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United Nations Development Programme

Sustainable human development


TRAVEL EXPENSE CLAIM
NAME OF TRAVELLER 1. Cheque to be:
Kemberlin Grisel Garcia a. Picked up: Please call Ext. 89537440
(or) E-mail to: kemberlingarcia@gmail.com
INDEX NO.: CATEGORY:       b. Mailed to:      
     
ACCOMPANYING DEPENDENTS:      

TRAVEL AUTHORIZATION AT.97 or PT-8 NO. Bank Name: Banco Atlantida


Voucher No. Address: Macuelizo, Santa Bárbara.
DUTY STATION: Macuelizo, Santa Barbara, Honduras      
Account No.: Orden de pago

CLAIM FOR EXPENDITURES US$25.00 & ABOVE MUST BE SUPPORTED BY A RECEIPT FOR TSU USE ONLY

Date Attachment Currency & UN Rate of Approved


No. DESCRIPTION Amount Exchange Lps
Amount
Ticket (If paid by traveler) – indicate itinerary                 0.00
(viaje local por bus)

            Telephone (Provide name/tel. Number of person called/purpose)                 0.00

            Fax / Telex (Provide addressee & purpose of message)                 0.00

            Taxi (Excluding transport between airport & hotel, or between                 0.00
hotel and one place of business)

            Accompanied excess baggage                 0.00

            Passport Fee (     ); visa fee ()       0.00

            Certificate of Health (Consultants only)                 0.00

            Vaccination fees                 0.00

Lavado de vehículo                 0.00

Combustible para vehículo                 0.00

Peaje/Airport tax 0.00

REMARKS: Daily subsistence allowance (Please see reverse side) 12,550.00


Se solicita reembolso correspondiente al 20% de los Terminal Allowance (Airport <-> Hotel) 00.00
viáticos
Total 12,550.00

Less: Advances: Paid at Headquarters (     ) 10,040.00


Paid at Country Office (x)

Balance due UNDP (If any) 2,510.00

Net Payment 2,510.00

FOR TSU USE ONLY:


Signature of Claimant:_____________________________ Date: 25-07-2019

Mission travel: I have verified that travel has taken place as authorized and as described in
the travel claim, except as otherwise noted by me.

Examiner: ____________ Signature _________________________________________ Date: __________


Name: Marcos Carías, Representante Auxiliar

One United Nations Plaza  New York, NY 10017  Telephone: (212) 906-5000  Fax: (212) 906-5001  Internet: HQ@undp.org
United Nations Development Programme
Sustainable human development

One United Nations Plaza  New York, NY 10017  Telephone: (212) 906-5000  Fax: (212) 906-5001  Internet: HQ@undp.org
United Nations Development Programme
Sustainable human development
TEC page 2
TO BE COMPLETED BY TRAVELLER TO BE COMPLETED BY TSU
COMMENTS
DATE INDICATE REGARDING
WHETHER STOP-OVERS,
DELAYS,
CITY AND COUNTRY MODE OF D M Y UN OR GOVT TERMINAL NO RATE PER AMOUNT FREE
OF TRAVEL A O E VEHICLE WAS ALLOW OF DAYS DAY IN ACCOMMOD
DEPARTURE AND Y N A HOUR MADE LPS. ATION
ARRIVAL T R AVAILA-BLE PROVIDED
H A DEP. BY GOVT...,
AND/OR ARR. AIRLINE,
YES UNDP OR
OTHER
NO AGENCIES
Departure 14 07 19 09:00      
Macuelizo, Santa
5
Bus AM 2510.00 12,550.00      
Barbara 100%
Arrival Bus 14 07 19 2:30
Iguala, Lempira PM

Stop-over: Official Personal


Departure Bus 15 07 19 8:00      
Iguala, Lempira AM      
Arrival Bus 15 07 19 8:40
Aldea Arenales, AM
Iguala.

Stop-over: Official Personal


Departure Bus 15 07 19 3:00      
Aldea Arenales, PM      
Iguala.
Arrival Bus 15 07 19 3:45
Iguala, Lempira PM

Stop-over: Official Personal


Departure Bus 16 07 19 8:00      
Iguala, Lempira AM      
Arrival Bus 16 07 19 10:00      
Aldea Derrumbado, AM
Iguala.

Stop-over: Official Personal


Departure Bus 16 07 19 2:30      
Aldea Derrumbado, PM      
Iguala.      
Arrival Bus 16 07 19 4:30
Iguala, Lempira PM

Stop-over: Official Personal


Departure Bus 17 07 19 8:30      
Iguala, Lempira AM      
Arrival Bus 17 07 19 9:40
Aldea Olominas, Iguala AM

Stop-over: Official Personal


Departure Bus 17 07 19 2:00
Aldea Olominas, Iguala PM
Arrival Bus 17 07 19 3:10
Iguala, Lempira PM

Stop-over: Official

One United Nations Plaza  New York, NY 10017  Telephone: (212) 906-5000  Fax: (212) 906-5001  Internet: HQ@undp.org
United Nations Development Programme
Sustainable human development
Departure Bus 18 07 19 9:00
Iguala, Lempira AM
Arrival
Aldea Nueva Paz, Iguala Bus 18 07 19 9:30
AM

Stop-over: Official Personal


Departure Bus 18 07 19 2:15
Aldea Nueva Paz, Iguala PM
Arrival Bus 18 07 19 2:45
Iguala, Lempira PM

Stop-over: Official Personal


Departure Bus 19 07 19 9:30
Iguala, Lempira AM
Arrival Bus 19 07 19 3:30
Macuelizo, Santa PM
Bárbara

Stop-over: Official Personal

Total Terminal Allow


NOTICE TO TRAVELLER: Hour should indicate time of
departure from or arrival L12,550.00
at airports, piers or railroads Total DSA (Daily Subsistence Allowance)

Remarks: Transportation expenses between airport and hotel are covered by terminal allowance, and between hotel and one place of business, by daily subsistence allowance.

One United Nations Plaza  New York, NY 10017  Telephone: (212) 906-5000  Fax: (212) 906-5001  Internet: HQ@undp.org

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