SCANNED ics gaanse ser ogame IIIT State Highway Patrol—Batch Travel for Periods Fiscal Year 13 / 144 \ see NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RE CEIVE D REIMBURSEMENT OF TRAVEL AND OTHER EXRENSES INCURREDU''' ' 4 RECO IN THE DISCHARGE OF OFFICIAL DUTY ae INSTRUCTIONS TO CLAIMANT, Submit one orginal fo General Accounting. Allach ll necessary orga receipts and other cupporing dosumants otis fom, Incling any prot wten approval of excess registration, leg, and ou-o latofcounty rave. Retain one (1) copy for your records. Compete amour Company, aocount, and cantor flss. Fila a least monthly and nat later than 30 days alr month ends Prepare in nko type Reimbursement for approved taining expenses must be submitted to OSDT. Tapa Wat Pre Name Dio.Ta367T Fase Fase Fa La) alone Pesan state Highway Patol / Executive Protection Deal [200 North Blount Street {Trooper align, $1 (CS, 2) Ree Wena Fn oa Paid Sony Fa Rl rom [Gateian, NC z7601-1006 _— ie daa ae Oy The canvas herent ga eee Bate 2a evra apt, nove op ra fs rong We arr ne peo oc, ners wd sbpeanees Rome te sev othe Se her Cental Devinpevec am any ee suc er hse sarc amperes once, i = Peer _ (emer Some) pos Jo24/3 course LZ ; L git ro Ho \oVT Do blocks indicated, A pecordte actulie Ser Transporiaion TnStnie [odFer stato (ihr Travel Expenses ‘anunt Stsitence “Travel how aaah oy vied) Gusts] Explanation Day from ‘e fy Prat Garaneape om Payne ire STD $820 Des B10.70 $10.40 [by rane Gowen aie [pss Psse conan ‘eonsint: (GRAND TOTALS B73] 3117.90 nore: Daty ota for suseterence nal ita exceed authorized amount for n- state or out of eat ave (2) Type of eutsieience Wr ReRentalgar, | B= Breakest Fe at" ee 9199¥ N39 Ni Cosy (1 Atos of ave = Private car © = Other, all bus, ta parking feos Form ONTR 003 Reimbursement af Travel and Oftor Expenses Inured the Discharge of Oeil Duy Fim structure lat revised February 2013,ee . REUEIV (NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY uCT E 4 REC "REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Sutmit one orglel fo Generel Accounting. Atach all necessary origina recapis anc other supporting documento ss form, Including any prior wien approval of ox0886 relation, lodging, and ut-ofslale/counly Wave. Relsin one (2) coy fer your recorés, Compote amount CCompary, account. snd contr elds, Fea leest monthly and not Tater than 20 days ator month ends. Prepare in nk or lype. [Reimbursement for approved training expenses must be submited to OSDT, Fayed Wonca Wino waa TTT State Highway Patrol Exocutive Protection Deal Payees Asses (5108) tae 200 North Blount Soot roqper (ey, S29) Neer wig Rae oao ere 37601-4008 ntact lo.02-43 40.0413 ‘ese geaes epoxy Winbond ee on eb Trove sanied fs teen eq aren bart far ana race dlovanens rested seve tb She. Whe? traptas, ave oven aod gt ave an se ped fing. oer ete eo be eourna rr ano sae fe ate sare tee tie _ —_ ‘Ropar ‘Bee Towprna) Oo ELs ‘atros Sor (==) 002\3-] (Gieer Pres ano) oie Len, ol ‘002 9008 aa 008, 0008; ‘07 00 2008 Teale /0-[720 (2 in blocks indicated. Tete (040) a jartiure a actual tin off ‘ther Travel Expenses F ssositonce In-State [ower site E20 $1070. 6.40 “Transportation insiato [outer “Travel (show each ay vised) Separation | _Anount ‘rom e ay [iy Pam cartenoe ‘Beastie Bra 3020 ‘i070. 1240 [bay Pinca co mers Sra $8.20 $1070 S160 PDs ‘aera ‘GRAND TOTALS 730 $14.00 (2) Type ofeubsstonce |MOTE: Daty teal for subsisones nol) = Breast fo exceed authrzed emounl ai Cotman bMild ehepa r ky node of Teaver: P= Prvate car er, a bus, ax parking fees ATA R= Rentalcar ‘um CNTR 009 Reimbursement of Travel and Other Expenses Inuredin the Discharge of Ofc! Outy ‘orm stusire lal reviews February 2013 i Ne Danarment of Public Safely, Diision of Aaminisationae RECEIVED » NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY OCT 28 peep REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY eo INSTRUCTIONS TO CLAIMANT, Submit one orginal to General Accounting. Nach al necessary orignal receils and other supporting document otis form, Incluing ary por wellen apploval of excess region, lodging, ans out-o-slatelcounty wave. Retain cn (1) copy for your records, Complete ancunt, ‘Company, a2oount end dona Feds. Fle at east monty and no ater Han 30 days aller month ends, Prepare in ink or type. wareaaeTF Reimbursement for approved taining expenses must be submitted to OSOT. State Highway Patol / Executive Protection Daal 1200 North Blount Steet Trooper (Cu. 5i 28) mel wating Won i Tavs anal Wainer ses asset Ik a ono ama cx Fao on wad oT ee poten Inver por ears ong ans re peat tlre. egeaes ara nonacae ene este ott he Cerna yal be inbred Kom on arouse same wanes vet - pen (esa sgt) oa) Taree sist) = — ee _ cnere) a olde TedoB f E Sosceccogd fe ‘oat 0002 0005, Boo. 008. 006, 0007 0008 2008. 