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SCANN sociags TaD ais iN State Highway Patrol-Batch - % Travel for Periods Fiscal Year 13 / 14 ‘ oy REO, NORTH CAROLINA oevanreb lus big tigte Wy E CE} VED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit oe origina to General Accounting. Allach all necessary orginal ecapts sr other supporting documents ths form, Including any prior wen approval of excess registration, lodging, and outotsiaeleountry wave, Relalh one (1) copy for you rece, Complete emouet, company, account ad centr fds, Flea aast monthly and net later then 30 days ator month ands, Prepare in nk o pe. a JReimbursement for approved taining expenses must be submited fo OSDT. ayaa he or ia a GsionSrcin Fear [state Highway Patrol | Executive Protection Detail Payee Asien (S00 : Te ean eA |200 North Blount Stroot trooper \aalaigh, St (oye, 20) pea wing ra amma Fain Comedy ie Ragan IRateigh, NC 27601-1005 Under pets of ery nny ota Ee aR etc By Thaw acrsroin romourrarm nya cory Ps ‘ec, gait nd wlowaas crete te fe Se. bar Lagat, ave gon pe apo orn ot ec seal ese Gamespy ‘pee (Coponie sire) (aay aoa rea) (Goninon) nana Taare FAL O93 — JO 2 (3 Ne no. suo cone nny ccoun ‘oo 2 ‘oon? 0005. ‘D904 D005, 00 ‘0007, ‘008 a : AD asa é 2}a}I8 bee 2018 He in blocks indica ture and ari actual time of. cord t “Transportation Subsistence ‘Other Travel xperee ‘Siate [Owen instale [owetsiae| Explanation | Amount TED — $10.70 $18.40 ay [Dai Paiscor meas ‘Teoma i Pe Gat Pie Car use fos Pai car ease aera $10.70 $18.00 rans 3620 S070 $10.00 Geum yin Caron crn (GRAND TOTALS: s1t1.00 (2) Type of subsistence: Nore: Oa total for steictence no her, rl bus, ta, parking fees AZ Ar R= Rentalcar B= Bresklas Le tune sing One im) ara C1 oe of Trav P= Pivatocer 0. Form CNTR 008 Reimbursement cf Tavel and Other Expenses Incured in h@ SHAE of Form slur lstrelsog Fabry 2013 Ne Daprmont of Pub Safty, vison of Adinsaton 1 ‘Sunstone ‘Giher Travel panes Explanation Transporation sia [Omotsi Travel (show each ay wished) ‘rom © Ouer sie Aeon ‘TOTALS BROUGHT FORWARD aoe Tat [Son Pins Corte ‘Gaume fod cue Certs sob oy vt ae ly ris Tamas yr a ne Basie Garam aay Pi Cares Psi er aay Picts Win em iy ri er [pt Fine Gor Ae ty iar age Same [ts Fv cor ewe consis 5 |=|2|-[o|= 4 =\>}-le]2|x]o}-[ol oa ay bs aria ly Ps ar ape ‘GRAND TOTALS 5 |=}o]-f om CNTR 009 Reimbursement of Travel and Other Expenses Incued i the Discharge of Ofteta Duty Foom siete las! revised February 2013 Ne Deparment of Pubic Saaty, DvsI0 of Aniston af h EE rm, pps! NORTH CAROLINA DEPARTMENT OF PUBLIC Sareng Leautve Poteedvicr DPS. REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED > / : IN THE DISCHARGE OF OFFICIAL DUTY Va} orga receipi and other supporting documents otis fom, one (1) copy for your records. Complete iu, INSTRUCTIONS TO CLAIMANT. Submit on aigh! 9 General Accounting. Attach al ne Inciting any por writen approval of excess registration lodging, end eut-ot tatelcounty ave company, account, and conta elds, Flea leas! monty and not later than 20 daye afer morit ends. Prepare nko ype eee ace ate eee ae es ee —, sae Hateay Pov Oy aj Aer (eet [200 North Biount Street [Trooper Raleigh, $1 ‘ei, sin 2) Fase Goad na Racin etc (Raleigh NC_2760-1008 wa "hve saan abreast 2 EO Pe jan aT ‘Siegg eproer at olovnces aren beers ia Canyon rotbeemtsnee tome ye eee sve cera. vote vata, Irae gen ri opovlta ora al gna (Cre oe) Nara ‘091 002 900 a8 006. ‘08 0007 0008 = efits’ oem Et: tee aura Record the actual time of departure and arrival in blocks indicated : Transporaton ‘Subatonee ‘Other Travel Expenses Travel Show each cy vised) TnStale [oars tnstae [owas Ewenaion [Amount Day ‘rom o Pisa Sana si Ca tacs oa saa $5.20 Dat 31070 on $1.40 Bo, 3 $10.70 bt $18.40 Dy Pos Corie Bee i: ‘GRAND TOTALS $89.00 (ct) tte of Travel (2) Typo of eubsitonce: NOTE: Daiy otal fr subsistence rl Private car = Other, rl bus, taxi paking fees Aw Air R= Rentalear lo exceed autoized amount fon. Housing [state orouvottae ave, (Room) . 