You are on page 1of 54
innit State Highway Patrol — Batch - & Travel for Periods Fiscal Year 13 / 14 _flent 87 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Res e > ak REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED Exe Mie Bu IN THE DISCHARGE OF OFFICIAL DUTY. IY oe INSTRUCTIONS TOCLAMANT. Submit oe orginal fo General Accounting, Alac al necessary orginal receipts and olher supporting document oti crm, Including ny prior writon approval of exces registration, lodging, and auto statelcounty ave. Retain one (1) copy for you records Complote amour, company, account, and center fells. Fis at east marin and not later than 30 daye str month ends, Prepae in rk or ype Reta on tins CANE ——roisbursoment or approved traning xpenses must bo submited to O80. Seen alia stat Highway Petrol Executive PrctoctonDetal z a Telos | [200 North Slount Streut ecoper align, (Gh. dl Ze) Ina waco sears ina ot) [Raleioh, NC 27691-1008 _ — risgeg paeer or aoc ede vie cy Sn is Irae veges pr eo cogent are ‘ety al wt at ‘supa Steer, 0}/2- 0702 | (Comore a ‘oat 0002 0005; 004 00 0008, 00a 1006, 200 Taal Te 010 (Ore) = ve “Travel (chow each cay vated) “Transporation ‘Subesionce Other Travel Expenses © inState [owas In-State [Owersiee| Explmation | Amount 2043 4-208 jecord the ie ang arrival in blocks indicated, Toe [oss Pecan ea, $620 Deoet $0.70 rn $16.40 ai Prone Gerpeanee [ony ita Cantina 37a Bape iy ves Garon “oem loa Prime cornices esau (GRAND TOTALS $86.70 ct) Mode of Tava (2) Typo of subsistence NOTE: Oaly total fr subsistence no = Private car © = Other, ra, bus, ti, parking fees A= Air R=Ranialcer Be Bresklast 4 exceed authonzee amount fo i GHSTREES OE xa@ebi ld sae orcutcrsiae waver 4 18) 9.100% N39 Ni 6.938 roi od dete a ia ns one capers rarest Sune O86 Fo Suture au revsed Febry 2018 Cheer ae Jon of Administration 1 co moc! NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY \ AWS) 8 REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 7 IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one ogi to General Accounting. Allah all necessary original cepts and cher supporting documents fo bi form, Inelicing any prior writen approval of excess epsiraton, lading, and out-ofstlacountry travel, Retain one (1) copy for your ecorcs. Complete amoun, Company, aocounk and cenfor fel, Fe atleast monthly and not ater than 80 days ater moni ends, Prepare in ink o type, [Foster nae GRIT] Rormburaement for aproved raining expenses mustbe submited OSDT. Foyer Rage rsa er ath Danaea - 3 ei state Highway Patrol Executive Protaction Deta Payes' Aear (Ste 200 North Blount Suest trooper (ci, Sam 2) Jena a Wars ey Saas es) IRaleloh, NC 27603-1008 Et Tavera emoreau 2 Pat 5 Unda pees op Ft sonnei svar noureda he scale Se. ute! hor espn moras patos stoca en al atl be engin on sy aes. Rae eens pers wee ee om) = (0) (Suro: Pa Nane)| ‘Boparaa Temiboe) _ __ £Are 30/8 —0 8 alls Lune no. ‘004 —av07. ‘9003, ‘004 ‘0005: 2008 ‘007, 0008" ‘00a. of departure and Record the act Transporation ‘Subsistence (her Travel Expenses In State [ouorstan| In-State [ ovotsine| [Ussing Ea = Beast $070 aca $1840. z aay ow ge Beant [sy Ps cx asa atte eae S020 Dose $10.70 rr ee errard Bamenie [yr a ng 2 maine ara (GRAND TOTALS 57460 oats, cn panangtoos aw ar R=nenGn h che Bebe TARE [oercsed arora amoanorn | Lelunen Hatousing fsteoraiotsiie save | ‘Rom choc ot Teava: P= Pavale ex O= Other orm CNTR 003 Reimbursement of Travel and Other Expenses Incurred in the Discharge of Oil Duty Foun stucloe ist revised February 2013 NO Department of ble Safety, slo of Administration \ REGEN ge, Se 3 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY EC Ee, f VA if £ DPS REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 4 fi IN THE DISCHARGE OF OFFICIAL DUTY CME B rs11008, INSTRUCTIONS TO CLAIMANT. Submit one ogial te Genera Accounting. Allach a nacessary ovainal resp and other eupporing documans to his frm, ining any ps’ wien approval excess regan, dg, and cu-atataatenaty tavel, Retain one (1) copy fr You ecards, Complete Teun) |] hme account ond cover fos. Fo leat manhy an nt tr than 30 dye afer monhends. Papuelnhor ne. eral im Tan Wen Pa aae EEE] Reinburement or approved ralning expenses must be submited to O80 Feta ra aa iD mae Rec stato mignway Pavol” ExacutveProtcton Ota 200 North Biount Strost Trooper Raleigh, §1 | ‘Ghy as ) Rees Teas WET Taio Sot) 7 ‘Use rae op lew nee nun an abana waa fe ly Trav ara i obo uel sey Pals pa aaron ira swansea sinuares rested ine oder ta Sin her "Yap, nee gn por api erg Yel rere perso ZAK fee offs 0001 002) 003 0004 005, 006 f B00 D008, Pitoo. Farenene [OP OO7] cites Layynes i At OVD Sep 71 2013 A420 Record tho actual ctiva.in blocks indicated, wo Tava ehow ech ly vated) Transporation Bubeleionca ‘Other Travel Expenses Day tom © TnSiole [Outer Sin InSiate Joust Sate) Explanation | _ Amount 2 eset 178, iy Presa sp f aay Prec rane $50 S107 SEE Ss ran bor na ena a, rm Cs Was ene Pepa [ay Prt Goa eC [pst Pri Corwiape ‘sein ‘GRAND TOTALS 7037 toll for subsistence sip ld, detent het este o cut otetate rave, ose ft! Lp rate car o= cow at. os, ta poking ees AxAE De Dioner m a 5 poe Form CNTR 009 Reimbursement of Travel and Other Expenses inured inthe Discharge of Oli Dy Fromm struc laa ved Fabruary 2013 Ne Deparmant of Publis Safety, Dison of Adminstration ‘Travel (chow each ay vba) from © TOTALS BROUGHT FORWARD, oi Fay rate or nonpe ogy ca Deny racer ee Sanaa [oss Pes certian nie Dt Bay vt Garp ena oamaae aes air Prov or pe sty Pi atone @eowei oy Pini aaa gana een aa Bast iy Praia aie aes ly Pr Ca Mina cet Depa oni Fre Corntease qe Seer 2 Bema ‘GRAND TOTALS Transporation Insite [Ours Subsisionce stale [ouaren Form ONTR 003 Reimbursement of Tavel and Other Eapentos Incurred inthe Discharge of Oficial Duly Form stuctie Inet revises February 2013 [NE Deparimant of Pubic Safety, Dvslon of Aamistration ‘Other Travel Expenses Explanation NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRE! IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TOCLAMANT, Sumit oe aga Gener coining. Alach a necesary arin cele we che eopetng decreas fom us ey er wll approval of exces rogaaten lodging, ad ou-tsailonsny tara, sobmnane (ij sonyionreur eeead eed BEG company, accourt and center face Fi alas monly nd nat ltr han 0 Sve ater the Pe Payee Wark Pane win GRRE | ReIoursement for approved training expenses must be submit laa lL) Dasieneaon Passe is a State Highway Patrol / Executive Protection Detall Trooper (iy, Sle. Zp) [Normal Working Haws rom aah Period Couered by this Request (Woo) Lateign, Nc 27601-1006 _— tha ae pen laa) CO aT Toccannain accents ST tcging esponses nd etovarces odin gree Se ert ples, shave hon os sooner oiler seal parte ozs tress sone pees ang (Serena Sais) (Carl nied ens) (Sunes Paria Nore) SineveorTeepne#) 0008 $ 002" 0903 000d ‘008 0008 ‘0007 Do 000 ace foo UD cae | el 824-20) arrival in blocks indicat