Form stucture ast ese Jy 2014 NOSHP Roseorch & Planing 2 ‘econ Estep DICE CCAM CAF EEE GDHIDG "avel Sor each oy ved) “Tanporaton Sibactaree (Ofer Travel Exponsee or © le-Sate [stots] ‘sists [owas] Eixmlenaton | Amount [TOTALS BROUGHT FORWARD e380 Flt feb lol-[o]2h|-|>| Sebi awe [wars $0120 Form CNTR 00 fr NSHP Enpioyes Reimbursement of Travel and Other Exoangas cured inthe Diesharge of Oil Duty Fm structure les revod iy 2014 NOSHP Reseeren 4 Pring ‘Cher Travel person pansion Eee anoint DocuSig Envelope ID: DSAE2C44-0C57-4BDC-B786.FOTEZASFZEBS NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Subritone orignal lo Ganeral Acsoering, tach alinacessryoigha races andoher support docaent to this om, ‘echudg ay pr wrtien approval of excess eterain, lyre, and ou oF-atteounty Wave. Rela one (1) copy er cur records. Complete amour, ‘company, coun, and crtr Ses. Fle etleest mony and no tor than 30 days afer mach ends, Preparo ker ye. Fara ot fow ae mbursement for approved traning expenses must be submited to OSDT. 919-733-3871 ‘an a Pa Lah aaa eae Tapes Aes may Te ‘Tate rear Rae ei toma faa mason Fed Ss sa ae ‘haps ot pa co Bw ev a an SY tei ern nt nana edna cen a, tae Thi eaind i eabanesm eo ea afd ete ‘ap nw gn lr ep arnigh tonderan pea, ls 9/3/2014 | 18:30:30 pm a 9/2/2014 | 09:34:30 am er Sara = Teens) 7 Richard s. smith quay Sinaia omy Fewer Tien Tana — 9/2/2014 | 09:47:49 ae ET rear ao Ebony Heart curtis Teme Paar ear Tamas toa atone eran Please use 14116365 for 532724 Employee's Supervisor: Do you wish to attach a document? Yes No ‘SHP Reimbursement Quality Assurance: Do you wish to attach a document? x Yes No Form CNTR 003 DocuSign Cover Retreursamont of Travel and Other Expenses od nthe Decharge of Oficial Duy Form aucune ll rovied hy 213 NC Deparment of Put Safely ocitgn npe DEAEROULACT ANODE TEES NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Sumit on calc General Accounting. Alec al racecar cigial eosipls adler eupporting documert thief, Incuding any pir writen aprovl of exces resto, lcging, and out laeccuiy rave. Ratan ae (1) copy fr yeu ecards. Complete amount ‘company, acount, ané canter foe. Fle atleast monthly and notte then 3D dye ater anh ends. Prepare in PK po. TTS TSTET ATT —Johmererat or appro ng expats mu vid OSD, | a a — aw Enforsement Division Stat Highway Patrol — |200 N. Blount St lonssosilacieel Ratoigh, $4 neo RATT ee sti 8 aan avis uo HN rey ay RIS RTO RTT enim emis] iagig penn toon eectnnoment tomar tame Tosa inn rane onsamomapeter teste ieee — = a = a Sea TTT Record the actual time of departure and arlval in blocks Indicated, Tal ow oth oy ved) Tanepaaion ‘Biaseree Day, rom © Insiee [Ouest] TE a sr i Ca ae eae aN am Beet a a fe Ph ti Gear “GRAND TOTALS $8280 2 = fot tat a tpeatanaearoe P= Paste ce Om Ota Ah bus ta peg es AA Re Renilowe Be Batt eae Lee eam e noe Form CNTR 009 for NCSHP Enpioyes Rembusement of Travel end Ctr Expenses cued inthe Diecharg of Ota Duly Form srt ast reso oul 2014 NCSHP Research & Pannirg 1 Duegn Eaves 1 CSAEICA057ANDC-TEE FERN Travel Show each oy wed) ‘Subst ay ‘ion © instats [oer sia Teo] Toracs BROUGHT FORWARD 38280 a Bam ay Pave Cortin Fy Pov conan Da i ri conmne ay ae conrge Beat so a same hte x ho coos ‘GRAND TOTALS af =lof-fotsflol-|e|s]=[o|-fofa]-={>|-leLaf=| 2|-lels]=[el-{e)=|=|>|-l=]2f+|>l-lele]=lol-[a)a}=lol-le|=]Lol-La=[[>|+|- 2 om CNTR 008 fr NOSHP Employee Reimbursmont of Travel and Oher Expense nce inthe Dscharge of Of Duy oim sructur asrovsed Juy 2014 [NCSHP Research & Planing ‘har Tenet Berson Expiration ‘Arount een nohpe 1. 