PERSONAL MINOR TRAVEL EXPENSE CLAIM wont erro vey det ave Bes oes. PERSONAL MINOR TRAVEL EXPENSE CLAIM Canada SECTION A: 8.19(1) IRCSU PRAIR [Major |LAGACE, MICHAEL MANITOBA MANITOBA 19450399610393006 SECTION: {TRAVEL | Sian Date [Depan | Arve Destnaton’Reason Depart [ Arive | EndDate | Wede [Kms [Amount FJoartezors ] 1745 | 1690 [WEG ARENAFORT GARRY HORSEGS | 2200 | 2900 Josnazory [PwC HIGH 0} 180 wes are MEALS OTHER EXPENSES Totals ¥ | Srearast [Linen | Dinner [Amount | Boense [Amount [7 TRAVEL 7) o 2. MEALS 100 3. OTHER EXPENSES | 0.00 19203 7.0] SECTION C SECTION 0; SECTION E: SECTION F: SECTION G: ot Cost Genve [Fund Gone | Fund [tnt Order GO(F Res) _[ tines | WASElement | Amount joso00c2106 [429508 [az05AA [e120 [000000208770 zy a1710 lesteor [s308 lo 0.89] SECTION H: PAID BY: DFT Exe RECEIVED THE SUMOF |S https://claimsx-secur.mil.ca/ClaimsXWeb/ laimsX Web/mtecform_e.asp?nClaimID=945039361...2013-01 184-0001TRAVEL ORDER AND CLAIM I¥E See st Travel Order and Claim Canada sete Claim: esaanserosseneo-LAGACE ines By General Claim Information s.19(1) Claimant: MAJ MICHAEL WLAGACE Inclusive dates of travel: 03/03/2011 to 06/03/2011 Purpose: Other (see details) Details of Travel: Regional Drill Competiion/Mlg with League Reps & Unit cosiaco Mode of travel: Commercial Air From: WINNIPEG Locations: WINNIPEG, THUNDER BAY, WINNIPEG Pre approval received authority: E-mail From: Maj Dallas West Date: 1200172011 [Acknowledgement of terme x | acknowlege the above ferme ol ravel Dated Claimant: MAJ MICHAEL W LAGACE pr (03936 - RCSU PRAIR 208-833-2500 Ext 4909 certo at se ty es (Section 32) Dated: ‘Section 32 AO: TOMASZ TJ SZCZERSKI, LCOL - UIC: 03936 - RCSU PRAIR Phone: 833-2500 Ext. 6372 x Unitiplece Description From To Signature Rank| Appointment Advances Issued 0.00) 945 ___ x x x _ x x Date | Amount |” PON Voucher Cashier name Signature PaymentRecovery. x x x Z | _ x x _ Bate | Armount Reference Number Signature Cashier Name https://claimsx-secur.mil.ca/ClaimsX Web/ClaimsX Web/claimsxform_e.asp?nClaiml 1450393. 0.2013.01184--0002TRAVEL ORDER AND CLAIM setied Cima e4soaeroseneo-LASAGE ant iinerary and Transportation .19(1) Raval Teena — Baas car EADS TARIPEG. MANITOBA | o80s20"1 1135 |Conmoria A [FAN GOFRWorS7S#SHBON) [AD] 0.00 GOST | THUNDER BAY - ONTARIO [osus20T1 1400 commerce A [AN (0.00 [exo] 009 0032071428] WINNIPEG - MANTTOBA 0.00 Section tour cane| 000 s nstn Tee Fi / CarRentals Tocaton Fron 79 Tee Bai Gur GAD HaRDER BAY Budge Ranta Car (Ciy)- THUNDER Tryarr osos2011 fososzo1?fnemeate Bust Rena Cary) THRUNGER loan l spar [ ‘Section total (CAD): 80.87 _ Tocaon Fron [To Tae Deal Cur] CAD THUNDER BAY —_[osbstaors_oabazori [Commerc Santon jexo| 12007 Trunoen say —ouosrors osioszor1 commer ost Justcaton loro] 2258 ISREAMER THAN COMFORT NN Secon ol (CADE HSH incidental Expenses Tocation From Toa Brest [Canc [tana Car nc Cur [ADS ARPES “THUNDER AYpacacors 1100 lowoazor 108 exo | +720fca0 F730 THUNDER BA croanoi7 Ts —lanoan071 2358 ab [6A wa THUNDER Bay oaoa2071 0009 lowwac011 23.59 72a0] 72.0] 20.20fono | 1730]SRD [as 20 THUNDER BAY sro 09.00 [osnac01 2359 a0] 73.00[ s0.20fcn0 | 7 [cao | e520 THUNDER BAY ios 2077 0 0 —[osnaco1 1400 780) 73.80] Joao [170[can | a600 RONDER BAY= WINNIPEG] ogyzo41 1400 fosuuaort 1628 can 00 WRWPES oso 1428 —lonoanon 1228 eA 9 Section Wal (GRDF| 27290 Meal Adust __ Se eo fwowirec —faweaaory —_fumem.nowenl Tacofean| _oaa| rasofcno] _raao] «rao Secon ta Gay] 76 _ _ aa Car CAS WaNIPES Gsea011 [Locale travel [stance 70 joao] m0 np osca2011 [Local PMG revel [Distance 20 [cao] 240 THUNDER BAY osoaao1t [eas Ses lca] 2861 Socion oa (eaoy| 74 hittps://claimsx-secur.mil.ca/ClaimsXWeb/ClaimsX Web/claimsxform_e.asp?nClaimID=9450393.0.2013.61184.-0003