Travel show eoch ey vise) Record the actual timo of departure “Traneporioton ‘wState [oworsine| ‘Subsistence (Other Travel Exparees Explanation | Amount Day ‘om 0 instaie [outa Doe 2 iy Pree Cor oe (aeons Ca ea Sanaa cain: Byrne Car iene Daly rite Cartage ‘Seana Bceneram ‘GRAND TOTALS i o. 2 ra $63.90 (1) Mode of Trav: P= Piivate car 0» Other, a bus, tax, pking feos (2) ype of subsistence: “AG Ota, uae TEE = vousies ‘= Oinnee ‘oom $1999 LORE Form CNTR 608 Reimbursement of Tavel ang Other Expenses Incurred inthe Ciacharge of Oficial Duy eer sructure last revioed February 2013 INC Deparimant af Pubic Salty, Dvsion of Administraon 1 INTE: Daly 1c. or supestenee nal lc exceed authorizes amount oI [stato oroutes-stato ave ‘Other Travel Expenses ‘Aout Subaisince Travel (how each city visited) from 7 TOTALS BROUGHT FORWARD. Transcatation Insiate [oust sia| 2 insta [o: 1 = os Gomme Dest z ° Gana Gi Bais recor Genie sy vs Car on Gea ‘a cst TLE futonash ~ Mar kot BIZ Market Street Ccar# 110 iy Prater ae iy rn or ng: fat 08/07/18, 10:4 oyel 42, Sale # 7420259 Bie ey Peas Cormoe ood 7 — — Subtotal 7 te Sales Tax c iy pre Gorse Saari Total 7 [sy Pri car wa eee Semis Ait. tarting at only $30 @ a1. ——— samme taunt for cates Daas cemeia yr Care omaiae oan nee Corviese 2 ewer Lea iy ree caring eo (GRAND TOTALS Form CNTR 009 Reimbursement of Travel and Other Expenses Incured i the Dischaige of Ofc! Duty Ferm sructiro last vised February 2013 INE Deparment of Pune Safety, Doin of Administration 2 : SEP 0 3 RECD ; NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Wy REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRE! IS IN THE DISCHARGE OF OFFICIAL DUTY Covance Bedeit INSTRUCTIONS TO CLAIMANT. Subm one orginal lo Gael Accounting. Attach a necessary aains|recils and wher supporting Gaciment tothe form, incling ny sor writen approval of excess rgisaton, lodging, nd out slatafcoutty Lave, Retain one (1) copy for you iecarde Ceol arene Company, account, and centerfolds. Fle allen monihy and not later than 30 days atte; month ends, Plepavein ok ose, bursement for approved training expenses must be submitted to OSDT. Pape nava a ade a Ta) Toawcraaion Pesos State Highway Pato Executive Protection Detail: Fs nas Sm) Tie Losaieo Nave [200 Nomth Glount Street Trager Inalcigh, $4 (Ch. Se 29) ers ena Rava on Faia vay is Roses onto} Raleigh, NC_27601-1006 Une erotert py ery tha bbs = Tarn ar loro Tae sarined iramivamnen ams tem RS als aro login epee aosteas natin ihe cee ee Sete shor eps, Ie gener par oso yn ub rete em yt sere br sare errs, vehi, to es ( (SuperserSpsur) (Sipenaer Prada) (Siren Topher) —_— FX 0 fas |s- oc Account ‘conn ‘001 ‘0002, 0003 ‘008 0005, 00 ‘0007, C008 0 Tas bos n tess Adee g Te. Dan (One) fel steltele IE 7 7 i 7 7 7 G4 eos Racord the actual time of depart and arrival in blocks indicated Transporation Susie ‘Other Travel Expenses inSiate Travel (show each atywiied) irom 0 Explanation Day In-State [ouret sta wari neunt sro $040 a Sa 6.20 S070 Dees oxy Poe Crates 0 a SCC asa Sane Beet (GRAND TOTALS fet =!o|-[ofe |zlol-lele|=lol-lol $40.00 (Moe of Tava (2) Type of substance: Pr Prec On Oner twin patigion Aa Apgeopton |B Sith B= inner 199V N39 NI G.O3y orm CNTR 009 Reimbursement of Travel and Omer Fyenses Incurred n the Discharge of Offa Duy Form suture as revised February 2012 . NO Doparari of Psi Safty. Division of Acministaih 1 |NOTE: Dati tota rer subsist no to exceed authorzod amount erin [state or ouvct state vavel = Housing (Roam) NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY R ECE | VED REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED? #3 REC'D IN THE DISCHARGE OF OFFICIAL DUTY WAS IK INSTRUCTIONS TO CLAIMANT, Submi one erg! to Gonevol Accounting. Attach al necessary ogra ecepts and other supporting documents to this lor, ‘nclusog any prio writen approval of excess ragistraion, lodging, and out-osatelcounty ave. Retin one (1) 20py for your records, Comlelesmoun, ampany, account, and eanar fis, Float ees monty and not later then 20 days after month ends, Prepare n mk or ype Pier ion one her _— ABES ——Reibursement for spprovedtralning expenses must be submited to OSOT. Fan oa FR a a ine Fasc state Highway Pevol/ Executive Protection Detail Pons Acres tea Te a Toon ta rr la0e North Blount Street hrooper Ialeign, St (Gh, sm 20) a wo rao Tak aso Reait octoh [Raleigh C2700 rts pre ot lens is a tue ISO Thave eae Tonneau and oy hl fa as ilo egerees ae afonreastisec hn ace ee Sie. the epoca, Ina gon spr for arog ban ete pean! enya utterances oman aber sna ereanre teres via o_o ro) — on) SrEceEEE [7-0 re Tare F E) [bb ceuren_ 0 ‘001 ‘02 O00 on 0005; 006 0007 ‘Daa 008. iG PAID F-4-ZOLS — sep 2013 blocks indicat time of dey and arrival ‘Substance 7 Instat [ Ouro si oa) eanspeviaton ‘Other Travel Expense in-stee [ouorsine| Travel (sow wach aly vised) ay ‘rom e Explanation [Aneta 7 2 [aaa ve ose, [ny naa Gara w es = [sy rie Ge Mane Scum (GRAND TOTALS $26.60 (2) Type of sles ete T., |NOTE: Dai iota fr subsistence nol to excces avtnozed amount frln- state or outotsate wave! 1) Mae of Trav: PaPihalecer O= Ole. rl tus, on ang tees A= AK R=Rerly Form CNTR 009 Reimbursement of Travel and Cther Expenses Incured in the Discharge of Oil Duly Foim structure isi eviseg February 20°3 NC Deparment of Puke Safety, Dwvisin of Admirisiration acl RECEIVED : NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY SEP 6 9 Re REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED | \\ \’ IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Svomit one origina fo General Accounting. Altech allnecessary orignal rceips and other supporting documento this form, Inctusing eny por viton approval of excess repstration, lodging, and ourof-statelecuntry vave. Retin ane (1) cooy for you agora, Cemplete amcunt, ‘company, account, and center fds, Fle at east monty and not later than 30 days ater morn ends. Prepare nk c ypa, [Rin Warmer AEE’ reimbursement for approved training expenses must be submitted to OSDT. Papen nae ir ds Lh teaecin Parone Ee [state Highway Patol / Executive Protection Detail, [Raleigh $1 200 north Bioun Stet rope __ aa a helio owe Tain Saaaaiyrae roe: ‘Uso eas pry Lease obese od waa TSnwTt ey lina, essere rd eowares incre ih vein ee Sie he ‘apie, Iv an po pro ves el arr pre siya wt rue om ay aber sauce ose a expen whee, (98) = S. SoU) ==) ae SAP ORREP — 08a 4/2 Lune Wo. 004 ‘a2 G00 ‘008. O05 ‘00 007 ‘006 ‘ogee oe eee a Record the actual time of departure and arival in blocks indicated ee cect ae oT rt : fe ae a = o ae : Leen ETEET el 7 a oo . Ss i eee [Dally Priva Gar Mieape: Gomis - Po aoe ae on : 3 ae Tseseof ot of rat ext futaitenss hort: oo tte anarcnl esate ge ee ae gor ee ote : Be Ud Brend4S C12 using L om am 9L00¥ Nao NI O.038 INC Department of Pubic Safely, vision of Administration ' M\NSi8 Brs. NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Caerat tation REIMBYRSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED : : IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAPAANT. Submi one engin! fo General Accounting. Atfach all neoaséary orignal cepts and other suppeing documents oh fxn, Inclasing any ior wien approval o excess regtraton, lodging, and ou tateleounty ave. Retain ane (1 copy for your records, Complete amaun. ‘company, acount, end cena felts. Flea enslmrihy and not ater than 39 days afer month anos, Prepa in nk or ype, [Fea Wot Fe hi=ce: AN Peimbursemant fer approved traning expenses must be submited to OSOT. Paps Rae i a La oe) Pesan state Highway Patrol / Executive Protection Datall Popes kes ren “i Toes ro EA [200 North Blount Steot Irooper Raleigh, $4 (Ci. Sle, Zo) ma aarp cr oy aos travis Joigh, NC 27601-1006 Unser piso peep io bisa Ts SASSO Hae Paty Thar cad fs aan cay et i fil SUTHSISDT he ifaotea, nave gon rr apron te aegis sve pica! Maus cou ia a EMGRIF 0 fof] coer nero, account ‘oat 002, 0005, oot 0008. DOE, ‘0007, 2006. 