0SAE2C4s74bOG ae TERRE Travel (ow each oy vl) Trensporaion ‘Sunes ‘her Travel Expo rom e Teste [ower sin ‘wesiae [owotsiae] Explanation | Amour ‘TOTALS BROUGHT FORWARD a] sao moe Bit i Pon ow a Boat te Gre | ees ar [sy rescore se ee coage sir Get sy pai comes Es ra [bay Co tae ay ri erage Genie, Fa Pa artes erie ‘GRAND TOTALS ? = ef =to}-fe=4=|e|-fo)zf=lol-|=] 2} =[0]-l=L]=|2|-lele|=|ol-[o]=|l-|>| Form CNTR 009 for NCSHP Employee Remnbureement of Travel ard Other Exoarses Ica in the Discharge of Ofiiel Duty Fexm srt lat reveod July 2014 NCSHP Resoaren & Panning 3 ‘Docusign Envelope ID: A7BFDARC-06E9-4006-ABOT-FDACASAZESGE NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one cginalto General Accouing. Aach al nacesseryognal recs andthe sucporing documents oh fom, ‘una any rer waten spproval of exces egal, indghg, and otc tatelcunty travel, Ratan on (1) copy fo your recor, Complete enourt, ‘carpe, cour, end cere elds, Fle allest monthly end ct ater than 30 days ater month ens. Prepare niko ype. RT etmusonnocepovdthg enact O8T. sc saari eer aa a aaa oo TTT A RT RT ae RT ROT Toa nana aiaire etalon Pietepeaie mabe eenireiertn ee Sot nearer helene = 9/10/2014 | 08:23:29 iia 9/no/20u8 | 08:42:12 aM eT SST = to a a = =e Phang oc bute 9/10/2014 | 14:31:21 po eT woe om Ebony Heart curtis Rane, rae Rea rao) ar ap staff ore) Tanne This ts a re-do for ay travel from 8/13/2014 to 8/15/2014 with the new forn. Please use 14116365 Executive protection for 532724. Employee's Supervisor: Do you wish to attach a document? Yes X No. ‘SHP Reimbursement Quality Assurance: Do you wish to attach a document? x Yes No Form CNTR 008 DosuSign Cover Reimturcemant of ral and Oer Expenses incued inthe Discharge of Of Duy Form snc et raved May 2013 NC Department of ute Safely 4 seg np 0: AFOANC Ga 40 Ar DACA NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Fen Tr imburement for sproved ann expanses mute sbited to OSOT. a ay emai Toa Law Enforcomont Division / Stat Highway Patol "i Tne ter eer Raleigh $1 aa ae a Fae a OT ‘wisraotd -ais014 iio aa a STS RTT Tice aren RSRT aT teases shia somes atm estat bern e ie ee een thom eee sang eriee pne ‘sry the tte ane cab ee a we E asleeaetatale “Travel (ow oh aly visio ‘Bualence Other Travel Expenses fra © In-State [owersiae] “exptnaion | _Ancurt 2 THe D1 8i6.40 ‘GRAND TOTALS $8300 [oct tne taoanene 7 Pur 0 Obese tag et AA rea trams cone Fam Soe NSHP Emgoyae Reimtursementof Travel and Oar Exgerss Inca in he Discharge ct Ol Diy Form suc et rveed Jy 2014 NCSHP Recesren & Pleming ' Dan Ene: ABFORAC 0 At AS ACIS “Travel (Shar eh ly wig) ‘Subaece (Other Travel Eponsea Day ‘om © TSiate [Ouotsate] Bvlanaton [Ane "TOTALS BROUGHT FORWARD 353.90 ae fis ram wring fs te carumne ie Pa Core at esr evant osama 3 ra ara anh [cr oa So aC ge aes siren car Esty ae can ar sy rie cos Tae Ea a Beat Ti a See ha a ce (GRAND TOTALS sf =|ol-letet=|ol-tele|=lel-|=)2}=[ol-|=]eL=|2l-lo} oir GNTR 003 for NCSHP Employee Reisbursemen of Travel and Otter Expenses red inthe Dschege of Ota Duy Fotm tetra resiaod ay 2016 [NOSHP Research & Paring van ave 0: ATFDAAC AEE 400 HEC FACIE “Teavel (how each oy vied) ‘Suber ‘Ghee Travel expense Day ‘fom © Tr-siae [oars] Explnation | Anout S| __ TOTALS BROUGHT FORWARD 35300 eee Boat ees hy ne a ate sn ai corumae Pin Cx ge oa anor Tat Pas Cr Me Pa | ]-]=I form CNTR dt NcSH Enoye Renee of Ta and Ofer cass nhe Dect Oa Duy of sus as rovsad ly 2014 NOSHP Research & Pinning : DDocuSigh Envelope ID: 2048832A-8C 1E-4D89-BC08-1 19845005200 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED INTHE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLNMANT. Submi ore agnalo General Accourn. Atach al necessary orga cops and cher suppering docu to this frm, ‘nludng any pc wen approval ofeicess reisuatn, lodging, and cuctsttefcounty ave. Retarons*) copy for your eens. Completa amount, ‘company, acourt, and contr tds Fl alles many ar not ater than 3D days ter merih ends. Preparein ink yp, Soa sar enuremet for approved ling exptnaoe must be sbried o OST. Boece Fa a Tan —— ae Fa Far ae a ae aS a BN TASS Tam TS Ae STOTT ‘owen pet ere tron ef be eer ‘stale se pete neon rs se ‘ovocetotonisnr bn’ teen errr om a 9/8/2014 | 14:20:43 PM (ie s/s/201e | 36: Sears or Sono a Sarto Tenge Ror oy Qhony fost tt 9/10/2014 | 15:01:47 eM eT nd os Ebony Heart curtis Grapeien BREA Toro a Please usel4116365 Executive Detail for 532724, Employee's Supervisor: Do you wish to attach a document? Yes No SHP Reimbursement Quality Assurance: Do you wish