“a SEND THIS PAGE TO ACCOUNTING x0vP2994560 “Do NOP WRENE ABOVE THIS LINE Ant: #903207) 2000. 00 Transmittal Form for Document X0VP2994560 Attachments To Be Mailed with Check: NO Check Distribution Code: U After ALL departmental approvals are complete, this page MUST be sent with all supporting documentation to: OA DOCUMENT PROCESSING, MAI 132, K6000 Payment To: AMATO, PAUL R Vendor ID: 2 pa3653 001 _—PO#: Acct: 26-6815-2160 Address: 684 CRANDALL DR STATE COLLEGE , PA 16803331184 Description: CONSULTANT PAYMENT/NFSS/REGNERUS 01/11/12 Service from: 01/09/2011 to 01/11/2011 Record Date: 01/21/11 Created by: REAJP POLANCO, ADAM J 471-8352 ACCOUNT OBJ OBJ CODE DESCRIPTION PO NUMBER DTN AMOUNT: 2,000.00 D 26-6815-2160 1331 CONSULTANTS-OTHER Receiveg JAN 26 204 OSP-spaa vihndale moll lel 127- | on as}re VEI ‘THE UNIVERSITY OF TEXAS AT AUSTIN DEC 9.92010 AUTHORIZATION OF PROFESSIONAL SERVICES ‘Approval iszequstd a compensate inva named below fet svt tered NAME_Pous Amato reper Doct:_ps9883 PERMANENT ADDRESS: G84 Gran Daw Sita Colage FE Temas NATURE OF 2 SERVICES” Guts Lecune 1 Continuing Eten 1 Confers Paria Other Profesional Asie DESCRIPTION OF SERVICES:_Ox, Paul Amato Dt Mark Reanens's NESS Wihnrspoon Prolec, na New Fam ~Siruture Stay, $e witb proving ivomaton fer he plang phase os projec. This wor ls sped a wil bs largoraty Guth Wa Cannan ‘QUALIFICATIONS:_Dr Pail Amal a Profsor of Famly Scioay and Damoarasy al Pana Sale Usanily Ha hex conned oa_———— nan slannina aes of evaluating da coleced on Socloialibues on various ceseasch projec roushout In coun. EMPLOYMENT STATUS: ONon Sut Enployer ect (SUT Aun Employee [Bite Se oF Texas nstan or Aprey Employee fas ‘ent Pept E ipsbon af Dae ———=— Apmoved Arprovd RTT a RTT a [NEPOTISM STATEMENT: Namo, enh iad deprtner a any Unvryemploen or regent wh ieee he above ivi, PROPOSED PAYMENT: PeindotAppoiemens_pimarattauiyots Account Tit). NESS Wierxceon ict ara ove:_sz00n00 ym Tol Fe: 2000.00 oa aR) DASE Tespenioa eee : = ther Gri igus Dept Paina Reach Cane Estimated Toa SET —— Form Prepare Bra ran Mal cose Fore _SIST SB chawr on cowTeacABSOOIaLEICAN. vies pvt ys conan a cadena be pied by waa UT Aas peo {2 sseton pou anton eerie ad sy bast ele and icone 1 he mont gad ia il) hee Rae ‘ens snue an exe of esr eure) pp Gcanentn fon leo tgp tse etna, sn er UT Asin employes tenons rh nS 319 Hook of Oprang ers sera titan ec ota {Damen spot panos or 1 approved in wg by he rag ager. j Federally Funded? Yes Q No Py) Int tat pi nan at inn tore 21 We Fay Srv evo te ape ate Owai icnr oo [NONEMPLOVEE TRAVEL REIMURSEMENT STATEMENT OF INTENT: With espest to vel expenses tobe rinbured under this aboriatian iy {Bsc rovide an nesouning fr exposes. All amouns wll repned as arenploee compensation o RS frm 1095. 1 prove an ecouming Gall expres, nd cue gue rg eels. understand tat aroun pot doqaly esol fr ay be reputed a nae ‘emplaye coment on IRS frm 109 COMPLETE Tils SECTION AFTER SERVICES ARE PERFORMED: have pafomod te hove sacs Depurmenofthe Unvesiyof Tena at Astin dsingPaul Amato UTED cr Decumentio: _pa3653 "Te inorntion provided Dlow Wi abt the Ulver) Ta dearaing Wither fed perarng the teres vil De Cased = dependent contractor ras un employes ofthe Univer, These quesians re nended ts gale aang is Galeton, Force ‘craluaon maybe requested based op specie nisl ceumutancet er aa tiger gene Ss Ss tuple aoc ponte ees a fm SP" jsut na acorn ve Mo Bere ene a olan Scares hoyec ae bal seiesy nano? st emanate feb an | huge sane Sen eon te vai oom nua unr te pean finan polar enge dondnntttanaitatsent aati pe woe PE oH 1. Tine spsn poten boda wpa ncn peg pata a. GheUitiyeasartcerels sabe Sylow te ited ew cppand sity be naan neahanar une ene? stone. ie aoa peed mursmeaesan manos ote O08 Of 000 00 Aa0: 0 O00 00 [erty per ean 784s Ener Morten Font Prme al Fam(ernen tn) Completed by: Adam Polanco } sapien coerce