0000) Toa Ewarse 2 Til own a a a Ofer oe Beer — ” L so7e. ae 3 os oes S 7 —= ssi Pera eam a a Spee 7 : a esa ae a : —— - ae oes oe moan ve 2 ee ee ears Minorca o-onm.anenioammgien svar Bball, Gago BES ees mets = ubpen do EEfteuina feat cronctsaievars . : goed? Sie ~~ ISO N39 NI O.0ay Form CNTR 003 Reimbursemart of Travel and Oler Expense nur nthe Drscharge af Ot uty Foo suoture et rvines Fabry 2019 ; NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY R ECEIVE, L REIMBURSEMENT OF TRAVEL AND OTHER EXPENSESINCURRED = °°!" 2 5 pp, IN THE DISCHARGE OF OFFICIAL DUTY q INSTRUCTIONS TO CLAIMANT. Submit one original fo General Accounting. Attach all necessary original rcapts and ater supporting documents [ths fxm, Inclucing ony pir writen approval of excess registration, laiging, ana oul-olsatacountry tava. Retain ons (1 copy for yout records, Complete amu, company, account, and center fede, Fie at loa monthly and not later than 30 days afer month ends. Prepae ink o type ~ RTA ET A ——] reimbursement fr approved tarng oxpnses must be submited t OSD ‘Payee's Nev (Fs! bathe Wil, Lat) ‘DnasioniSeoon eet i ~~ Leersonnet ie, z ste Hay Pavel Execute Protweton Dota oo = og 200 ern Stunt Sect Loner tela 31 eo) apa Ta ese a une 760-108 ea rr Ts Re Guatostncuommnteston satan! fpounlnar nea paces is et Seoyorharm) eames Soman ous ienesee vas = (oe (Spenser ate) Kenenisa) ‘oot ‘0002, 0505, Doo 008. 2006 ‘007, 008, 9008 Ta sae et 080m) $223.80 5, cord the actual time of departur ival in blocks indicat “Travel show each aly visted) Transporation ‘Subsistence ‘othe Travel Expenses InSiaie [oworsiwe| Explanation | Amount 2 = 2 t—1"s1070 5 Day from One Sia [Say Pin ar ere eo losis Pn cara eta cc 2 $520 i} si070 bf “51850. $1800 hase an Ee = 220 Dest <} 81070. as ose. [os Pecan rem H [ty Ri era ise cE GRAND TOTALS $111.90 1 Noe of ave 2y Tung ot suppetanae INOTE: Daily otal fo eubelstone2 nol P= Private car O- Other, ral, bus, sx parking fees Av Ale R= Rent SE) 1 T|LBy Brobitasl oS tis. io exceed authorized amount for in L= lunch He Housing [state or outot state avo. » 1g, 344Room) Foim CNTR 003 Relmbursement of Travel and Other Expenses nur inthe Discharge of Offical Ouly Fonm strata lal roviged Februsry 20°3 NC Department of Public Safety, Owvision ot Administration 1 RKEUEIVED NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY cui REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED °°" 2 § RECD IN THE DISCHARGE OF OFFICIAL DUTY ANSI INSTRUCTIONS TO CLAIMANT. Submit on onal fo Genera Accounting, Attach al necessary original recebts and other supporting documents to his fom, Incuding any prior witen approval of excas registaton, lodging, and oa-ctsttelcounty ave Retain oe (1) Copy for Your records. Complel amen company, eccount, ard center felis. Fea least monthly and not later than 30 days after aomth ends, Prepare ink ot yp. [Papas Wiehe harser— qmaaam Reimbursement for approved training expenses must be submitted to OSOT. ING State Highway Patrol Executive Protection lRaioigh, $4 et oye near (Grea nono Bint tet ate Toope aon Racer nt Re a a eas (Date FA Teese rah) of o7[8- 0907/13 cemrer (Serene ane iB BI oar 002, ‘005 6008 005; ‘006 ‘007 008 008. Tot um One) OCT 2. 23 Record the actual tim blocks ‘Subsistance ‘ibe Travel Expenses sated, Transporation Travel (show each oy vised) In-State [outer Ste TnSiete [owststee| Explanation | _ Amount fom © S070 $180 EoRT Ba $10.70 318.0 ya Car ape ay ite core a0 7 z 2. game ‘GRAND TOTALS $66.80 sy Mog of rave: (2) Type of subsistence: NOTE: Oaty ita fr subsistence nal Aon RaRinidoae | BBall TH) fo exceed authorzed smoun or ine Ty 5 Us Housing SO Up ber tao g1p9¥ N39 NI G.O38 Form CNTR 009 Reimbursement ef Tevel and Other Expenses Incurted in the Discharge of Oficial Duty Fer structure Ins revies February 2013 NC Department of Publ Safety, Division of Admbistaton NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVED REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS 70 CLAIMANT. Submit one original Genera Accounting, Allach all necessary oginalecoiots end ether aupparting documento this frm, Including any pror writen approval of excess resisttaton, edging, and out--talefcouny travel. Retain ore (1} copy for your records, Completa amount, ‘company, account, and center fl. Fle atleast monty and mot later than 3 daye afer month onds. Prepare nko ype [ee NN pomcemen raptor in opines mtb eet O80. |State Highway Patrol/ Executive Protection Detail = asd Nery Bun sae ester Tope sgh i aetne asi een a Thave sarc aibovonard reas ance ls pa a RSTO IYegtat, ln ge te oor reg Va nna eo ‘rae pales of para civ ie 0 3-0 4923/3" Liv no. oun 0003 0902. 09 900% 0005 “0008 ‘9007. 0008 “0009. Due ve) OCT 2.4 2013 32280 %6 3013 in blocks Oihar Travel Expaneoe Explanation ‘Subsistence inst Transporation insets [ower Siate Travel ehow each oly vstod) from to utah Sate “Anouni ‘Day aT, Sia 2 Beane: 320 $10.70 518.40 [ly Petar ae Seaman Tra] 3570 $10.70 $18.40, iy ms Carag Saunas ‘eer ‘GRAND TOTALS i EE $103.70 INOTE: Daty cat for ubststence nat io excees authorizes amount ori site or cutotstate Wave! 1) Mod of raver (2) Type of eubsistonce: Pe Pivate car ©» Other, ral, bus, txt panting foes A= Air R= Reniatca reak tune He Housing Lo _ 9.4 Omer ag pteepa) Fem GNTR 003 Reimbursement of Travel and Other Expenses Inaurred atl high rds Bp 3d Form etch lel revised February 2013 INC Deparment of Puble Safty, Dvislon of Administration 1 Travel chow each ety vsted) "Tanspartaion Subalbence Oihar Travel Expenses Dey ‘rom © + _[nsiae [oitotsine] 2] inate [ourcesue] Emienaion [Ament TSE] TOTALS BROUGHT FORWARD __ foray ig) $103.70 Sey By Pata car tence [sn Prins Prior ase Sanaa gewrsini [an Pri are ay Pariser ata rt er tage Geen [esi rae corms Ganon ei Few cr Wage Ban [Dat Pre Car anooe Game bat air ar Mae ganar [ony Pine Coins re Fy Pasa yt Gar ep Seam genvamnie iy Fie Go We iy te Su