to attach adocument? x Yes. No Foi CNTR 003 DecuSgn Cover Rebursament of Travel and Ot E>pencesIncured nthe Dischrgo of Ol! Duty Form suche as else ay 2013 [No Deparment Pole Sle 1 nos Enel 2524 C15 4060-908 OBI NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED c ' : IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAMIANT. Sibmitona argo Genes Accounting. Asch all necessary cra resis and che euspoing documents otis fom, lncuding any por writen approval of excass register, lodprg, and outotslalebourty irae. Rela one (1) copy fr you recs. Compeleemount company, sccoink and enter tee. Fo ato monty and not ater than 3D days aor mont ends. Prepare nm 07 ype Sa TSTEESETT — Ponbuenent or aproved tang wpa mtb bad (0 80T. St ened a i Enforcement val Stale Highway Patrol Pena ae |200 North Blount St = Raleigh, St yea Sa RSS TTT roa NG 2761-1008 tsjeanbin -e90s2014 ‘ee peep ene aa en Tae a Tiare natal Hae oa pst aR lara wipe ad aeerosreued be eesti {erste nv hn apace sabe ctpmae! _ a issre Spar] a ‘Serre rah a re REEEEBRISI ‘Record the actual time of departure and arrival in blocks indicated. Subelionce Oter Travel Boare InSite [owetswa] Expiration | Amount “Tove (how ach aly valod) irom o wo 00 Geo oa oa rae Paws emia $97.30 vtec rant are miro PPomince 0 Onw. LB AE PUNRG IHS tae Ree Beat fomete ncn trvenmercearone | Form CNTR 008 for NCSHP Employes Reimucsementof Travel and Other Expenees ncured nthe Discharge of tice Duy Fox srctire lst eis July 2074 [NCSHP Resowch & Flaming 1 Tienepenaton Sasser In-State [oat ia InSite [ Ouro] g|_s750 TOTALS BROUGHT FORWARD Pees Bast fs we cae Bat [sy Pa crane a Poe ara Ea arm Gera Penk a Pet erin Pet Ca age Be i ‘GRAND TOTALS Ff Fo|-lefE=l>|-fe)=}=[21-L9] 2] {o|-fo)2|x|of-|afelclol-fols|=lol-lafetelo|-lefspeto|-lelafclo|-latellol-lefef-lo| lof: om CNTR 003 for NCSHP Employ Reimbursamert of Travel and Other Expnees cured in the Discharge of Ola Duty Fox srt last esd sly 2014 INGSHP Researen & Panna 2 Der Eno RABE ONE Tava how ea ey eet Tnepeton Dey ten a iste [oor] i Donat Seat Ps Carb Bae Pov Cx Me yo a Tat oo i Pana Fale isa Tat [ra corte ww arse: nara ese sty corinoe oT ‘GRAND TOTALS ef =|o|-lel |=fo|-fa Form GNTR 008 or NCSHP Employee Reimbursement o! Travel and Ole Expense ncured inthe Dschrgeof Oficial Duty Fem suche lat even 20% NGSHP Rosoaren& Planning 3 REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY DPs_ NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY iq, Neer INSTRUCTIONS TO CLAIMANT. Submit one signal to General Acccuntng. Aitach all neceseny aginalreaipls and ether supporting documents to this form, !nctudng any prior writen approvel of excess registration, lodging, and outa statevcounty travel. Retin one (1) copy fr your record. Compato amour, ‘company, aocounl, and certer elds. Feat least monthly and wot later than 20 daye afer menh ends. Prepare Inn or Np Fa Wo Pane ae ea JRetmoursoment for approved traning expenses must Tse Dinara == Site igeayPainoh eave Fait Ba ———— ann "he = " bee Lrrooper raleigh, $1 [Rene vir an owtor agra Root or} iRaieoh, NC_2760.1008 = Und pane ley tis be non Sn Haan TO Tas cain basenel ene al apa ote ' ‘thro ones senses hoa sone Be hes A ata, rae en ape remgn ener scp eat Rt wll entarad tony suc torso pee eo BAG a 28 oa a oa. tae ‘sera aT Ep o8 (SIF OR/8/ Se ae Travel (Ghow wach aly vised) Day ‘tom o wiser Preis Ox Mg rls a ng reba 2 mt 1070 2 | inSue [oaetsinie| explanation = at . 1840 L 20 Wen 070 18.0. Peis Ta tn ay Pain a [oy Parte cr ee ‘GRAND TOTALS $111.80 a7 (todo ot rave: (2) Type of subsistence: |NOTE: Daly total for eubestenco at P= Pivale car. O= Other, albus, tod, parting feos A= Alr R= Renda car Breakfast tc exceed authorized smourt for = L=Lincy——-H= Housing |steto or outoF-state travel, D= Ohne (Beam) $820 1070 100 Form CNTR 003 Rerbursement of Travl and Other ExponsesIncurd nthe Discharge of Oficl Duly Foim structure last reveed Februny 2013 NC Department of Pubic Safety, Divsion of Adminstration ‘ “Travel chow oach ety vetod) Transportation ‘Subsistence ‘Other Trevel Ewerese Day ‘on © insta [outa su TrSiale [owetGiae| Eglanation [Amount Tis] __TOTALS BROUGHT FORWARD, B[_siits0 ee Tie0r rm $10.70 ay rior four cer iy Pi ora oa Pro car [Fm or age fos Ft cr eae 5 ee x a ae Co Ml Gang Poel aA Dy Pret or Mapa si ev era Pie Ta iets . . . = 2 5 3 t H . 