1a (Owe oct 31 2013 \029-2018 ch 1nd arrival in blocks indicated. ‘Travel (show each city visited) Transperistion ‘Subsistence Other Travel Expenses: ie Testo [nae vrSiot [Gaara] Exctinauon [| _Anovnl 3550 0 Sita Ry ae 307 05 Fei io ag UE a = oro ae His ia taaca mene Faia ei [amass Sanne am CAND TOTALS 3ir1.80 ts ote of raved la\tyectautsiones (MOTE: Day er suteee rl wecntar 0 Ongiolips, i artgtees A=Ar Re Rewalcar | 8 Brat [eres aorzet anon fn Ue ES Pcton | Hi=Heushe eter oataate ove! 82 152 gr Doone" foamy TOV N39 N30 NI G99. Form CNTR 003 Reimbursement of Travel and Glié Expenses Incurred in the Discharge of Oficiat Duty Foam structure last vised Februoy 2013 i:Live re NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY gct 3 3 need REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY \ INSTRUCTIONS TO GLAIMANT. Submit one onal fo Generel Accounting. Atach al necessary orga recepls and othr supporting documents otis form, including any ptorvritn approval of excess region. lodging, and outoF-atelecuity tavel, Rein one (1) copy for your asords, Complete amount Company, account, ad center ids. Fe a lgast manthy and wet later than 80 days etter manth end, ropae in ink or ype, Reimbursement for approved training expenses must be eubmited to OSOT. [Panera omnes TET state Highway Patt / Execute Protection etal = i Sy [200 i, Blount Sect Imaster Trooper lteigh, $1 (ci, Site.) Fare air tas on (Raleigh. NC 27604 Thave sae rorbarean uel an eo Pl isa (Super igane) —— SES Toovnermreesneny SS SS~*~*~*~*~« re ofg/2 0001 0002) go a0 D008. 9008. 0007. 0008. i : f or Al HOD Nov 8 2013 tele ns acgltine of dna alin oc nets \ fuss Travel show each ely vsted) Other Travel pense Teaneporiion Bestonce insiae [Ouot Sue TreStaie [OnorSuie| Explanation Sem $10.70 $18.40 Day fo Pat carmen: Taman cane nit os pas Cae ‘a dean 2 eee foe ‘ioe idan [osy Pate cartes eerie ‘GRAND TOTALS B See =a, $02.80 (2) Type of subsistence: INOTE: Poly totl for subsistence nol ry oto ot Tv Setlnt car 0. Ort bs tx ating tees AZAR fResonlepe:) ol B Begin: [eexceedsuhorzed acim om BOUL SCTE. t-nousng fstso x outotstate vel aad D= Cima” (oon) S100y Wad NT O.OzE expenses incur nthe Discharge of Official Duy orm CNTR 00 Resnbursement of Travel and Ome Form stueure ist revised February 2013INSTRUCTIONS TO CLAIMANT, Submit one oil to General Accounting. Attach all necessary crignal receints ans cer supperting docurnens tos frm, Incuing ay por wklen approval of owces regiation, dging, and ou-a-allcouniy travel. Retain oe () cap for Yur recess, Complete amcunt, ont and center felis, Fla! least monthly and not Tater than 30 days afer month ends, Prepare in ink or ype, NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY \\ & pe Payers Work Phone Number 10.758.3877 Reimbursement for approved training expenses must be submitted to OSDT. eee ee = os bln sunt Set iar Tope cides ee a oe lgssian nc 22601 —_— J alah. aaanaicote a Sn aaa Ieptete, oo ge ena or xerih vse weer vec parson stage eipeses nd anancosingrodinneeowce cee Sl That ae (Separate a (Super Tsem 002, i. Boo ‘005; 0006 ‘007, 3008) 008 To: O16 (Ome) \\-\-208 Record the actual time of di 1nd arrival in blocks indicated. “revel (now each ey vstes) “Teanspenaion Subsisionce Oiher Favel Ewonces uteri TreSiate [OucorSi] — Explanaten [Amount S20 Deen $10.70 re S10 iy rovacernouos Samar at accor vane | 38270 Best 310.70 oe S80 ay Pram certs ate Day irom 2 Tae 520 Dest feem, iy fist ay rama Tame Sy ove Ca be ite reas ‘GRAND TOTALS $82.00 (2) Typ susistence: NOTE: Day total for subsistence ns 8 Bresklest to exceed authorized amount or n- | Ue tunes H=Housing [state or outostate travel (Geom) C+ ao of Tevet De Prvate car © Cihar, a, bus, td, parking feos Fo1m CNTR 003 Reinbursement of Tevel and Other Expenses Incured nthe Discharge of Cll Oty Form suture as vised February 2015, ;8 Pathe ETE | BPs NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY NOV 9 4 RECD REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY \WN\ees- INSTRUCTIONS TO CLAIMANT. Submit one orginal ta General Accounting, Attach all ocessary one! receipts and afer supporting documents to tis form, ASL any prior writen approval of excess resistin, lodging, end ourottate/couiry wael. Retain one (1) copy for your records. Complete emeunt, Company, eccount and centr fl, Fs at eas! monthly and not ater than 89 days afer meth ends. Prepare in nk or type, Fae War Pra rr WOT aT Reimbursement for approved traning expenses must bo submitted fo OSDT. eae cee ~ : A ora 7 So 1200 North Blount Street a et isomerate 1098 i — ‘ia sens doesay ety ata Ws es acaaae samwet Te Thre mae rorver= fy al ajar avon nares noaed be sere of he Se. har agate, Ive ha po ape rege! de of ets Zit l0Ad 3 ToR 81S auoust conver 2 ls 08 Doz ‘008, B00 oe 008 ‘9007, 0008) 009 1012 (Ou) HB 20 ie es Oar eS ihr Travel Expenses Explanation “Tranepoaton Subsrence “Travel (how each aly wie) ‘Amount Insite Sa. Testa [Own Sale Cuter Sie rom a Day iy vate Gor wipe 2 erie oa siya Co eo iy vac inne Seu (GRAND TOTALS, MOTE: Day tots! fr cubsstonce not {to exceed authoring amount fori slate or outc-siata rave ky Mage of rave: Ppivete car O= Other, cal bus, tow, parking fous AAI R= Rental car = Housing (00m) Form CNTR 003 Reimbursement of Travel and Otner Expenses Ingutred the gehargo of Om Form stuctur ast vised Febsuery 2012 ton bd Se eR cnenmnuntn Pine Sates Brisa of AgmissrationTravel (show each oly vised Transporation ‘Substonee ‘ind Trl ponsed ‘ron © TnSate [owes] State [wars] Explanation | _Amdunt TOTALS BROUGHT FORWARD 7 Trae ony Piva Care ony Brae Coinage [byes Cores gaa fosyrinse co cet Ba seu libs Garmmaoe Geni fares Cot eens [si Prone Gorumnsps