2 8 Fotm CNTR 003 Reimburcement of Travel and Other Expenses Incured the Diecharge of Oil Duy Form sructue ast relsed February 20°3 INC Department of Public Sefty, Division of Admintation 1 ‘Subastence Other Travel pense Explanation | Amount ‘Travel show each aly vised Transporation fom © "TOTALS BROUGHT FORWARD insite = $2.00 nats t OutetSate [sce nF Gare Ba Pre Gor Manos Sama bai Pr Carta By Puls os Mage Sonne ‘Geran iz} =le|- Jobe] |o|-lofs}=|e|-lofa}slo|-laf [a Pane Garage Baty Powe co Meng: iy int ar Hae iy Paiva at Han FF=ol-lefef=lol-l=[zhelol-lafefclo|ele ay Pris ar ance Sera ly Freie ar Mose ci Baty rio crap “GRAND TOTALS i e 37460 (2) Type of eubsisonce: |wove: oat cota for eubestonco nl \¢) Mode of ave | PxPriatocar 0 ral, bus tae, parting fees A= Ak’ R= Rental car B= Breasfat fo exceed authorized amount ori Lunch” H= Housing fate or cutotstte travel, = Dinar (Room) Form CNTR 009 Reimbursement of Travel and Olher Expenses Incured ine Dischge of Offa! Duty Form sitscture ia ovis February 2012 NC Dopariaant of Pubic Safely. Dhisen of Administration + Travel chow each aly wsleg) tom ‘e TOTALS BROUGHT FORWARD. 7 iy Pat Guage Sanam, siete Cartage 2 ein Pats ba ne iy Pe Sw Ne aman fb Pr orice a iv ar aage Tani crs cr ‘aaa iy Fas Our Wag Beat ai i oreo iyi cueiva Game ‘sume ay me Car isa ‘Seam En Garage fos osm Cur atape test [sty Prot Car tow st bay ras Cares [pt rt Caan geese Bes ‘GRAND TOTALS 2 3. o (Other Travel Expenses inStie [ Oars in-Slat [Owot Si Fom CNTR 009 Reimbursement of Travel and Other Expenses incuredin the Discharge of Oficial Duty Form structure lst revised Fobiuary 2013 Ne Department of Pubic Safely, Oven of Admiistation ry Hee & eI LD - ae ee NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY XE Kae Nv REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED. Gas IN THE DISCHARGE OF OFFICIAL DUTY ‘NSTRUCTIONS TO CLAIMANT, Submit one orginal to Gnetl Aczcuning. tach al necessary oral ecapts ad other suppoding documents toe form, incladng any por writen approval of exces rolstelon gira, and oulstatecoiiy rave, tan ore (1) copy fr your eeos Covel enoon company, aecount, ard corte ls. Fl at lest meni and ot inter than 80 days afer nih onde, Prepare aor ope [Fess Won Finis QIN ——olnbursement er appv raining exponen must bo ubmed te OS0T. ars Fac aa oral Fa aio State Hishway Petro SOROS ARSE Payers Aces (Sea) Tie }200 North Blount Street IMaster Trooper Raleigh, $1 TOW. Se, 20) Ps a hea OT Bea Covmedb aga re} (Raleigh NC 27601 ‘Unt penabas ef ay eee eas acu Taman Trae wan in aehcanent eae an ely fl Tal oo eon iene, eoaes ce atounces reared ou Sv Ir feel, nave anor spon omen! nl ne a snl eri a it rl eitreew tom oy rece Dat sve Moto ve a 0 ‘eiporner Sonat) (one) it EAP |2 98-6 sour ‘coway Z sin 23/13 é \ ‘the actual time of departure and arrivalYWBlocks indicated, ‘Travel (how aech oly vailed) Transport Subsistence Day rom e in-state [ouisesaio] 2 | in Slate [Ows'Swe] Explanation z a) Depa [$1070 a c oT s18 408 [iy rvs Corals aria K ety Pe Cos Mies 730, oT 58.20 Lh s070 ms 2 18.40 mer Sarai i sty Pi = ET, on azo : L100 ae $1.40, [a ree Carta eel H ety rive Cortese eve ve | a, (GRAND TOTALS $11.00. (2) Typo of subeieence: 1OTE: Daly toa! or subsistence ra D> Greskiat i exceed authorizes amount fin Lunch” H= Housing |stole r outotstet vavel = Dinner (Reon) (6) Mode of Trav: P= Private car © Other ral bus, tad, parking eos A= Air R= Rentaleer Form CNTR 003 Reimbursement of Trav! and Other Expenses Incurad inthe Oscharge of Oficial Duty Ferm stuctue ast vovised Feta 2013 NC Department of Pte Safety, Division of Raministation 1 ‘Sabeonee Travel (show each aly walled) Trarepeiaion insite [owas in State sit 90 tom a TOTALS BROUGHT FORWARD, Sasa [Batata es Baty iw Ca aeoe eeu (ear Dal Pra OTR PET ly Pete Go Bein | any rte Sarna Be Baty Psa Carmisoe gaa, ecovsnne sy Pte GaN NB} =le\- lel] ={e|-lofa}=lo|-fofz|<|o|-[elepelal-[afe ST gasare erin any na Got gaan See ly Pri ai iy Pvt Cor age ay Pe Sea ei Pre Ge Mine o}-|=]5|=|>|-[2]5] =|ol-lo]z}

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