3 Ho Foim CNTR 009 Relmbursament of Trevel and Other Exgenses Incured inthe Discharge of Offa Duty Form structure las revieed February 2013 [NC Dapartment of Public Safely, Dhsion of Admbistaton 2 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER ExPENseS IncuRRED — /4{/// babs” IN THE DISCHARGE OF OFFICIAL DUTY os INSTRUCTIONS TO CLAIMANT. Submit onecigina to General Accounting. Asch all naoeseay orginal eclpe and ether supporing documents oti Frm, 'ncocing any prior wren aproval of axcoes resistin, lodging, and out-oF-aleccunty travel. Real on (3) copy for your reores Complete aroun, ‘company, account nd cet feds. Fl atleast marily and not later than 20 days ator month ends. Prepare ink oF ype. Papas Wat Pons 949-733-3871 __ | Relmbursemont for approved taining expenses must be submitted to OSDT. = ee a —_— Secrest tage ac auto — cues a etecome = Raleigh, $7 l200 N. Blount’Stract ‘CY. Ba, Zo) aay a Cae Rae a [Raleigh,NC 27601-1006 MAMIE oa/18/2074 -o6/ter2016 ‘Uae peti po eat ao bea Wh anda Tana By Thao wa eee OSC ard aor espe, aden or myo Oe on aan eps a a ; =a ‘EC poy gorse Gaara Barony Taare Up S ; x S asl = 720.19 “Travel chow each oy vied) (Otior Travel pense Day from 0 InSite [OastSise| Explanation | Amount TSO ED Dest i070 am 6.4 Ps Saag omy Pw cur ae Biz ee [iy ap [Poe co mee EOE fy Pvt Gor a aE ny ral ar ne er ‘GRAND TOTALS |e tomer raat PePhesocar OF Ot rai, patigton AeAt =A Form CNTR 003 for NCSHP Eriojee Reimbursoment of Travel and Oe Expenses noured Inthe Discharge of Oa Duty Ferm stature ies reves July 2044 NOSHP Research & Planing ‘ NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY /UI]23leS” REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ‘THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT, Submit one right to Goneral Acsountg. Allach all necessary orginal recelts and other eupporing documants to his form, lncuing ay prior wien approvelof excess rgitatin, loalr, and outo-tata/county travel, Retan one (1) copy fr your records. Complete amount, ‘company, aocoUnl, sid canoe elds. Fie at esst monthly and not ater than 30 days afr month ends. Prepare In ink oF ype, Pays Wk Poe anor BET |Retmbursement for approved training expenses mst be submited to O8DT. Fa ‘sai Fever tate ghey Patent LEvaciive Pofeetion Data he ease aa & Her 1200 North Blount Street Hooper [Raligh. 81 Toh, a 2) [xr Wotng Fou omar ated Comsiy ie gor (rentot ass leg 16 0 8.1544 cr poral opr ert Pisin an SURE UAE ey Tha wid abreast ae and aan toca empanesandallorirces baced in xvi ef San. iat ope, Ihave ghen pra apo! er ers va ar vn fpesone —_ fer WS IP PIV ‘apoio Taos Sep ol Vispy yfeale4 ae ag a 7 ‘Record the actual time of departure and arrival in blocks indicated, “Travel chow each ay vod) Transporation = ‘Subsistence ‘ior Travel Expaneee Tron © InSite [ erin InSiate [owes] Explanation | Amount 2 Wl ly Pe Cee ve AU = Pr erage 7 it = = L i ies ar age Sawie r rn ai contin 7 ioe ‘GRAND TOTALS Ct) tage of Trev: + (2) Type of subsistence: |woTe: Daly toa for subsistence not P= Prvale cer O* Other, ral but, ta parking feos A=AK ReRenialear —; B= Broakfat {fo exco0d authorized amount for = | L=tuneh HM Housing _jsate or outfstate travel, ! b= inne Room) Fim CNTR 003 Relmbursomert of Trevel and Oe Expenses Incured inthe Discharge of Of Duty Form sttucture ast evsed Februcry 2013 NG Department of Puble Safty, Dison of Administration . 