arcu [sy Pa carts @ernain : iz }s\c}-fo]s|=lo(-[e||=/2]-lo|2]=1 coum, Test PcG ae es bova cae weunie gana fo PnseSernoeas ‘geen [Sey Pome Gee Gane ‘GRAND TOTALS eam CNTR 009 Reimbursement of Travel and Other ExpensosIncured inthe Discharge of Ocal Duty Ferm svucture lat roses February 2012 Ne Ceneriment of Puble Safety, ivieon of Adminstration 2ise * NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RECE VE D REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED UCT 2 9 REC'D Sk IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal General Accounting. Attach all necessary origina recep and other supporting document otis orm, Frlusng ay rior willen epprovelo exose registration, lodging, ang outottsavoaunty revel. Retan on (1) copy or your records, Complete amount, Company, account, and conor feds, Flea least month ang not later than 30 days ater month ends. Prepare in nk or type, BOTTI JReimbursement for approved training oxpenses must bo submited o OSDT. Timea aoa state Highway Patrol Executive Protection Detail 1200 North Blount Steet Trooper sh (Gi, SZ) Noma! Waning ono ad Coed ae roe Raleigh, No 27601-1005 ‘Unt poe ont soba sue ws oor ar ey Tram earns PemsnTer ty bs enero ttieepng sootst and sovtcoeneaes nie ac cite Sa the opie. aw gvoner aoe ven Pl acer a pre aya wt eb immed barn er ouce br ese ane perk a ota Sn) = — Seeaute {(Glamant Printed Nares) Io q 5} 3" i 3 2 3 "(Supervisor Feephone #) ne wo. cette 000% 0 ‘0 ‘004 ‘0008; ‘0006, D007, aa Fae aa I ay Seon pup) aw) 3 VE [-20!8 ks indicated, NOV 2013 actual time of der Recor nd arrival in bl ‘ier Travel Expenses Expanation | Amount ‘Subsiatonce separation ree] ona Se; “Travel show each ely sted) in-Sialo [Onatsi| Soa i070. $18.0 irom ‘o 4 = si rie ae eens ea 20 S070 S80 men ‘Bamiiae rE Seo $1070, $18.40 Bema Ke cone = [JASFANP TOTACS 30 311190 ie (9) Mods of BBO 219 of ebsitence Preprnate car 0 CHidr tbl, GeQ.y paren foos ATAK R=Renlscar - eee pester Neti eo 8 bs SPSL Neem” |NOTE: Daly lta for subsisionco nolo exceed sutorzes amount | insta orovt-otstate vet 91007 H3O Hi O.038 Form GNTR 008 Reimbursement of Taval and Othur Expenses incured inthe Discharge of Oeil Duty Form stwelure astTravel (how iron oe ae [any Prva Catone jy reco gE iy re Cori ns Gar iba Se aaa = [Bay Pris cr ao [5 Preis coro pari Cu Hi [Pv aria iy Ca i or [sir are si Go Wa ly Pras Coane aan [san rom os ase [ay rn caring oan GNTR 903 Remburseme rn ey vated) TOTALS BROUGHT FORWARD iy Pal Caran esas Saat smn ama gamete Game ‘aaa ‘ear gama wean genni e ‘GRAND TOTALS, of of Trovat and Other En ‘Sabeitonce ‘ir Tavel Expenses inSeie er11.90 30 Transporation insite [omar ‘amount ‘euros iclollole|zlol-fefs(=lel-[ofed = tole lols }zlol-|o|s }=lol-le zh =lel-l=]s} =\=(-[>| |\c}-lels}}o}>|2]>|olof>|2} »|=]o|>|a}o] elo|>|2|| fol=ta] =| lols label «lols Foun CNTR 008 Reimbursement of Travel and Other Expensos Incured nthe Discharge of Oil Duy nn srctore lat rvieno Febuary 2013 ,REE Ia + NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY nov 0.6 80 REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY a \ \ ee g doer suppatn documents fo tis INSTRUCTIONS TO CLAIMANT. Submit one agial to Genaral Accounting. Allch all necessey oi mSratyany nit eriten approval of excoserepetraton, lodging, and outottate/couiy wave. Retain cre) copy fr your records, Complete amount (Graney secguat ang center fis. Fue atleast mochly and not ater than 80 days afer month ends. Prepare mink ot type, Relmbursement forapproved training expenses must be submitted to OST. ayaa rt Fone Naor H8.733.3071 Raleigh, $1 ear Aa a a —_Z eto tpn Parl) Executive Protoction Ota Tm | | Payoas ees ree) 1200 North Blount Street lrreopor ‘Gi. Sie, 2) Ica cana Hear avo) [Rateigh, No_27601-1008 Artis try eat soba vas sacar Haart ey Trove sarod a aitrener eel er aay iterators IYapscate,ane pre sora reg ve are se ol gerne (liodges eters an sluatces pari esas Ske Nhe fBrrevin omer conren rr ‘oot 9002, ‘003, ‘004; 0008; 0008 0007, 098, 0008) Te. 44 (One) ap ® W72013 Travel hon eh oN vated a Sar Toe gue from to 1 Trebiate | Outot sta 2 All’ in-state | outot-siate) ‘Explanation Amount 7 er cae era ~ § comets | tae — cord ae } i i [aay Prva or amici. F Tet Ba. aa | 7 St — oa an ae it ae = a a | bscmasarine oan F ows t aa 1 | at _ : ae ——— 7 a} St Hae eeeeeaeee ae cae { — eee a a GRAND TOTALS saat Sea70 kn tae ree | ereatamnimce aura sic o 50 hy Beal NU LSaiong [Sas outst toe i | DeOrwe teem) oe OLOOV NGO Ni GSH om CNTR 008 Relmbucsament of Travel and Other Expanses incurs nthe Discharge of Oil Duty 1 Fim sirctre lat revised February 2013 Fre ae ait oun Rasntv. Cision of AdministTabon‘ier Travel Expenses z TOTALS BROUGHT FORWARD $103.70 = = = i amese = 7 pends tae ae | a aa of _ Depart HEE oe mae = t = [Guily vate Gor Pope: conta 1 a Se a : oa : = Ss a panera ra = a — —t cee ras ae ; ; bavroneerass ae} i I i a 3 oy i bas norco aaa : ot Danna cs waa ae a i = “To it Fgee eee ecm [Bey Praia Oar Mionge. canisime ° : oe i Serr oo oo i Le jp | — ae pee aeaa a = t a Berges tenes t ; —_— brane im oe a bomen a ar ot i Desist ee - Seo ete { a sare = barred cree = 7 t [airs aia i | betmescsane oom i it i a at t : a ET t barca Fa om + beens animes "garmin = 7 i ra 2 = i a