nae ‘Gamma net Baa ear Say Pre arte anus ly aC oe Bexvamnie (GRAND TOTALS a t ° 2 2 @ si2z60 Foam CNTR 008 Reimbursement of Travel and Othar Expenses Incuras in the Dacharge of Oficial Duy Fim stature as reves Febraaty 2013 INC Department of Public Safety, Ovision of Administration RECEIVED NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY SEP 2 & Rec REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one origina to General Accounting. Mtach af necessary eign! resis and ather supporting document ths fxm, Inching any rior witen aporoval of excass recitation, lodging, and eut-at-talelcnunty trav Retain ono (1) copy for you racar, Complale amour, ‘company, account, and centr fils, Float east monthly and not later than 30 days afr month ends, Prepare in mk rte Ta To EN ——Pobursoment oreporove traning expenses mus! be submited to O80 ee aoe oe (fos sts gay Pavol Execute Protection Det — a “ ase 200 North Blount Sct trooper igh, $1 ‘Cy sa Pamala Ta anna Fase Cre Ra (Ralein, NC_2760%-1006 — a cat a an TSEC TESS TY Tha sao ota rn eT eA SSO fea, epersr ar alnaces baron esti stone he ‘ops, nee np aoa rah oe eae perene enya ln be ena any aha ere ne ano egerer. veri pe ‘on ae os) — eae CYP OIa13- 0( 2312 ‘001 0002 005 ‘one ‘008; 006, ‘07 ‘00 ‘008 = At jf] Pow oot 2. 2018 GAD cord the acti ti ture and arrival in blocks indicated, Travel (ehow each ly weg) Trenepenetor | ‘Subsistence Other Travel Expenses Day ‘rom © inSlate [OvrotSie IwStaw [ouetsae] Explanation | Amount ai oro nese aaa Liye cr ase ies rm Ta: = 300 = [giao te oo si6.a0 2 oar [a Pv co eas aH, = 30.70 st [51070 [isi river cata au z fossa Garage ges Ta ES ‘GRAND TOTALS $74.60 (Mode of Tevet: 2) Type of subsistence: (NOTE: Daly tot for subsistence nl Pe Priiecer OO a. to pang fos A= Re Renae 77] Beet | (9) Hoexted auras! maitre YW eehinch Ti iising [sate or ouatstow vaval = Dimer (oom) i LO NS (TSS Form CNTR 003 Reimbursement of Tavel and Other Expenses ncured inthe Dischaige of Ocal Duty Fim sructure ast revises Fedtuary 2033, INO Department of Public Sate, Divison of Admnisvation : NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVE D REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED SEP 2 5 REC; fl IN THE DISCHARGE OF OFFICIAL DUTY \ 1 other suppor documents tos form, INSTRUCTIONS TO CLAIMANT. Subra one orignal lo General Accounting. Asch all noceseary ona receles. Inatucing any pr wren approval ef excass registration, fdging, and cuta-state/eourtr tavel, Retan ane (1) copy fo: your reco. Complte aroun, company, account. end center felts. Flea least monihy and not lator than 30 days afer month ends. Prezae in ink or ype. [ Fars en Pram wa RNIN] Reimbursement for approved training expenses must he suibmkted to OSDT. state Highway Pato Executive Protection Detail ——— ee ic er aco ua oun stost rope rate, “ch Su 70) Sa Ts aca Ras st sleigh, nC 27601-1006 i orbs eo ey et RW Sn BETES HOON Taw aad nen et ete aT ‘lloirg,egenea and stonarons hevosin herrea ve Sse. ater {pea hac gen rma een tal anorectal (ores ose) Teepe Telephon) — “HPo MB 6 BLP] 3 “0004 cary Iss J2]7]r T T = —+ aaa i sy a al = Hi yh a = ae 2 3 set Sere a iS Ep 2 He : nae Al Gre ‘Record the gptuz ed ir¢ alld arrival in blocks indicated. “Travel (how ench ely vised) Tran isitonce ‘Ohh Travel pens Day “tom e InSiat | OvotSino| nStawe Towersate| Exianation [Amount yt Ga na Bese Fite Co Vina a sain saa best $10.70 ee $18.00 a Gara et Co ace 7a. Sa Dust Sro.70 rm $18.40 ai eter ace aaa st Pre Cocmiene Boonie ‘GRAND TOTALS $74.60 (2) Type of subsistence: NOTE: Daiy toa for subsistence nat (1) Mose of Trav: Pre Private ca a, but, 08, pking feet A Ar R= Rental car B= Broaxioet to exceed auhorizes amount orn ‘stiousing [sate or ourotstat ave TT 3 Econ 9i20y N39 Ni G.238 Form CNTR 008 Reimbuttoment of Tavol and Other Expenses incurd in the Discharge of fal Duy Form structure fast evised February 2013 NC Deparment of Public Safely, Dives of Adminstration 1 aD RECENED NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED yi? 2 5 RCD THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit ona original fo General Accounting. tach al necessary orginal receits and cher supporting documents to this farm, including eny rior writen approval of excess registration lodging, and autotsate/county travel. Retain one {1} copy for your recerse, Complete amc, Company, sccounl, and center feds. Fle alleas monthly and net lator than 20 days afer month ends. Prepare nko ype [ Pasoe Wor ose aS NIG] Reimbursement for approved traning expenses must be submited to OSOT. Raloigh, Pajares Cah Traioaein _—— : state Nighway Patol / Executive Protection Dela pronase) Ta nd Nae 4 1200 North Blount Stoot Iroeper Morea Wong owe ray Paseo Rie iron {Ci Sn) [Rateian, No_ 27001-1008, ‘Unde patie a pons eet ttle, eerse and alonarces rset eve tre Sit he, Wael, av ont pro oven al a a gran ‘Gowan Sariaet ibe) ‘Bepere Sree) (Givanie Tarrant) seo sexo 0001 ‘60 2605, ‘Ooo ‘D005, ‘008 id ‘08 0008, Taal ioe i RE sors time of departure and a blocks indicat Record the act ‘Ohher Travel Expenses Exptenaion | _ Amount ‘Subsistence State Transporation In-Siate [ouar Sine “Travel chow each ely vod) e OnatSaie 2 Gamat i canbe r [Say Aran casas E 7820 S170. $18.40 Tao, 3520 $1070. S180 [Day Price Corte ‘Fes it Or eg ore (GRAND TOTALS wae $74.60 Inorg oaiy efor ei (2) Type of subsistence: } T il YF 7 H= Housi SO TTR 1 esi” yo OLO0¥ NID NI G.03u Farm CNTR COS Reimbursement of Travel and Other Expenses Incoted inthe Discharge af Oil Oy Form siructur leat ovied February 2619 [NC Depariment of Pubhe Safety, Ovvsion of Adminstration NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVED REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED orp IN THE DISCHARGE OF OFFICIAL DUTY afi 3) 8 INSTRUCTIONS TO CLAIMANT. Submit one oginal fo General Accounting. Attach all necasaary orginal ecelpls and other euppartng documonts to thi orm, inctding any pt wren approval of excess reqitation, loging, and oui-a"siateloounty travel. Retain ane () copy for your records. Complete arncunt, ‘company. a0coun, and center fds. Fl tlesst monty snd not ater than 20 days after month ends. Prepare ink o ype, ibursement for approved training expanses must be submitted to OSDT. nL ian z ‘lili State Highway PatroV Executive Protection Detall Payers Aten (eH Tae Tsien Nana FB 1200 North Blount Street aster Trooper Raleigh, $1 ere cig ees eaah tr nl orto) iy, Sse, 2) nt ‘ese ganas py cay Os Tote oe este raat ec Tvs oarined a oranet opal er ett ale jn aan tion expnte ae slwaron nares inte ence tha Ste ashe \Yespintn. Reve gon rapa ari re aa ure ope enya nl aerate any er scare lees eros vet ae a __ _ (bepeanPeted tae 3-0 0 E E Live 1. ‘oc 0002 ra 0063 0008, on ‘007 08 000 Te Dv (ore) Other Travel Expenses ‘Arount ‘Ssilonee WSiaie | OxotSia Transportation inSiale | ower S| Travel (Show each aly led) Expanalion Day trom © OT $1.40 x $10.70. $160 Presa [ois ers carnnese ‘guna 6 Dass amy ris Gare gaara aay Prism cara ara, $8.20 $10.70 $1840 Gay rn coraeoe Seema ‘GRAND TOTALS aro ‘510370 MOTE: Day tla for subsistence nol to exceed authorizes amount orn state or oot state ave (2) Type of subsistence B= Breaks! L2Luneh He Housing Doge 1) kt ode of rave: Pe Prvate car O= Ofer, ral, bus, tax parting fees A Air R= Rental car Form CNTR.003 Reimbursement of Travel and Other Expenses Incurred in Gale dhieah a Bub Buy Form strut lat rvised February 2013 Ne Deparment of Publee Safety, Division of Administration Subsinience. in-state w0a70 Ee Ero Transperation Outer Se ‘Gir Travel pense Exanaton [Amount Travel (show each ely visited) from © TOTALS BROUGHT FORWARt In-State 2 Sue St Ine pgecaeate [si rivae coteoe ‘ae 5s) rrvow ceria [ssa or aan st See Creag: ee Banana ecru Pa PORTER ay roa ora eva sy int Co eae “gece [oy cnr aoe ST si Peso ass iy avs co me gama PTI _ ni ee | [sy cortege [oss ran cerieoe Panne [ai Pr Cora: Tae ‘GRAND TOTALS Form CNTR 009 Reimbursement of Travel nd Other Expenses Incured in the Discharge of Offi! Outy Form stucne lat raved February 2013 Setar Feet a A 2 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVED REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 2¢? 2 § REC IN THE DISCHARGE OF OFFICIAL DUTY (US) INSTRUCTIONS TO CLAIMANT. Submitoe orginal to General Accounting. Atzch ll necessary oigil cepts and ofer supporting documents tot fn, Including any prior wtkon approval of excess registration, lodging, and outofstlelcouniry wave, Retin ane (1) copy for your recorés. Complete amount ‘company, azcoun, ad center elds, Flo acast monthiy and not ator than 30 days after month ends. Prepare in nk or ype a oR ae aT NM ——]rcmoarsement tr approved tring expenses muse submited to 0807 Tage a is a, Tate ea —_ : IC Stato Highway Patrol Executive Protection et ei Ti cen tare 200 North Blount Street State Trooper teh ams von rere Woo Tiled rag Rae trom (Raleloh..NG 27604-1003 a a ne ver sores oper sey ues i smarasouale sate Nee Thaw sarang inner chesgg,evpnats ar owas norte arn cite Sl Pat "Pasa, ace pa epee a ors hat wate etree on abe vee er hse sane epae. setae EAP ofo ((3— 040418 7 To TTEb tT T et et Rett e [hf Osis alr fetal ae T AT EELS A | ate Lit Tet r T [Be gp 44 HOD 3 2013 raowow LR GG-YO: \r oct ord the actual tims ]___tvel show each ay vistas) "Transporation Bubsistence Other Travel Expenses | Oey ton % 7] sere [oxana| 2] wate [oaarsun| Seotnaion | Anoint ~ at L. $i0,70. i ——-$ Sas samme 7 7 ce a =a Z san ee = t itr = = re o cat a—|sisa0 bearer oemas oa 7 zl Scar} ae sane = a oars —-" rs a c ae a | ta 3 a ba mas org “gait r m basa once Senne . = GHA TOTALS ate |i mode oro! | ezypeotgatpistence: iors: ony itt avbience na eeccia tar O= Ober bs, ts suing fe A Ae AGBOTTOAIY 1 8 lt [Sestied suboned omcun fo gi Tel = Lunch H= Housing or out-of-state travel. “iva, "room - - tooo HES - me Foxm CNTR 003 Reimbursement of Tievel and Other Gxponsos Incured inthe DAsonsig of Oa Duty Form structure last revised February 2013 ‘Subssionce Diner Travel npences Explanation “Transporation Sate Travel (show each ey vistag) ‘rom © TOTALS BROUGHT FORWARD ‘mount Stale [OveorSie $60 use Secale ‘east ar iy na Ge biege aaa coin: is rein Cor noee genie B consi J=[=]>/el»|>|of>]ol +2} ©] lalla lef=|ol-lo2}=lol-[ofalxjol-le seme cowie Eo ay aa Go ge oaiy Raa Care Gay Pnwe Ga pe Sea sty Pita Cor ese: esis sy rts Cor nange Det Soma: ig essine eee Somat Dest [bay Pen care ay Pre oor wae Ten GRAND TOTALS Foun CNTR 003 Reimbursement of Taval and Olner Expenses Incured the Discharge of Ola Duty Foun sbelue lat revise Febuary 2013 NE Depertment of Pubbe Sel, Division of Ambition REUEIVEU NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY a5 we REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED >" IN THE DISCHARGE OF OFFICIAL DUTY WAY INSTRUCTIONS TO CLAIMANT, Submit one origina lo Generel Accounng. Alach all necessary rsa recaps and other supporting documents fo this frm, Including ny prior writen approval of excess restrain, legng, ang outof-tte/eounty travel. Retain ane (1) copy for you records, Compete amu ‘company, account, end conor fide. Fue at nae mently and net aor then 30 days alter month ends. Prepare in ik or ype. [Reimoureement fr approved taining expenses must be submitted to OSDT. ae a re anna” inte Highnay Parl Executive Protection Deal —_ He] [Ral s Peper hrc vet Tae 1200 North Blount S aster Trooper (Gi, Sate 9) pers neg sono Fale Coy Ta {Raloiah, NC 2750 triedgr seers st wnarees headin ewe Ste. ew Ienacai, Ive npr appar cowng tae ens RT csi wit beneath ny ofa roar age ane cme. see, perro) ‘oa Tapani Tacs ‘Copan Paaecnage) 3-04 |a)> ‘007 7000, ret une) Al 9-3 2B scales Record the actual time Hf def Transporaton InSite [Ou sie ‘ther Travel Expenses ‘Amount Travel ehow each ay visto) ‘rom e ee Explanation Ly Ponca ery st cer [iy ra Gorwee ‘Genie (GRAND TOTALS (9) Mode of Travet PP Phvae cr © Other, ral Dus, tx parking fees ANAK RERGBCHT [yf Conde EEE avin bz bie (eae Ta slate or out of sale travel INOTE: Daily total for subsistence nat] to exces autnarizes amour fv Form CNTF 003 Reimbursement of Travet and Other Expenses incuredin the Discharge of Ot Duty Fox sniclue lat revged Fabruary 2013 Se ea 1 ‘Subwatonce inst $97.30 Travel jshow each ety sted Transporation Other Travel Emenses insta [outst tom © Oustsiae) Explanation ‘TOTALS BROUGHT FORWARD 3 [Sayre oxime Saran sis vance ie exe Bria Garage ‘Baie genni ess yrs ber Poa a ge @ensinie rt [San Page ra Ga a Sanaa tame i rave ba ei Fe Se Naeoe Fr to age ‘Sama Fan Gane [iy Gori Sena “GRAND TOTALS Fam CNTR 003 Reimbursement of Travel end Ober Expenses Incurred in he Discharge of Ofc Duty Form stuctore ast revaed February 2019 NC Department of Public Safety, Division of Administration 2 rg NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVED REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ., -I>t eo | IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal to General Accounting. Atach 68 naceesar orginal receipts and other supporting documents ots or IMobuang any pr writen approval of excess regiraton, lodging, and ou-oFsalocourry wavel.Relan one (1) cop fox your records. Compote amobni.=t[ (Company, account, and center fas, Fle aeast monthly and not lator than 30 days ater monih enés. Prepare in ink or tye. Fayed Wot Pars Rio as Reimbursement for approved taining expenses must be submited to OSDT. Taal Tak cor a . 