1 “rave (enow each aly vod) “Transporation "Sibeistence Other Travel Expenses ‘tom a insta [OwseSaie| 2 | intela [OwetSiwe| Explanation | Amount TOTALS BROUGHT FORWARD, iss.00 we Bite ‘a [ay eres sy Pe Cort — ae] le lol fo fet fel iy Pt Cerone ay Pte Cri jy Pie al Rea iy Pa Gos ay Pent cortege ‘| Form CNTR 008 Relmbursement of Travel and Ober ExponsesIncured Inthe Discharge Ofial Duy Form structure ast ovis February 2013 NC Department of Puble Safety, Dhision of Adrinistaon 2 INS NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAMANT. Submit one argo General Accourtng. Macha nasssary ral rezsipls and thar supporting docurans to this form, TRauting ary prior wlten approval of excess rept, edging, and ovo-tatafeouniy ave Retain on (1) copy for your records, Complete amount, ‘Company, s0count, and carer fe, Fle alas! monty ard not later than 20 days flr month ends. Prepare in ink or ype. Fane Wa Paar i0.730.5871 [Reimbursement for approved traning expenses must bo submitiod to OSDT. Ee Tienes cea Tee Law Enforcement Division / State Highway Patrol ~~ _-— nae raac rag Taran 8 Nar Raleigh, S-t ‘Sie. 2) Tera Wena ove ome an Samy te Rea TO igh, NC 27601-1008 790-1900 ‘iara074 - 71872014 Unt peta pay Ly ns boa bea veal TaaorTl Way Th Sad REO no ol sn or nal sledane expanse slovacelnest he watt Sa. Ra estat, he laptop an wn feral ear br gs ‘Beperiowr Taber) 8B, io oP, i “Travel ehow each ey vied) Transporton Subelstonce Day fiom © inSaie [Oworsun] 2 | InSiale | Outct Sir Tame = = Lao en 5 18.0 620 10.70 Bf $16.00 i = 20 L 070 e fe 7 isa = ‘GRAND TOTALS > $8530 $5.00 [Mec are Nor ony a er atone ate noon PisPhwinstr O= Ota a painter AWA Renetiear Be Bete eee CEU" Hereeotnom [Ect hd Form CNTR 003 for NOSHP Employee Relnbussoment of Travel and Ot Expenses Incured nthe Dicharge of Ol! Dy Form stvuctore fst evsod ly 2014 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY | ). aes REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ( IN THE DISCHARGE OF OFFICIAL DUTY WV2_, INSTRUCTIONS TO CLAIMANT. Submit one gia to General Accouning. Attach all necessary orignal recaps and oer supporing documents to ths fom, Inudng any peor witlon approval of excess veglstvain, lodging, and ou slatelcounky travel, Retain one (1) copy foryourrecorés. Complte ammount, ‘company. aocounl, end center fleks. Fle least rent and not late han 30 days aller monty ends. Prepare ik orhype. Fa Wa Pane Rar 1) TEUE7T—|Relmbursoment for approved traning exponses must be submited to OST. ra cat Berbaae Teac . = Grace pom ale yen Rar (ea Te ‘eetonbane & ta [200 N Blount St trooper Executive DotaivSt ‘Gh, Sin Z| erat onag Haw amy Fado i ag sok leoantearesz0i4 ite, ne ge ptr oppor nah eel ant of pres ay at ot arama tom ry bar sue see ape vance | eet ers 62 Se /; eerste) Bae ae ay WFLIF SPT) Canina Toop uve no. ‘00 ‘ae 0008, ‘i 0005. 006. 0007. 008 Tae ap el ost set pap esy Ro “Travel (mow each ay ved) "ranspataon ‘Subestonce ‘Other Travel Expenses Day “rom a ‘eile | Ow ots] Se TES ‘th a rote or sy pte Greg te EOE bai Pm cormione eric ‘GRAND TOTALS $72.40 C1) Mode of Travak (2) Type of eubistonos: NOTE: Daty total for subsistece noi Private car © = Cor, ral bus, tax, parking fees A= Ak R= Rentlcar to exceed authorized amour ori H= Housing [state or oxtofstate rave, (Room) Form CNTR 009 Reimbursement of Travel and Other Expenses inured inthe Discharge of Ofc Duty Form aruture last rovicod February 2013 No Deparment of Publ Safely, sion of Administion 1 ‘DoauSign Envelope ID: ACD279A0-B235 4E90-8280-2AMBBFSEOOF NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED INTHE DISCHARGE OF OFFICIAL DUTY BPs) INSTRUCTIONS TO CLAMANT. Submitone arginalto General count ‘ncusir ary pr ren soproval of excess rein, lodging. and oo company, account, and cre els. Fils last monty ad at lator than 30 dye aermartherda.Proparein kor bes. ‘919-733-387 ng. Atach al necessary righ reel and ler supporting document this fom, rave Relancne (1) copy your roca. Cong amount, Reimbursement for approved traning expenses must be submited to OSDT, ae ata ay = Tae a ey [ina eae oe on Fai So Rogan ‘i pon apa et tn mS aa eT ‘iting. gets deme s h e ce Ste.e ‘boomed en ao ato er ean eeu 9/15/2014 | 14:16:06 pM ‘ave fs abst ey BT nT ‘pn a pape sani ta wera 9/15/2014 1 16:46:09 pw ET Years ua) oa Boar Cerrar Pay reer) eh ft fast syrreoas | 30:08:22 a4 er wea aay Ebony Heart Curtis