Deiy Pane Cor aeone Bessie + eee t See pacooascoaman —— paeasaeaa ie i Beet ‘GRAND TOTALS 7 site Imbursement of Tavel end Other Expenses Incurod i the Discharge of Offi! uly Foor srctora et revised February 2019 Iti Denatment of Public Sefety. Division of AdmatsirtionREIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED ij\j 4b @ fl IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO GLAMANT. Submit one orginal fo Genaral Accounting. Aitach al necessary origina receinis and other supporting documents to thie frm, including ay pir wrlten perovel of excess egitaon, lodging, and out-oF-stte/counry travel, Retain ne (1) copy for your records, Complete amount ‘Company, aécour, and center fet. Fie attest monly aré net lator than 30 days afer month ends, Prepare inink oF type Reimbursement for proved training expenses must be submitted to OSDT. ayes Waa Prove aor STs 377 Papa ones wee nis) Danone Sry state highway Patol / Executive Protection Deal! myers nase (te) Ti Ne Er 1200 Nerth Blount Strect rooper igh. 81 (cin, Sot 20) fees vein Har onlay Pa Gea is Rest ota [Ralsiab. uc 27601-1006 lairz013.- 1vara0t3 The sar fiin brar eat ne cely a Tstar esea "laisse lcm ie oby Bucs an wove davon Te By Siedgonsipence on boaresinuradinne xref ‘eat a eta meee ry aera es some eget, Iressa, hove pomp apf oremi alr e of esa (seperaw Bei) one) iSeopran Paes) —— > eos Xo \ EH | B Is 5 RRERERER ES goceccscas Taner tore ne) Tom eno ® W208 record the actual thillor departure al arrival in blocks indicated. stone ‘iar Travel Expenses insite $020 $10.70 S150 ranspacation inst outst oe ee “Travel show each oly vised) Expionaton | Amount Oust sia ‘rom o Day [siya ter naeese ern 320 $070 S10 Bai Peas ar eae a 3020 $i.70. $16.40 [Praia pe [sir Pie Co inge wana wat ‘Ssrt1.90 (GRAND TOTALS Oe cpqvate ct nos, ton alah obs Llc aid, wld Ue Pe Private cet 0» Other, ail ne 8 NOTE: Ooty tot for eubeistence no fo exceed artsized amount fri state or out-of-state taro. (2) Type cf subsistence B= Brakfast pee Form GNTR 003 Reimbursement of Traval ang Other Expenses inured Inthe Discharge of Official Doty Fon suucture last revised February 2013 :Transportation ‘Sunsitance Travel Expense “Travel how each cy vised) insta [Onetsue] 2] inState [Owatswe| Explanation | Amount 1180 Eons Ton $1070 Dey ‘om © Eg] _ TOTALS eRovaHT FORWARD laisse Cortes aay rv Ceiege Tecan iy rial Corina Soma iy rate ar Miwa ‘@ceraiie Bese jy Pris oo gaan iy ale Cries emai ay ive Cae Bee Pre oe aaa be raid ar Ih Pale or gam yal a Mage crm Soe ‘GRAND TOTALS $130.80 on CNTR 003 Reinbursemient of Travel and Other Expenses Incured inthe Discharge of Ofitl DuyCENED NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY RE! REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED rp 9 5 Tet IN THE DISCHARGE OF OFFICIAL DUTY W318 io Generat Accounting. tach all necessary orginal eceps and oir suppeting document oth fom, ‘and outo-state/county travel Ratan oe (1) copy fr your records. Complete amount, Prepare n ek: po. INSTRUCTIONS TO CLAIMANT, Submit one of Inclcing any prior writen approval of excess recitation, lodging, Company, account, ad cert elds. Fp at east monthly and net later than 80 days aftr month en Paes Wa Pare aba TEE |Rotmbursoment for approved training exponses must be submitted to OSDT. Foye a css a) Tiassa Faz : state Highway Patrol Exocutive Protection Detail Payeeeoases(SteH Tile Reenter 200 Worth Biount Strt reper Raloigh, $1 {Gis Sl, Wore isa oma nan Fatboy Ta Bag (OPV) ie 7601-1 Ea praia pay leary iro a hus rd Sore OF CY “ars Sad We eee ul an aay ah a an amaae ‘nai spares ae alate neuad te sie! eB se Montana gener oso oral anor ube peso a Troan Sate) ‘ona ‘eat So 0920 |2-0723 [3 2 (ianert reset) = ‘001 0002. ob ‘004, ‘008, ‘006, 007 ‘nt 2008, Leerssen CG Ta. Dtoun r PSG: ord ti ks indicated, 7 i 7 7 7 7 7 Travel show each ay wstod) Transportation ‘Subsistence ‘Dihar Travel Enpens | ay a 7. in-state [Outs S| inGtate [Sutera] explanation | Amount $7 ‘he 16.0. [iy rns cr eteape Fi corte AEE 3.20 $1070 S100 es S70 38.20 $1070 ar $160 [iPr Gaia gana sty Prene Gales eenen z aT (GRAND TOTALS $103.70 lor: baty tots for subssiance nt mana goRl RWid Lieeientsrene— lomommenessasar Pe Private car = Other, ral bus, tx, parking fees Letuneh = Housing eta or ou-otstate ave, 949: 9 0imee ‘Geom Form CNTR 003 Reimbueserent of Travel and Other ExpenEos Incured inthe Discharge of Oficial Duty Form sinsclae ast revised February 2013 Te Desortment of Public Satety, Division of Adminstration 1“Travel (how ean ely vised) ‘tor ie TOTALS BROUGHT FORWARD [ir tr nog Baty rue Co nseoe gente [iy rat aranane Bes vs Gar ase atom ‘Bari sty it or iy Fae Gora iy Pra Gr Wee Samm cor iy ri ar ae Semi a cei 5 iwi Oa sae Baty tor lege aman [ay ron corre fost Fra Car lege Gaaaie esac ‘Tena iy Fas oom emir ‘GRAND TOTALS Form CNTR 003 Reimbursement of Trav Form stuelur ieet revised February 2013 Nt Denariment of Publ Safety, Division of Administcalion “Transporation ‘Suvaalenee insite [ouratsta| InSite [ours 5 Te | sios70 ESE a SOOT and Other Expenses Inouod inthe Discharge of Oil Duy Explanation Other Travel Bpenees ‘Amount| i - NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED He ___ INTHE DISCHARGE OF OFFICIAL DUTY L431 | Hurmuerions TOcLaMant. Saitonrcopral lo Gene secon. Ach elnoseen cia exit and oe suporrg doounerts tots om, Inoding ary pit welten approval of excess reisvaton lodging, and out satelcounty travel, Retsin one (1) copy fr your recores. Complete ameunt, ‘Company, account, an centr fils, eat asi monthly and not later than 80 days afer month ends, Prepare mn nko yp. ng expenses must be submited te OSDT. | [Papa won Pane aro COATT JReimbursement for approved Tira lay Breiewias State Highway PatrotExecutive Protection Dotal Pte cs 0 North Blount St. Trooper Raleigh St See erase erst Rate nG 27501 cael Ta aa a "ate Tau ha gens ba eee och n rl an ry [3 puseniorPy coun @ ‘0001 002, 0005, ‘os, ‘D008 ‘sone: 2007 ‘a0. 