38.401} in bsveaeee See = a SRaNO TOTALS i waeo 0) Mode trae type ctatsstenes: ‘NOTE: Oat tt aubsenes va OF ZL UST LSS CG Room OLOOV R39 Ki 0.038 Form CNTR 003 Reimbursemont of Travel and Other Expenses incured inthe Lrecharge of Oil uty CovxcurS Osher A NORTH CAROLINA DEPARTMENT OF PUBLIC SAFE" REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED JAWS 18 IN THE DISCHARGE OF OFFICIAL DUTY REOSMED INSTRUCTIONS TO CLAIMANT. Subrit one aiginal to General Accounlhp, Altch all necessary onal receips and other support “RECEIVE ‘ut oesatelenunry Wave. Retain ono (1) copy fer your records. Ce than 30 days afer month ends. Prepare lark oF type roves training expanses must be submitted to OSDT Gio caniecin ale State Highway Patol | Executive Protoction Detall pes ess (Svet Te Lesion are SR 200 N. Blount si Master Troopor Raleigh. St (Gi. Sate. 20) a a ss bal ESO lRaleiah. NC 27601 icici (Uni panes eat cay ini Deas a WRIST REY Tava panied i ature enact a ely hk ot aaETE ‘llega, exgesee and eovarcon nied a sce be Sita. ee 'apotti,tra ven po opr ran tare of ere (Oe) TBaponoa Si) ‘eo Af 0921/3 - 093 0 )3 8 E ‘008 05 ‘08 0007, ‘0608 ‘005, ae Revco OCT 75 2013 0-4-2013 Record the actual fine SPUSBEHURE Maem val in blocks indicated, “Travel (chow onch ly vse) Transporation ‘Subsletence omy ftom © IreStele [Outstate] 2 | inSlate | Ouratinio] _rplonaton ess Los ‘se 5} $18.40, Tama 30.20 10-70 z S180 iy Pvc Cornea Seume Poi Sorie see = $1070. ar $620. [Sse cara Saas [ont Prvate Cx Ww enor aTSe (GRAND TOTALS, $103.70 SBOE 1 aos of Trav: INOTE: Daty toe for subsistence rt P= Private cor © Oar, a, bus, tan, parking fees Am Ar z [i lo exceed authorized amount fo Fe Housing state or outo-sal travel (Room) Form CNTR 008 Reimbursement ef Travel and Other Expenses Incured inthe Discharge of Offic Form structura lst revised Februsry 2013 ‘Sutsiieace “Travel (Show each aly vsted) Transporation (har Travel Expepaos Bey fem 6 insite [oxaisine] 2 | wesie [once] —twwanaion | _Anowi ET seo eae Ta ‘Bemrie T a [Fa ore Gam ss rina carne cra os Prat ar eae tae Daycare Semen aires orn geen! bai Cornea Scat ter yee Cor nee [Syren Gor mage [ty Pte Cor wacse Gane ec [Sar eva core tz Fin Gar uaege See Bene Geminis Ey Pat a Mi acme B cones ‘GRAND TOTALS ‘Srv1.90 Form CNTR 603 Reibusement of Travel and Oar Expenses incured in the Discharge of Cal Duty Form sete Int roves February 2073 Ne Deparment ef Putte Safety. Division of Administration 4 + . NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Goxrocstia\ * REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY. \é necessary oral ees and oer supporting docament lo is fom, I Retain ane (1) apy for Your records. Complete amount, 8 ek oF ype INSTRUCTIONS TO CLAIMANT. Sut one original General Accounting. Atach incting ary aor writen approval of excess registration, lodging, and ou-fstaeleounty tra ‘company, acount and center Feld, Fle allot monthly and rt later than 30 days after month ends. Fre STRESS —— ENN —]roinareont or approved taining exponen mur submited to OST, se i eT Sona STATE HIGHWAY PATROL /ExEcuTWe pRovecTioN ve a lll? Papers pasess (Gre) |200 NORTH SLOUNT STREET. [TROOPER woe) RALEIGH Sit ice St 2 Tia cans Hoe om Ferd Come IRALEIGH NC 27601-1008. a emai pry any 09 Bee aS TOY Tove caries evan gaara can tts aba ree ‘edie agen an losses eco ine ev oh Sa Vs Iapteno, tave gon par err verge ne ret ese ey wine te raed a ay hac ae fens are ree. _eTFllCU oe lee oa) BigersrSeratel ae) and eee Gaeta Gane eel (Nel account 27 [a 5 DO) JO-4 ZO Tvl in blocks naeated, ‘Giher Travel Expenses Record the actual time of dey ‘Substance “raneporiation Tr iale [OwarSae Travel show each ay vated) in-state [owarsia| ‘Anount Tao $070, 51840 Eqlanaton ‘om e ey lag pe cx in casa sa 5020 $1070 z 5 sa, Gama ‘GRAND TOTALS $86.20 [nore ity tot for subsistence nal to excied auihonzes arcur stale or outo. sale vavel 2 9p sta peso manner eC ana) 01004 N39 NI C.03Y Pe Pivatocar © Olea, bs, ti pahng feos AZAR ReRawatear Foim ONT 003 Fimbursement of Travel and Other Expenses Incurred in he Oiachargo of Of! Duty Fon structure ast revised February 2019 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECEIVED > REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRI aC IN THE DISCHARGE OF OFFICIAL DUTY 0 \e S Sl: INSTRUCTIONS TO CLAIMANT. Submit one aga to General Accounting, Altech all necessary oiginl receipts and other supporting documents otis fom, inclcing any pir watt approval af exces registration, odaing, and out slataounty travel. Reta ane (1) copy fr your records. Complete amount, company, account, and center felis. ast monthly and pot lator than $0 days afer month ends. Prepare In nk o type [Fomine how tates EIRENE ——]Roimbursomont for approved taining expenses must be submitted 10 OSDT. Tans ea aa vino nel state Nigtnay Patrol / Executive Protection Deal 200 N. Blount Street IMaster Trooper Raleigh, $1 (Sal 20) How Wane Balsiah, NC_27604 es rcs paar fp (soy eb atu a wae lant By flectina soars ant slwatces ronan ita sca cm Sie. st ‘rill at ranted vm ayo scale bare cone vprees, "apolar gen pt ep ft evergreen el per Pr sorte (= ‘sesere Sra) ‘ose me Erp b0 0313- go o4 1s owen cer youre 0001 0092, Des 2004 00s. 1008 ‘a7 008 090 Ove j0ve) 104-203, ‘other Travel panes, ‘erounl OCT 15 2013 Record the In Subsieence TnSiaie [outer siae| Transparation in-state [ Outer S| Travel (show oach ey welled) rom te Da Explanation Bese sy Paver tease 2 Bases [iy ives Gor ioe eeu Bast ay Prone aoe sine ca Anon gaan ‘GRAND TOTALS $26.60 lore: Daly ot for subsistence nol io exceed alhovzad amet ft - ale oF out-of tte ave eyppecteaamece CORE ON noni Deore ros tae of rave P=Prvate cer = Other, ai, but ta parking fees ASA R= RAB | Spray esraseaeeaeeceeeeeeeeeeeO LOO ella orm CNTR 003 Reimbursement of Tavs and Or Expenses incur in he Discharge of Offi Oty Form stuclure last revised Februory 2013 RECEIV NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY v ; REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURREDUC IN THE DISCHARGE OF OFFICIAL DUTY \A INSTRUCTIONS TO CLAIMANT, Submit one origina! to General Accounting. Atiach a necessary orginal recsipls and other supporting documeata ails fm. Inckicig any por writen approval of excess registration, lngng, and cutalsialelcounty aval. Retain ona ()copy far your records. Complete amount, company, aczeun, and conte eld. Fl al lati monthly and not later than 80 days aftr morth ends. Proparo ink ope. a en aries Toca a tae ghey Patol Exoutv Prteton Det i — ae Soo ooo Bout Seat coe aig 3 aes Naa aay Recreate Han ee ee aaiminancoan tial Tora Tasca E a ne na eT OO Maas ancateteeentsanat meatricaae aes Tapia inept one ote wer ocena 4 tho Fels =To ol |s ot ‘B00 ‘003, ‘004 ‘005 ‘05 anor, ‘O00 ‘00a. oe ears Oe val in blocks indicated. 