eapmaay ror Tamoan Please use 14116365 for $32724 AP Staff 9/17/2014 | 18:57:17 pM eT ‘Gee Pepe sam om AP staff 9193241074 vR ‘Gea Pare Pr omy OF Towson Yes No Employee's Supervisor: Do you wish to attach a document? ‘SHP Reimbursement Quality Assurance: Do you wish to attach a document? x Yes No Fm CNTR 009 DouSign Cover Fimbursemen of Travel and thr Expenses Icuted inthe Discharge cf Ola! Out Fo struct ast ovis ay 2012 [NC Dapantmert ot Puts Safely neta Eros MOLTOGORE-ESD UES MBB NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY 'STRUCTIONS TO CLAMANT. Suit one onal o General Accounting. Alc all ecassary ial ecslps and ltr swcpoting documento his for, {ncn any pr itn approval etexcos eplataten, lodging, and oto stately rave. Ren ono (1) copy yeu records. Complete sour, ‘company, sczoun, an enka, Fle atest month and not ater than 30 days ater menth end. Proprein nk crip, ae RT area urement or approved tong epenges mut be sbmtied fo O80T. Tana a aaa Tao Law Enforcement Division Stat Highway Patol — [200 nou sree Trooper Ralogh, $4 Chto 29) aT a ey Raleigh, WC 27601-1008 He ob//20%4 09/6/2044 Uh pret po co TST TS TE TART SS The eB Sena OTTO tao Aton apr tsbert eae web See tag nee gu operon rep cau oestrus ot tate tne pr wen oe ans en a [Rapa ager Sor Ta 32070] st blocks “Travel chow each ct visio) Teaeporaton Day ‘rom o Wa a a aa Ma i Pht Co waeetd Phe ge insite [our siae 97480 fuerte ye tenance a. Poa ene tor: ont tr nossa. Form CNTR 008 fr NOSHP Employee Reimbursent of Teel and Otter Expense nero in th Discharge of OF Duy Fo structure ot reveod Ju 2014 INGSHP Raseareh & Pleeing ' rasp rutin Aca 7-38 IS SES “rael ahow each oly ved) Transporation ‘Bubltonce Oe Travel Eperses ‘on e state [ower si ‘Sato [ostorsute] Ewionsion TOTALS BROUGHT FORWARD 7480 E $070 60 Es nae st Peco thae ‘Fam CNTR 003 fr NOSHP Employee Reimbureemen of Travel and Other Expneos Inciered inthe Discharge of ffl Duty Form sete at reve iy 2016 NCSHP Resaareh & Panng co rn EoD DCAD E4828 2AFEEOE Travel (Show each ely vised) Subeltones ‘Oher Travel Evpenses fon . ‘Site [oueesine] — Empanaton [Amount “TOTALS BROUGHT FORWARD ‘$120.10 eee [Earpnan cere sai carom sr pa cori [si riat Corti ee [ria cxramaae [a pa corneas ata Pata Srp i org se =lol- lolz ]=|ol-fo}z|=lo||=hef=|of-lebe|={o]-lals}|-|=lx]=|o|-le} = 2 é Form CNTR 008 for NCSHP Exploysa Reimbursement of Teel erd ther Expenees ined in tro Dischergo of Ofiiel Duy Form cractre on revised uly 2014 NGSHP Resaereh & Manning 8 DDocuSign Envelope ID: 758BF C58-C7FC-4804-B028-BBEEBEBTADSS NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submtone ofl General Acouning, Atach all necessary cals andthe urging docurertsto tis form, Inching ay or wren approval of encess ist, ing, and caboFsaeloaty eval. Reta ona(!) copy yaw recads. Comela aout, company, sccour, and contr fea, Fle alleast mort and nt later than 30 cays ater mene ond. Prepare ink oF Wpa, FRA aS Petnourementtor approved lng oporte must be suited 0 OST. S10 735-307 or) ——— a hae 7 a =a paar ee Sao Raa a a a TIT Tax ants naive ST SRT maa him met mee hath estore ‘scum hegrncrpate nage te ee ‘Sioa cantncnercoton'y orcs own on —_7 9/8/2014 | 11:46:07 an —_ 9/8/2018 | 12:14:52 pm eT See oa ‘woomaany ea ‘Samer ; eee Tae aaa hens Yaar barn 9/10/2014 | 15:03:33 pm er | re) Ebony Heart curtis way aneem ery ‘Rema Poi Sa) ay Ap staff : ‘Fema Pee Pmt en Please use 16116365 executive protection for 532724 Employee's Supervisor: Do you wish to attach adocument? Yas. No ‘SHP Reimbursement Quality Assurance: Do you wish to attach a document? x Yes Fo CNTR O08 Docusign Cover Reimbursement of Travel and ihe Expenss actren the Discharge of Of Dy Form struct tose Nay 2013. [NO Dopartment of Pub Sal No asp nme D- TRAC TFC Asa ane NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLADVANT, Submit one ofgral to Gnaral Accourng. ac el necossary ena ozaps and oer suppoing documento this fem, Inducing any per witn approval excess reiration lodging, and cu-atettacauay ava. Ratan one (1) copy fr yur records. Compal