3000 ene ae jure and arrival in bldcks indlcs fg eeord t ‘Gino Travel Exponene Eipianaton ‘Subssienee in State Travel (ehaw each oly vated) Transpartaton ion © Tn-Siawe [ouetsie Durer Sate Day Bai rte rae BL $a 3.20 $10.70 stad Sa 320 Bro S160 ioe Seite (GRAND TOTALS 70 $28.00 {2) Type of subsistence 2 Breakfast 1) node of Trav TP Private cor O= Other ral bus, tem, paring feos A= Ait R= Rental car N= Housing : Nee Eg, oe reno Ni G.938 : om CNTR ot Remanert fave toe xan A Fe Stocseest macs Fobusr 2073 ras‘Diner Travel Expenses Explanation [Amount ‘Subgatonee inSae 302.00 70 "Transporation inSiaty [ovtSie Tiavel (chow each ct vised) Ontat S| irom © "TOTALS BROUGHT FORWARD Gai Penta Coane [bay Prats cores Basal ls Pr Gor ae [oy Frnt Coc eng Tamme ‘eee Beat ie fs Fre Cong | =|2|-l2 [at Pr Cartan Doty rv or Wives Samar [bi ris Gere [ba rie Cv taape Samm Desa ny Pi cares ea Saxe, Prats Ca Pra ne Go age gana bay erie bone aly ri So Me game ay re To aaa ‘Beene (GRAND TOTALS ose Ca nee ‘10120 orn CNTR 005 Feimoursement of Travel ang Other Expenses Incatd inthe Discharge of Oficial Duly Fann ctnuchure iat reased February 2018 é|», NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal lo General Accounting. Attach all necessary orignal receipts and other supporting documento this farm, iauding eny price wien aprovel of excess rpitaton, lodging, and ou-otslalercounty travel. Relan ne 1) copy for your records, Complete mount, ‘Company, a2caunt and center felis. Fe ai least monthly and not ater than 30 days after month ends. Prepare in nk or type Papas Prana arr aSeTT Reimbursement for approved traning expenses must be submitted to OSDT. —— Sor igay Fool Eecuve Petco ea - rrooper IRsoigh, 8+ l200 North Blount 8 (em, 800,20), Nera: ianra rave aay oy [Raleigh,NC 27601-1005 (rer praia crty st ue ad stn vse FeO est a berate yer set ese sane pies, wee, he gle- Ie agen. Tres gn taser vag tee ander asf pons Live no, ‘oo: 002, ‘005, oo 0608) 1006, 9007. 9008. 0008 de. bw Dy : vals cord the actual time of departure and arriva! in blocks indicated, Tarlo enh cy wate) Trareporaion Guneeace | OterTave pane Gay tem a 77 siae ins [oastSau] Enpnaton [Amoi z SET 1 see i 370 = 3 Fea sa i ee read 7 [ 7 rns ag oa a a 7 n a 4 om z aa era fam a 7 este catia cones brates erm qm t ff artis ex be on see t GRAND TOTAS I 7 (aati | (1) Bode of Travel: \ (2) Type ot subsistence: | NORE: Ooty lta for subsistence trate cat O Ober. cl. bus, bi pig fen A Ae fe Brett tte sceed aston amount H=piveng fsa ceouttte te its ‘foamy 20 21 Wd 22 Agi 6182 Form CNTR 003 Relmbursement of Travel and OMher Evpanses incur in The Dschsge of Ofc! Duly Form siuctre las rowsed Febtvary 20981 99y NAO NI O.09M :o ‘ther Travel Expenses Travel Ghow each oly valed) Frantpotaton T Sibeleence 2 | State [ower sa 1 srrt80 3a Explanation | Amount iron © TOTALS BROUGHT FORWARD errno ewes te ly meee Cor mnbe__ + a paeaaeeccat [ese eeee ce eee ae ceee see armmece nae : ay Pane Carinae ra sir fri car tne eine iy Paco Tamme een Taman si Bat san Carte eat bay rn oars See ean geri uy Pate Cerion iy fe Cons jaan genuine gaan “GRAND TOTALS }29.10 Foi CNTR 003 Relmbuesement of Tevel and Other Expenses Incued in he Discharge of Oficial Duly Foam sete lat revised Februsry 2013 :REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURI v IN THE DISCHARGE OF OFFICIAL DUTY IU \WELS- NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Bhat We REL INSTRUCTIONS TO CLAIMANT. Submit ore griginal to General Accounting, Attach all necessary orginal ecspts and oer suppeting documents fo this frm, inoudng ny pir writen approval of excess agitation, lodging, snd cu-ostste/courtr rel. Retain one (1) copy for yout records, Compice amount, Company, account, and center Seid, Fie atleast monty and net later than 30 days ater month ends, Prepare inink o type. [ Forar ica Pea inter STB TRRIETY ~~ JReimbursemont for approved tralning expenses must be submitted to OSOT. aps Ni cs Fl La aiotectan Pesomaine State Highway Patrol / Executive Protoction etal SESE Irooper [Raleigh $1 Isat snows onioh tremor Tove acrnadaabtaceene ngs ager PME pa SRST ‘se prs of et ent sob aoe waacana sore ‘flonase sl alvarcasncaeain tenis Sne Ist ‘Wena, Ive ren al or Tapani IF: accouer ‘01 1008 a0 ‘0 D008 005 ‘07 ‘008 2008) ToL Ove (Ove) ture and arr cord the actual Subelatonee Gir Travel opener TnSiale [owrsiew| Expanaton [Amount Travel how aach oly ved) Transportation bay ‘rom ‘e instar [owersie| [aay Piva Gaon aoa ACEI 2 ie 7 $820 Desa t—[ 10-70. ine ‘o[ $19.40 ara = 3520 $10.70 $18.40 Bese t [pay phe bo ar Ges : TH sy Pr or ene oes S ee (GRAND TOTALS $29.00 ky oeo ot Fave: (2) Type of eubsetonce: |nore: nay totter subsstonce no Pia Private cat Other, all, bus ax, parking fees A Air B= sroaklast fo exceed authorizes amount fri L Linen state or outotstate aval De Dine was, om CNTR 003 Relinbursement of Travel and Other Expenses tncued nthe Dischiarpe of Offa Duty Fom structure lagtovisea February 2083 .Oihar Travel Expenses Travel enon 200% Gly vse) Transportation ‘Subsitenae © Tails [Outer sae in-state [ouatSine] Explanation | Amoun, fom "TOTALS BROUGHT FORWARD 793.00 3a Genome Bat Pariser wean Dot Pais Gas emia gman [oat Pins cormheae on Prva Gorge Saas sty Peso corte: ose =}o|-l=}} si re oni eu z BaD) 5620 Best $10.70 ete $1640 air Ras oma Fascia ne E ea 30.20 i $10.70 isp Fac Baran z [sy Frese co oor, Tr EO (GRAND TOTALS 66.30 (2) Type of sunsstence: Nore: Daily ot! for subsiclence vel sate cat_O = Oe, rl bus tex parking fees As Ar R=Renal cer B= Breaks Cetunen A= Housing = Dinger ‘Roam cade of Trav: femora ag em mye EM LENNORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Zz ve Moe: tyor REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY II Ne MUCTIONS TOCLAIMANT. Subnitoneoghal fo Genwral Account. Ach el necessary ogna reso an othe: sunpoting document ohm. Fae rao wlan approve excoos egistaton, losin, and eutat stout travel. Reln one (1) py fr yourrecarés, Compete amour Haase ar pur ane cere fies, Pe a leasimonily ané not ater than 30 days ater month ends, Prepare in nko ype. Reimbursement fr approved taining expanses most be submitted to OSDT. Fapect Won Prara hbo Bia. saTF Payees res (S108) "ee l2og North Blount Str Irrooper Raleigh, 81 Torna ating ioe Peo Taos oy a eae re) Gis So, 22) [ralelan, NC. 27801-1006 ae pres pfuy ee Pv hes expens and lowers ewresin ke svc afte Sila Tahar Tracy saped Ws scene res an coty Fate pl manor Iapstea, Ine gue rar eel eri Col ar us eps eu {0a16) oe + | ew Eas Tas 3a )3 (Gane Frevesnons) \ BEREEERE RSS SPs ‘001 0002, 008, B00 005, 006, 2007, 60 T0097 Talore Ta Oo (Ove) i) pip ule) hfeslis CHG blocks indicate ‘ihar Travel Expanese ‘Subsistence State $60 E070 $18.40 “Tavel (oow earn oly vised) ‘Ouetste] — Explanation | Amount 3 Ta ‘rom e insite [outst] Day [sy Pow tsese Bassi 9 ci 3a c= $1070, sa [baron rae Sa20 [ornare een (GRAND TOTALS, Fa) 22. NOTE: Daty otto ubsietence nal io exceed authored emouel fr state or out stato ave. (2) Type of subsistence! > Breskfast Celine H= Housing D= Diner (Room). |e) Mose of Trav Pe private car © = Other, a bus, taxi, parking feos ATA R= Rene cor ec OT et Wd 22 AON eted Incite in he Oscharge of Of Duty foum exe 09 fein ronan oO LOUW NSS NT COSY ;KEUEIVE « NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY wove REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED. HNewenve Powe IN THE DISCHARGE OF OFFICIAL DUTY ih Acsouning, Ataoh al necessary orignal receipts and other supporting documents to this frm, ‘and ouoFstale/counry rave. Relan one (1) copy for your records. Complete amount, INSTRUCTIONS TO CLAIMANT. Submit one cxiginal to Generel far month ends. Prepare in ink or iype. including ary pir writen approval of excess registaon, logging, Company, aecount ané conte fds. Flea east monthly and not later than 30 days [Fiyossvik Five umtas— BIBTEEZETT——~]Reimbursement for approved training expanses must oo submited fo OSD. aves af er Loa) rece i state Highway Patrol Payers ose (SeH) Tae Sas i Raleigh, $1 ec nat lou Strst er eis Noa aa Eat gee eS [galigh, NC 27601-1008 — ———e aS ETT ae ee oT open, Inve den spar ora Evel ade peta e900 ————is a. (ele Wee accounr cower ‘001 002 ‘D008. 300 ‘008 0006 [od 00087 Teatboerie Toros osey val in blocks indica Other Wawel Expenses “noon record the actual time of departure and ‘Subaionce Trstate Jouersae] Explanation Transpariaton Day ‘tom a irSieeobnet sa “reve (ehow each ex vated) $070 518.40 [ony Ponta cermeoon Ds race cea » eda TIO 50 $10.70 ro 516.40 ean z sie Sra S00 fai, Prone Cx aeoe gre ‘GRAND TOTALS $74.60 Seam (2) Type of subsistence MOTE: Dei ot! for subelstence nal B= Breakast te exceed authored amount for n- Le Lune H#Howsing_ [state or cut-otstatetavel = Orne (Room) (Cy Mode ot rave: TPepivete car O = Other, aH, bus tax paring (ees A= Ar R= Renal car sem crs ranean oner spe weed ecohde bel fh Form structure lat revieed February 2013 91nov N39 NIG.O3Y“| Eten oe i : ue i, NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY es E : REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 25 rey 7 IN THE DISCHARGE OF OFFICIAL DUTY ul i INSTRUCTIONS TO CLAIMANT. Submit one eigal io General Accounting. Allach ai necessary orginal eceols and oer supporting documents to tiff, including ny pio writen approval of excess registato, lodging, and ou-of-stateleouniy rave. Relsn one (1) copy for your records. Complete amour Company, secount and center fields. eat eatt monly and not ater than 30 days ater month ends. Propre in nk cr type. Faye Won Pha Rar VOTER [Reimbursement for approved taining expenses must be submited to OSDT. Papen ave eae ita) Bianca Perea ne State Highway Patrol / Executive Protection Detail, lnv10326 l200 North Blount Street reaper leigh, St (Gy Site 