208 ‘actual ture and “Travel ehow enh ay wed) "eaneporaion Sobatience iter Travel Bpenses inStae | Ouro) S| Onesie] Expiration | Amount bay ‘tom 2 Depa © [Say Pros Gar tne: gamers n ay rate Gar ‘Game [Siri Genoa Seame (GRAND TOTALS 1) Made of Travel a + kegs NOTE: bay tot or sunsitence Pe Private car Or Other, rll bus, taxi parking fees Ac hkL RE Ahi od) T Is a fas! rot to exceed authorized amount fer He Housng_fivsate or ot otsete travel pina (Boom) Form) CNTR 008 Reimtursemen of Teevel and Other ExpengosInctedin the Discharge of Offa Duty ‘Form slivcture lst revised February 2073 Travel (anew each aly vated) Teerepartation, ‘Suosstence ‘Diner Travel Expances em a insite [ower san| State [owotsiate| — Exptnaton | Arount “TOTALS BROUGHT FORWARD [i ‘si11.90 ae ED $10.70 $18.0 $8.20 510,70 51.40 [iP Gar Mer [iy Pre Corwnge Bay one Cara Baty rons Gar were [ost ree Car nase pad iy Perea Berne iy Pri are Gana fons Pri car se ene [Sap Care wee fosiy Panna teas ‘Qc Bai Pas Cx ear Ba ay Pe a ena ny Pet Car nse crit a (GRAND TOTALS $185.50 | =|0}-|=}=|=[-|-l=}e].2|o|-|=fe Fain CNTR 008 Reimbursement af revel and Other Expenses incurs inthe Discharge of Offi Duty Form stricture lst ravived February 2013 RECEIVEL NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED “C! OL RECD IN THE DISCHARGE OF OFFICIAL DUTY \Wsi8 SIRUCTONG TOGLAMANT. cub ore aio Gel Accounting. ech llaecessay fia aces an tr sopprin documentos, aoe Tosser apport exces regalo, agg ans outiovenurty tava tan ena (1) copy fr yur recs Compete anes ee a et an coke tos, Fl at mot alter Yan 30 Gaye afer enh ends Prepare nit ope [Pas SA ]tmsrsement fr approved trainin expunes mst be submited to O8DT Raleigh, INC Stato Highway Patrol Executive Protection, Fa a l(t) n.NG 27604-1004 a Tint pera of poy cay ata boa fon Seis ara OT ‘Tove waned soem ont ance hte opatars oon Tonio Spa EPPO als oyagls Tein ned oe) Is PRS RSS SSS 000% 1902 oa 00 1908 3006 007 006, 2008) BSSERRESIS aoe Wort 208 tual time Tianspariaion ‘Subscene (Oiher Travel Expansas Travel (ehow each ony viskeg) In-State [Ouarsise| Exploration | Ancunt Day ‘rom TrState [ Owe S| Pers ie Sa [Say Pate rome fois Pac on TE 320 $10.70 ss 6.40 fy re rape Sanam fs ot Get nn aE aa) Bisicte v5 38 a $10.70 [ae $18.40 Pr Sern Ganaie iy Pov co spe eons ae (GRAND TOTALS $93.00 Daly tla for sunsstnce nt xo80¢ aed amount oo He Housing state or out-of tte trove, (oom) ce (2) Type of subsistence erode of Travel Pepin cer Cher al ws, pamingtees A=Ar REY gry [Be Mel fee ‘OL00V N39 NI 0.93 Form CNTR 003 Reimursement of Travel and Ofte Expenses incuod in the Diseherge of Oficial Duy Form situctve fas ovisod February 2013 Seen erent ee eae ee a ‘Subsitones (Oiher Travel Expenses 4 ‘amount "Travel (how aoch ety vied) Transportation insiaie inate 39300 ‘rom © ‘Oana ier sia| ‘TOTALS BROUGHT FORWARD Day Dose [at Pa Corps iy nls [be vaio ings Pw rss Coe ya ae Seam yt Cor Wine a eesnte Tat eae oa Piva Gori Fests br Woe Frater longs iy Pia at ooe Teena co [an re curren | asa gana Pro ae Pat are Savane yin Ca eee eneele ‘GRAND TOTALS i |=/o]-[of2 ele} lalate |o|-lafepzlol-lalebclol-lole Fim CNTR 008 Reimbursement of Tavel snd Other Exnenses Ince i the Discharge of Oil Duty Fm siryture tet rovsed February 2013 NE Deparment of Publ Safety, Oven of Aaminstation NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY WLI 0.9 20 REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED. oh IN THE DISCHARGE OF OFFICIAL DUTY WAV INSTRUCTIONS TO CLAIMANT, Subril one orignal o General Accounting, Atach al necessary aglal oceios and ther supporting documents fons foam... including any pit wilten approval of excess registration, ledging, and out-of tte/ecunty travel, Relaln one (1) copy or your recorss, Complete amount eet ‘company, eczeunt and cera felis. leat east monly and aot lator than 80 days fier month ends. Prepare in nk or pe, [Fees Waa Praw Kinter ENS reimbursement for approved training oxponses must be submitted to OSDT. ie State Highway Patrol Executive Protection Detal Troapee leleigh, 1 Si Reon Payers arse (een) |200 North Blount Stroat “Gi, ssn 20) Igateign, NC 27601-1006 ‘cepa sey ery eben and eave Wane te cty Tra scl nd oy Pal al wos fat. tihee Vogt, ve oan po appa ogi Evel 2 eo pr Siow onus he tears haribo ret Staynai albania scat ea om oun ae precede a ee ee enn Sra) = EAP 04a ETF 72 4h couray cere 2 ag Rea oor x 907 0008 ‘009 1 + 4 7 i 4 i Ta Dw (Oae) ZL. 66 Record the actus ture and ‘Subsltence (Other Travel Expenses IrStale [Outetsiate] Explanation | Arount Ez Travel show soc ely wst0d) aneporalon Day am © insta [outers 2 bay rasa Co Menge Garam Paty eva Cae ‘gerne = [Dest Psi reat tar eso Seas ais Prosi erage ‘eam = i [aay Pai or ige gener ee (GRAND TOTALS: z (2) Type of subsistence: INOTE: Daty toa for subsistence not} to neesed aunorizes amount or I) Mode of Tava Pos rite car = Ofer busta arg foes ANAK RAAQUBICGT Lf AQARMARGE p75) | lomeiedaunorzed arn | 1 Uy SF EiGi« vowing [tte or ote stat rave (eam) | orm CNTR 009 Reimbursement cf Travel ne Other Expenses Incurte in ho Discharge of Oficial uty Form stucire lat ravisen February 2013, Prete ce aca ck Pear ak el a a AGUEIVED NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY ocr 9 RECD REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED = IN THE DISCHARGE OF OFFICIAL DUTY \os S f INSTRUCTIONS TO CLAIMANT. Submit one orginal io General Accounting. Atach al necessary erga receipts and otter supporting documents to this form, Including any rerun approval of excess regtraton, lodging, and au-2t-ialereountry travel, Retain one (8) copy for your records. Complete ance, company, account and center fields. Fie at east monthly and not later than 30 days afer monn ends. Prepare in nk o oe Fae Wa Pa ae ENN retro or approved training oxponsss must bo submited to OSD. Ta ra asain Fa j ING State Highway Patrol Executive Protection Tots hess “i Sooo |200 North Blount Street state Trooper Raleigh. S-1 femora OT Fa Rt aol nae gon gar mse nage alert ere Le no. cower 0001 002 030 ‘oD 2008. ‘906. 0007 ‘008 9008 Te. Due (Owe) Record time of Sibelsience in-iote [oot 3a $0.70 S18 a0 Tranepertaton Travel (anew each ey vate) irom © sao [ourersian| Explanation | Amount ‘bay Deze iy ever Corea Seo 3 3.20 310-70 Samm aera ares Genie “germs (GRAND TOTALS seg POS y loa $86.20 (1) Mode of Trav: (2) ype of worsens: Pa Pmiaecse 0 One. a Zt OT Er a nee een ce us, ta, parking ees ial) wae Form CNTR 003 Reimbursement of Travel and Other Expenses Sncured i the Discharge of Oficial uty Form stuotre st ovised February 2013 | NE Daparnt of Pluie Seely, Division of Adiitration (ther Travel Bwpenses ‘Substance Travel (how each ely vied) tom ie "_TOTALS BROUGHT FORWARD ‘Transporation inSiate 7 Aon $56.20 estate Outetsiae| _ Eplanstien nore] 2 iy ria Cv ica sina cornioos seas Cora com earner: esi ra Carta [a Prana Gorin sau ween cam Dai rai carnne cae Sai rman Canam (gesname Gama aes Day ove cerine gana a cetnie | =|o|-[>]=}|o|-|e]z}=|o|~-[m2}<|>|-|2)¢1| Form CNTR 003 Reimnburcoment of Tavel and Ohar Expense Incure nthe OSerarpe oF Osa! Duty ised Fetvuncy 2013 Foun stcture ast NEW VEL NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY CJ. geo) q REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED Erecusvethe : IN THE DISCHARGE OF OFFICIAL DUTY Vas nm INSTRUCTIONS TO CLAIMANT. Submit on orga o General Accounting. tach all necessary oigna ecapts and her supporing documents ts form, Including any prior welten