amount, empany,accoun and enir felis, Fle test moth and not ater than 39 days eer merth ends. Prepare in nko ype Sai ——FTTTTT— omnes i pn ate 08 a — =e era eae aties tas = ” parca ti —_-_ [200 N. Blount Streot = nie me aa pS See ana = tans Le eer baer emer rena aS SS tina = fa ——— = —_ ms —;——— ee i 2 2 2 a A 2 2 Record the actual time of departure and arrival in blocks indicated, "Teal ehow each oy wslod) ‘renssortion ‘Suite oy, ‘rom © Stale [oaasen| ST 2 ante Moog: | eT East Pn Sra Tet fas rantcarae fours cormase ‘Score ‘GRAND TOTALS $85.0 Mod oat anpestaomene i Perea O% Ciao uh pug fen ASAE REP 2 beat Ja: oe er mare etc mea Cena eur Raum Form CNTR 008 for NCSHP Employ Reimbursement of Tel end Other Exponces inure inthe Discharge of Oe uty Form srt as rexisod July 2014 NGSHP Resnarch & Panning 1 ‘Travel chow each ly vtec) ‘Sabie ‘Oier Travel Eperaee tom © InSiale [ouerstao| Explanation | Amount "TOTALS BROUGHT FORWARD 308.0) aes To) [ram ceria [os ri Garton, Ba a he arg [a Pet a z o 7 = 7 o = ={04-l=Le]=01-fofx}=[ol-|ofz]=lof-|2}=}=|>\-lala}s|ol-[al zt [o|-[o)e1=[o[-lefefs|of-lala}<|o}-folatel-l-lal ele lol-fel Form CNTR 009 for NCSHP Employee Reimbursement of Tae! and thar Expenses cred in ha Discharge of Oficial Duty orm erst et reveed Juy 2014 NCSHP Research & Planing 2 seu ep 0: TSEFCSS.CFC-NCA. Sz. EEEATANS “Travel chow each of vlog) fon © "TOTALS BROUGHT FORWARD Para Cea es Pi SoC Pin Cocoa a Ta ie yas Csr See Bet Ce ‘xm CNTR 008 for NCSHP Enployes Reimbursement Travel and Ober Expenses Incured Inthe Discharge of Of Duty Ferm snc loa ese uly 2018 [NOSHP Research & Panning Teensprtaion| Stat | ouasne| =| 2]-Lels| =|olrfa]zfI dl ‘Seiten Wrstate [owersae| 39250 ‘Otter Travel Expenses Eilean Aout DDocuSign Envelone IO: O9BD3AD4-E168-4A30-63AS-1FBS400AB203, NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED INTHE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAMANT. Suemitone aigialto Genoa Accountng, Atach a nacessatyorgha eosns and che supporting cocumets otis fr, Inui ay por von appre exassrogiaton, ling, and cto sttecurity Val, Reta ons (1) 2p yourrozors. Compete acu, camper, account ance elds. Fl atlsst mort and nt later than 30 days ster men ends. Prepare niko pe. Fac a Fae eae [Reimbursement for approved training expenses must bo submited to OST. 915-733-3871 Tap a ea Teenie Foam Pa ater Bio Te ‘aaian tamer eB aaa a Fe i ae TE ‘ir rao pty es oa sn a ST Thaw enanevba ecb a ae Raat oar tis spon edo voored ence it ha appt, Ine pe ppl rgb aa a pon tte tbe mest eps eee a ea. — 9/17/2014 | 12:00:17 Pm 9/27/2014 | 12:37:38 PH ET NE Ebony Heart Curtis re Sarees Fema am om Please use 14116365 for 532724. Employee's Supervisor: Do you wish to attach adocument? Yes. No ‘SHP Reimbursement Quality Assurance: Do you wish fo attach a document? x Yes. No Form CNTR 008 DocuSign Cover Reimursemnt of Travel an Other Exponsos cared inthe Dacharas of Offa Duty Frm suse strove ay 2013 NC Depariment of Putse Safely ea Toa eae wea Tenore Tram Daan pe 10 team Es 4A aA eNOS NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one ofa! o Genera Accounting. Nach al cacessry ral esp nd ther supocring documento this form, Incdng any pcr wien approval ot excess registro, lodgrg, and oukof saeco vavel. alah ore (1) 20) fr your recor. Complete amount, company, eecount and enier fds, Fle atleast monty and at ator than 20 days ater month nes, Prapare in nk ooo. a TIOTIETA Reimbursement for sproved trang expnees must be sube '0 OSD. Sn PTT aaa aa Low Enorcomert Divan iata Highny Patrol 200 Bioun st Trooper Raleigh st ar Se 2) Ta TR igh Ne 27802 pre oriuaoia oon 52014 a a STR RATATAT Pas Sa NO ste come inant tomtom tae Tose nem pun sean oan Seeutanntt mance tone tr erco pen os aww cors7a014 oe oorrrzota ‘Caves Se) er Bernese ar aay =_— one.rsasart See a rr : i i ED) ‘Record the actual time of danarture and arrival in blocks indicated, ‘Travel how each cy ited) ‘Salen ‘iar Travel pense Dey ‘rom © ESTP sr rico aiaa0e Bast fs rat cc ge sat Sie [nce ro fo ricer Se (GRAND TOTALS: Sila [owetsiwe| — Eiplanaion | _Amaurt Tae eso 2 fate eat erin O* Obese gaiaghns Aa ReRetlon ayia en ae Fam CNTR 003 fo NGSHP Emetoyee Reimbursement of Travel and Other ExgensesIncured in tho Oechageof Otic Duty Form structure est roveod Joy 2014 [NCSHP Research & Penning 1 unig Ere OEEMOL ER ADB AE EERO “Trav (ehow each oy veld) ‘Gor Travel xpaneee irom 2 Biplaton [Anouk TOTALS BROUGHT FORWARD SGN | Tat Tat a Pa Cage Pisa ns arg nl aN Pa or 2 ms (GRAND TOTALS ie Form CATR 003 fo NCSHP Enployoe Reimbursement of Teel end Ober Expenses Inczad inh Discharg of Offlal uty Form suse ast reso sy 2014 NOSHP Retooreh& Paring 2 vce tp cameron anes roenesacs Travel how eoch cy vod) ‘rom © E TTOTALS BROUGHT FORWARD Bir an ree carne Pie Sa at Pa Ca ast Pont Co ay pt corns Es vt Core fowypnatecoramae tat on ar ae Pin Cer Tat ar ii Cora Pn Cor Bet r 2 Sibi (Omer Travel Seonaee ‘estate [owersate] — Ewlanaton | Arount sir 90 #11190 Form CNTR 053 fr NCSHP Employeo Rembursonent of Teel ané Other Expenses incured lathe Discharge of Ol Duty Form sete lat rviod ul 2014 NCSHP Resoerch& Planing NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY / qd) ll la Bos” REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit pe org! fo Generel Acoounthg. Aach a necessary orignal raceips and other suppartng documents fo this orm, incuding any prior wien approval of excess repltaon,lodgng, and cu-ofsiatefcourey Lave. Retin one (1) oapy for your recorés. Compote amount, Company, account, ond center fields, Fla a feast monty and not lator than 20 days affor monn encs. Prepare in nk or ype. ays Won Ps aa wETaRaET Reimbursorent for approved training expences must be submitted to OSDT. Top hone Fea ae a a nay Pr ao ae ae — a | Teme ro &Wurber Raleigh ST Payevs arn (Sten) 200 North Blount St (ein Si RalSGRNG 27007 Nasa Wag aa ono aod Corsa i as eiay afin rin Ta aaa tone he hy Thar academe uate eat ls js nd ite arson onto, ie ero peo ir vert aa ane sel psn ita wit baratee rom ary areca Bese ee opens 2 70 1 05 | sn no suounr ‘cowry coves Dot 04 ‘Oo0g, Do 0068, Done] 5 ef oF ss ‘nnd. 000 Any Pay mee ft Flu] gq, VD To Oe(0¥e) 103-10 _ i eer at = ae = = — (1) Mode of rave: (2) Type of subsistence: INOTE: DatyYota or suistnce nt P= Pivale cor O= Other, rl tut, ed, paring feos A=AK Re Renlaloar — | B= Brakfact 000d auorieed aroun re Letina Me tohg_ tt or outctsa tae B= Diner ‘oom) Form CNTR 003 Resbursemant of Travel and Over Expenses Incured in th Discharge of Ocal Oty Form structure leat evieod February 2013 [NC Department of Publ Seely DMision of Adminstration 1 WORTH CAROLINA DEPARTMENT oF puBLICsarery /UPBLELES” ' REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURI | IN THE DISCHARGE OF OFFICIAL DUTY i INSTRUCTIONS TO CLAIMANT. Submit one ana fo Ganaral Accoutng. Alach al necessary agin receipts and oer supporting ocuments fo this form, ‘ecuning ary prior writen approval of excess renin, lodging, ad ov ofstaerocunty travel, Rta one 1) copy er your records. Complete amount, ‘company. account, and cane lds, Fb atleast montly ard nt lator than 30 days aftr month erds. Prepare ink or pe. “FqaeTeTFien ise G70 7AT ETT [Relmbursemant for approved traling expanses must be submited to O8DT, =m Tana Fear ae _.|Lnmnforeemant Division Stata Highway Patra Fas ‘opts nos eo "a ‘corm 200 NORTH BLOUNT STREET : bacilli RALEIGHSH “eh Se 20) [arta ra ay Fat Coed Oe Rend FTE RALEIGH NO 27601 TAP 00.04:2014 09-05-2014 Una prt pray et Ho np we a HT a dfn, ogee, Incest eee tte Sa, ee ‘epson, ge gro pl ope oe ave mor opal ‘007, a. a. 010 (008) ‘S730 (Oiher Travel Expansos Giplanaion [Amount “Travel (show each ety tod) tom © ir-Siie [OuctGinn| TrStale | Oxrotei| i070 ig sy Pte care [are rte Pe Cn ie ‘GRAND TOTALS |) manor ret PePwiniocar Ou Cb lbs tad pugfos ASAP Fala Ions oy or tc rt ee end aca ate Foim CNTR 008 for NCSHP Employee Reknbureementf Travel and Other Expenses Incured in the Dischage of Oficial Outy Foim situr ast rovises Jy 2014 INOSHP Research & Planing 1

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