2) erat nrg ows aor Faia Gorey Rees oa fate "Unt peraeropeay lent) Fe ues hn ace tat Bey EAE Ill Ippo, nave an pepo te oremirtare asy se pec IS) aE LS ee #9 I 1nd arcival in blocks. (Other Travel Expenses Explanatin | _ Amount Canes aT Eo on $4.00 “revel ehow each ely vate) Subsatence "efransportian ale] Outer insiate [Ouotgio irom © Day ‘0 $20.20, [bare co oa [Diz Ps cx ese "3 cans ies sy Pre moos [sty Ents Co one Toma ‘GRAND TOTALS: $20.00 Ino: Daly total or subsistence no {to exces auttorzag amount fn state or ouosat rave (2) Type of subsistence = Breekfast Lunch H= Housing (+) Mode o eave: [P= Pivale cor O= Otver, ral bus, tas, parking fees A= Air R= Renta car i [ern aeeseseCeeeeeeSEeEgt ou ONT O19 Reinbagemen of LE BALAN ALOAH i ne Ocha» of tes Duy Foon stustoe las revied February 203 fer Soe 1Transpatetion ouetcui| Travel enow each aly wed) Tron © TOTALS BROUGHT FORWARD insite Day wenn iy ie Grin [Br Cor ape [serves co ean ere cena a sy Prva Cara Seaitine ny rt Cais Best | =|o}-|afs |=|o}-|=15| oxy eae crn Sarai Scone toa ae Pi Corian Dat Ey Bia er wg Best [Baty reat car nage [sty Peau cor top ef =|>|-[0)2[|s}=/>)-| Foi CNR 003 Relmrsement of Trave and Other ExpensosIneured inthe Discharge of Oil Duty Foun sruciue last revised February 2013 se Ne hanonment of Pie Salty Division of Acinistation 2NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY : Eegeune REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCUI | IN THE DISCHARGE OF OFFICIAL DUTY Ll os. x Porencape 3) S Prokehin. INSTRUCTIONS TO CLAIMANT. Submit one orginal to Generel Accounting. Mtach el necessary eiinalrcelps and other supporting documents this fom, Inolusing any prior writen approval ef excass registration, oop ‘and outatsatelcountry travel. Retain one (1) copy for your racores. Complale amour ‘company, accoun aed cana’ leks, Fle al least menthy and not ater than 30 days alr month ends Prepare in ink o pe. eT [Reimbursement for approved Waning expanses must he submited 9 OSDT. aye ova sa Ly Baines Passat [state Kighway Pat Pays nado (rea) Tie Len are Be |200 Worth Blount Street Trooper Raleigh, $1 ata (2, See 20) Pere tings oy a is rome) (Raisiah. NC 27601-1008 Thais eran inven gue en ely et cna aia ‘asa, ve nr pra nets ve arr te ot pees _ — ENG ase Unc pais ey ery se sn anda Suna ef dieing xr en alovneas roared avin oe Sn. het 73) (Girone Tapio) (a3 aero, oar | coun sea com ea wel TPCT BR et t ‘oar a MEH S008 weft Eira a eat fte eet Date ae eaters t Soar oT seats 007 BI) leo TEL Seder ie be Oat. Sar obs Hatt 8 tue te ~ t Tat Loo oh = 7 8 \ ont Eames cd t pec 10 08 i) 2 18 7 Day ‘ i tsa eae sn cn Dest Bay rts coreg sip ree cases a [ty me Caine (1) nose oF re and arrival in blocks Indicated. rave (enon each aly vied) “Taneporttion e Ouarsiae rom in-state ens ‘GRAND TOTALS PAPA = Obl oat petie tee AC AY Res * a Swhasionee (Oiher Travel Expense Insta [owersare] — explanaton [Amount 2 | Si, EL = 20. ]-|>12 | <]>|-feI Form CNTR 003 Relmbusement of Travel and Other Expenses Incured in the Discharge of Oeil Duty Fim eet ist revced Febuary 2019 :REVEMREVES «NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY vec iy eeeorery REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Ee Yee ve Poked INSTRUCTIONS TO CLAIMANT. Submit one oigial fo General Accounting. Attach all necessary orginal ecelps and other supporting documents fo this frm, Including ay prot wrllon approval of excoes rogistaion, lodging, and ou-etsate/coury travel. Retain one (1) copy for your records. Complete amour, | Spar, scan, enters ea. Fell mony attr an 9 eye af moines, Pete wit ope. yi CB Lest ayes Work Phere umber ‘S19733.3071 |Reimbursement for approved training expenses must be submitted to OSDT. / eet mon — Fanaa 7 a sergeant Iavgnst | ee on ag Ta a seria Ror i {rasa nen eons ere mtn wee ae Ft {apt nee rn re po ong Veal sro pre eyes wtratareersten evan ous ertwe wn ora 5 am. a Cet Foon Sip 8 oor | seuray oe oo a fel 7 EFEM FSEAEN ET T te eietetrtie waft Bette 4 Fawve tps sisters | its Beet = hs sfetetr fate Tay EXEMERLSEAES DIT TET TTA +t Etettte te t a ———— 2/38 EH (Tj euro! oud Record the actual time of departure and arrival in. te wl “Travel (ahow each oly vised) Transporation ‘Subsistence ‘Dinar Travel Expenses ‘Siete [Outer See Insite [owersiare] Explanation [Amount Tz $10.70 518.40 ‘ie ber rnc a 3520 es 310.20 [esi bes Cr iw, rai ow game [sy rvs cara ease ‘GRAND TOTALS $58.20 (odo of rave: (2) Type of subsistence: MOTE: Dat total or subsistence ral Pa Pivatecer = Other, ral, bus, ox park fees AZ AN Ri Ob ty St Broaneet No exeeedautorzed amon rin Ceturen = Housing. [stale r auras aver Dae i F Fag 39 182 Form CNTR 003 Reimburseniant of Tae! and Cner Expenses incured in tne Sh ddeospys Duty Foim stuctue as revised February 2013 TNC Department of Pube Safty, Ds. of Aaminisaton (Room)Exteuhhe. Poke: pte daa OF 2a NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Ke INSTRUCTIONS TO CLAIMANT. Submit ane agra te Goneral Accounting. Aach af necessary orginal ecspis another supporting docu Incudg ary prior wrtten approval of excees eegstaon lodging. and out-of tala!counry travel, Retain ene (1) copy for your recarés. Compe ‘Company, account ad contr filés, Fle atleast moni and not lator than 30 days after month ends. Prepare inn or ype. lpmited to OST. Papa sa Pe ar vi9.735eTF Reimbursement for approved tralning expenses must be apa ane (ra il Cat ‘Diseaaaion ee state Hignway Pate Payee poses (60 IRalolgh, 51 [200 North Blount Steet trooper iy ise 6) rT Fac see [Ralelah, No_27¢04-1008 inp ope est Pisiobva Ws soounvom awow et Pshy TTave narand hearer ons ansenry at's ie aioe on apna fr ove elon en of perce leg, oentce sd sewn pa nance tle Sate eh (opt, er nny at nt be erat yar ec re se pes _— ‘Giana pees) —_ (Bape Sips) waar (Ciaran Pited Nae) 3 ‘ipa Tears) ‘003 ‘002 0008 ‘00. 