approval of excess registration, lodging, and outer sttalcounty travel Retain one (1) copy for your records. Compete amount, company, account, and cenlar fields. Fle atleast monty and not later than 20 days afer month ends, Prepare in hk or ype FoeZeViok ove anior ARENA rotmbursomaet or approved training exponsos must be cubmitied to OSOT. es cians Fis a State Hinhway Patou Executive Pro\etion Detail pee ES om eee pod North Blount Stet ater Trooper awigh st ame mee ea ah leant 27601 Se ae ae Peper emia emer oe ony at lb errs ton = (004 (Gaqaraa Sarat) os) ere [3-ToBe 3 aor 0004 ° ‘002 O90. oo 008" 008 0007 0008, 00 10°%20 si ture and arrival in blocks indie the Travel (show eech ly vod) Transpeviaton ‘Subastonee ‘ther Travel Expansee Day ion a inSiae [ouar se nrsiate [ouetse] Gixlanation | _ Amount z ees sae bea erm een : parecer — Soa ao : ie ie Pe a a ear o_o Depart cs T1070 fee — sas GRAND TOTALS 7450 Coe ce gett! ade eel (ates teubtnce; ‘(uote ng Cat anne al PUbiete cr O° Or iusto pig tess ATA R=Reear | SeBlonl Seater noon er Ctinen” wouter euatae to De Dee. go" toan Tatas or tore Form CNTR O03 Reimbursement ofTlevel én Othe! Expenees Incurede the DecharaetiOHiew DAY ‘ons gs Form stractre last revised Febuary 20° INC Department of Pubic Safty, Dison of Administration ‘Other Travel Expense Explanation Subsistence InStae | vro-Si 7.80 Transperatign insite | Ouet Sale Travel (how each ey vised) fom © TOTALS BROUGHT FORWARD. ‘amount oul Gana O cone [any rns Carnage Bam sy Prva be oe Sean Dai rns Cor ‘Sanam 2 seams Ban Pas Gorcae ah Riis Caine ay aa os ioe [ba Pre Carian es co Beas [oy Prien Cartrase Sesion ‘genni ay Pl os ase eam (GRAND TOTALS Fm CNTR 003 Reimbursement of Tevel and Other Expences incuredin the Discharge of Offa Dty Farm satu ist evsed February 2033 NC Deperment of Pubfc Safely, Division of Administration 2 : sRSetion NORTH CAROLINA DEPARTMENT OF PUBLIC wee AW ALS REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAMANT. Submit one erginal fo Gensel Account. Atach al necessary orginal cepts and olner supporting documents oh for, including any por wien approval of excess registration, ladgng, and outt-saleicaunry rave Retain one (1) ony for your records, Complele avout, “account, and gente elds, Feat east monty and nt iate than 3D days aller month ends. Prepare in hk or ipa [Poe warren CANIN] Rsiuraeron for approved trining expenses must be submited to OSOT. Payer aa fag aa SD Beaton state Hishway Patol Executive Protection Detall Payers kas 59) Te ~ 200 North Blount Street rooper ae a Fase Caray Reg (ssn eso —e SE essen iene ny ees lo sr Lea slngng, rseres ose) O 0e2|2 Benet courasiy 2 ‘001 0002 ‘0005; ‘oat 0005; ‘06 07 ‘nd 8005. PQu 10-71-23 Recor the actual tine of departure and arial in blocks indleated TTransporaton ‘Substionce (ihr Travel Expenses ay ‘ico insite [outer stata InSite [ouotSae Ta Deze SOTO LE rary $1840 [pa rio car Mae aw S820 - 310.70 $180 “Travel ahow each aly visto) Explanaiion [Amount ‘gaa eral ae Seca (GRAND TOTALS $7400 1) toc of Tava: (2) Type of subsistence: INOTE: Daily total fer subsistence nl eve O= Cher bs ti paing tees Ax Ar R= Ral BH cs eta fo exceed authotzed amount fr ey Fuel LEI Ls Hiovsing |etate or outor-etao wave. {Room} aa N39 NIGOFE Form CNTR 003 Reimbursement of Tiaval ang Other Expenses Incuted inthe Discharge of Oficial Duly pbacpeaa leas eeanedseiirebtiat ttn “Travel (ehow each ely ied) “Transporation “Subsistence ‘Ohh Travel pense bay” ‘rom © ip-Stale [Owersiaa] 2 | Sine [Owtsine| ~ Explaation | _ Amount Told] __TOTALS BROUGHT FORWARD eae] vaso eres Sai row = Taaan ay Frommers —— Seca ty van Cex ora Dest [i Pisce nee ‘@aaain Bai vas Saree Sac iy Piva Garis ‘ganar Gay pra Os qanen, Tas iy Fong oa iy Cr eo aE eet ay Fa Co age eam iy Fn cg ‘Saami Tn sais eemems iy Pate ge Tana al cing stele / ‘GRAND TOTALS om CNTR 008 Reimbursement of Tava! ang Omer Expenses Incute In He Discharge of Ofc Duty Ferm suctra last revised Febmusty 2013 : GUT 8 8 REI NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY \ 4 \\L36 & ting documents to ths fom, records, Compote amount, re PRUCTIONG TO CLAIMANT. Subml one ogi e General Accounting. Atachalinacessary oil recipe and er er nor writen approval of excess regatabon. lodging, an outotstatlcoty wave, Rel one (1) ca company, account, and con Tater Reimbursement for approved tealning expenses must be submittad to OSDT. ae nt aitanSecion Fanaa state Highway Patrol/ Executive Protection Detal Panes hares (Sr Tae Tate Har aoe {200 Worth Blount Street Lrrooper leigh, $2 (es. sam Zo) Ferma wags Pa omar iso te iRaleich, NC_27601-1008, Faery cnt Tobe aves cara saab acy sagen merase ona sasarcnseasteainty seve he Sil ae sear annette wenuysoahon ay oer avee tars sare nenin, a a 6 FTO} ES 008 ante + O00 cr ‘DDD Ee (os: * B06 t t ‘007 qo 000 arab 000 r Tae wwgo4 Mow Soro CAS 24-2019 wure and arrival i T : cord the actual time of d Oiher Travel Expansee Explanation Franeportaton Sabettence irate | OurakSiae “Travel ehow each ay vised) iron © Stale [Outor sia ‘amount Day FEI BLE ly Pwo Baie cn aso] 20 $10.70 1840 2 aimwete ADE $820 $070, SL [an Pn Crime Pai a ee o aos vee GRAND TOTALE 320 y = to mate tv coryncraaninence (ors irno eBsmence no MotetTOV aee ok be, th,pag es AwAr ReRunaica | Beret! Se een torn [asta one ro 21 Waa, 10) Eee g100v Wad NI G.938. he Discharge of Oficial Duty Lo orm GNTR 009 Reimbursement of Travel and Other Expenses nce in Pere eee eae eats cH Travel (show each ly vsted Bay ‘rom e EEL rors erovor oma Bese [iy Pana [iy Pave car tau: oo (a rota taage (bay raisers [bay Piaintar age [ay Psat Cartage (bay Pea Caria [any Pavas Carnes [ny Piva Carona Se geal ‘Beanie ‘a shoe Senta cena ‘GRAND TOTALS Teenspeaon in-state Out Sino 2 ‘Subsistence InState $708.20 ea oem CNTR 903 Reimbursement of Travel and Other Expenses Incised nthe Discharge of Oil Duty poldapnbpabey phipenreniprinsney—try ‘Ouar Sie Dir Travel pense Expanation NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY ee REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Ves S INSTRUCTIONS TO CLAIMANT. Svbmi one origin! to G Including any peor wien approval of excess rgitraon, 08 company, account and center fel. Accounting. Allach al necessary odina ocapte and other supporing documarts to this form, 1, and ov-olsiale/county travel. Retain one {*) copy fr you records. Complete amount, Te lft monty and not later than 30 daye ator month ends, Prapare nk or ype bursement for approved training exponses must be submitted to OSDT. state Highway Patrol /Exocutive Protection Dota ro0pe same = aeons ia i os a — SA ac rapcana, se oven raze orn! rae ese — sa ‘Sipe Signe tay ‘001 az 00 9008 000. 9906. ooo 000 G08 1 9. (0¥8) \o-98208 Fe clay e lala etiam tect “Travel how oach ay vilog) Transporation (ior Travel Expenses e Ste [Ont St State [Bfersive| Explanation | Amount $10.00 [ty Pie Cotes aaa $8.20 $10.70 lal =|

You might also like