0006. 006 9007 ‘08 9008. et Ti EC 10 2013 1) Ret tual time of d icated, Other Travel expenses Avert Transporation Slate [Outer sia Travel ehow each ely vised) ir-Siale [OurorSaie) __Explanaton cH S070 $1640 ‘rom 'e Day Daly Pra car ee ‘Sanwa Trae S20 $10.70 18-40, ay Pn cern i le Cs a i EE z joy rats Conese Gama ‘GRAND TOTALS HzO soz | wore: Dat tot! for subsistence nal to exceed authorized emount state or outta wave, (2) Type of subsistence: ky ote of Trav vivate car H= Housing Omer rb oe paige AnArRBLFeutat Form CNTR 003 Reimbureement of Travel and Othe Form stu sl revised February 2018 Ne Depertment of Publ Sarey, Oman of AdminstrationAleeuWPokehor NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED uct. v % PECD IN THE DISCHARGE OF OFFICIAL DUTY 4 L sl os INSTRUCTIONS TO CLAIMANT. Submit one orginal 9 Ganeal Accounting, tach all necessary orginal eoeipte and olor suprering documents to ths frm, Inlaing ey pric wtlen approval of excess registration, lodging, and ou-oFstele/caunty travel Retain one (1) copy for your records. Complete amour. company, acount and cemer fs. Fl at wast monty ard net lator than 38 daye aor month ends. Prepare niko ype. ‘Bia TaTTT Reimbursement for approved training expenses must be submited to OSDT. ‘rinsision stat sgh AE SE STDP —_ Fa aT Popetspaessishea) Tie [200 North Blount Street Irrooper Raleigh, St _| (St 2) reat Waning Hasta) EEE [Raleiah Nc 2740-100 Tho saved uvbsne nuel a5 st ts aeatnae fog ges ad ona {Conan Pite ere) Zt M2 I apa, lave an pr pvr i vel or un ef prenh eo ores sco cones cor Ts Ebi pty ter at Eioelr inte t 008 BALE |— Pe eerie ace REPT ee ieir tr ons Te Eee iriers co us eiseir ter ot “0007 HU. rts siete tery Te y To ee epetiete | i 1008 ; +s 1 Coo "ai Een a6 74 LD Heh raowcons — [SFY oO} yo cH. He Record the actual time ire and arrival in blocks licate¢ ind [terval ew each cy vas) n Ciba mar : 7 oxiaidon| 2] Insta [OwtrSwu] —Belnaion | _ Aman Zz ED “| n Caos 3 ois. : | aera a saa : x toro} 7 ‘an 3. [sa = ae Sa = = atrnae coisas ne a ores Sab ence Seam 7 = — fs Ps geen * ct (GRAND TOTALS Lisp (Mode ot rave @Typecfaubenence (NOTE: Dat ator substance ve Pate cr Ober, lbs, puking oor AA R= Renalca ehtost fo excos auhorens amount ern 0 meh He Hous [ste oreurctaine raver 2 De Gerer__" greom) £59 WT 5 Fam ce sos Rauonon tau ns ober lE gyn ne Balefeyonct oy Foim structure last revi Fetruary 2013 [NC Deparment of Pubie Safety, asin af Adminstration 0.9%,a Ehret Iw NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY ciao REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 114), Bes IN THE DISCHARGE OF OFFICIAL DUTY WV, INSTRUCTIONS TO CLAIMANT, Submit one onginl to inctasing any por witen approval ef excess reistraton, oda ‘company, accounl and centerfold, Fle a east monthly a [Reeds Wan Prmincer wOnT TT Reimbursement for approved training expenses must b _______ tate Highway Patrol Bays aeons (Se a 1200 North Blount Street IMastor Troopor {Gi St, 2) wet Weng omar apace Ean Raleigh, St re 1 ‘nse gee pes Tay ae bw nd wae HOTTA rave waiud 6 irboner eq 3 ey at el TOT nai. epers ana stovarss nate ie seco the St, hee ‘apt, Ire grr aaa oniitay enduron stgencel, ctl wi Ft ears tom any cP owen ate gare eres” a. Teidnan senate (oss ‘Beran Seranvay —_ Caren se (Gieeser ee AAL/2 0 YE TH 0 6 3 center Lun io our. ‘0001 0002 0003 ‘00 ‘008 0006- Door Dou 208 1 7 4 t 7 7 1 7 Ta un On) ‘ier Travel Bpanses Explanatien | _ Amount “Transporaon In-Siate [ourer S| Travel (ehow each ely vstod) Instato [ours] Day ST Ha $8.70 $0.70 $18.40 Es rr Cortana [ssn seca tease 730 3620 i Genie ‘GRAND TOTALS aa $6.8 INOTE: Day toll er subsstonce nl to exceed autores amount ar state or outta rave, (2) Tye of subsistence: Be Brealgast L= Lumen Hovsing 2 Dimer (Room). (1) Mede of Treva: P= Plivate car O Othr, a, bus, tax patking fees AA Re Renal cat Form CNTR 009 Reimbursement of Travel and Other Expensos Incured inthe Discharge of fica! Duty Form structure lel revises February 2013 NC Depart of Pubie Safety Drvsion of Agmineration 1‘Teavel how ech cy valod) fom © TOTALS BROUGHT FORWARD “Trersporalion Substance In-State | Oueroute 80 Other Travel monees Exolanation | ~ Amount In-Siaw [omorsin| au Dest Day Prats eRe [ot rena Beanie rents iy Peas GTM wrasse, ese esa oi Pat Caras Tost [Say rae cure [oy Pvt Certegy sires Garni ost car [bay rs br Wa [Bay Pts Gor ae any Pat ae Bese Day Pirsstarnaeea Psy Pt Aes Tass iy Prima aa [any Pr Sa Gama Geir ‘GRAND TOTALS Form ONTR 009 Reimbursement of Teaval and Other Expenses i Form sirvcure last reveed February 2019 NC Deparment of Pubic Seely, Onision of Administaion Edin In Diecharge of Oficial Duty