SCANNED 174 422 5: servant State Highway Patrol—Batch - 3 Travel for Periods Fiscal Year 13 / 141 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY 4 W3b§ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT, Sub inching any prior wren approval of oe oiginal to Gener Attach all necessary oginl reins and other supp . registration, loging ad cut-oslate/ccunty travel Ratan on () copy for your ods, Complete amount est monty ara net ater than 30 daye ae month ands. Prepare in nk or pe, [Retmbursement for approved training expenses must be submitted to OSDT, Tioatacan oy State Highway Patrol Executive Protection Detail, Peja bas Sree) l200 North Blount Stroet (ety. S820) [Rateigh, NC_27601-1008 Uns pres pe cot Bs bo nts wlan aoa sgn epere n ncied te ene Sie ter yal Raleigh, $1. Gaver oan rom) ZA oboe 36 1)/ & g eno, accoune. 001 002 0005, oe 0005; 0005, 007 6005, 0 Loss rane tet Dn (ox0) Record the actual time of departure and arrival in bi ‘Subsistence = Travel chow each chy vated) fom e Transportation in-state [Omoroie ihr Travel Expenses ‘Explanation | Amount Day onsis| 5 Bay Ps ce ty Pr Cara $60 2 $10.70 Tea Depa [i nie nae Dai re Carve e3r0 Ea Gani ‘GRAND TOTALS 2 Ee $53.80 iy re Gra (2) Type of subsistence: Be Breskiet Lelunch = Housing = Dinner (Room). NOTE: Daty total for eubsstence noi to excoed authorize amos or sate or outo-etat aval (1) Mode of Tevet PePovsecar + Ober. Blfouy oh igalnQbsl Ae Afi] R= Rentaear Form CNTR 009 Reimbursement of Travel and Obie Expenses Incurred Inthe Discharge of Otis Duly Foim sacure las!revisnd February 2013 INC Deparment of Pubic Sefety,Diision of AdminskationNORTH.CAROLINA DEPARTMENT oF PuaLic sarety 21] ] 65S" we REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURREDS fee uchie. OC ! IN THE DISCHARGE OF OFFICIAL DUTY 45 2014 orignal receipts and other subporing document to he fx, Including any prior writen approval of excess registration, lodging, and outotsite/county Wave. Relsin oe (1) copy for your recor0s, Complete aed ‘compeny, aocounl. snd center elds, Fle atleast monly and not later than SO days ar marin ends. Prepare into ype i Reimbursement for approved taining expenses must be submittes to OSDT. Faves ane ae a Cn) isl Paaralne —— State Highway Patrol/ Executive Protection Dela — Payee Kier (Sr) Te Teaon re [200 North Blount Streot reooper Raleigh, St “Gi Be, 2) Ima vega Ho oa Fas Condy etn er} Raleigh, NC_ 27601-1006 Tas anol i eneasaret ees Su ae at i NITES Iagtste, Inve genet ppt reg el aun rl eno. ‘centes ‘oat ‘0 008, 008 0008 008; 007 (00) 0008, Tet Due (Ove) WALLET BVALUEL Lao fevaLUEr ith APR re otk Record the actual arturo and ar Other Travel Expenses Explanation ‘Subastonoe nSiato | Oder Sa 3030 10°70 $180. 3 ransporaton ‘Slate [Owe Sire “Travel (show each oly vised) irom ‘e ‘Amount Day a Cu naa gece 20 $10.70. S840 i ne Oa Rae Sasi lo Frnt Conan ssi $51.30 820 $0.70 Siga0 Desi ‘GRAND TOTALS $57.30 3111.90 (2) Type of substance: InoTE: Daly tot! er subsistence no (foe tet P= Private: ja BB. Udigahliees A= Air R= Rental car B= Breaktest {'o exceed authorized amount for in- Ot bbe % a such ‘H= Housing, state or out-of-state travel, brome "ioe Form CNTR 03 Reimbursement of Travel and Other Expenses incuted inthe Discharge of Oficial Duty Form siructixe lst revised February 2013 [NO Department of Public Safely, Dison of Adminstration 1. 7 ee NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY etal bla) { , REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES wos Dela’ IN THE DISCHARGE OF OFFICIAL DUTY ‘D APR 16 2014 INSTRUCTIONS TO CLATMANT. Submit one original to General Accounng. Atach a necessary orginal reebs and ther supporting documents to this fom. Inciaing any prior writen approval of excess registration, lodging, end ouotslte/county travel. Retain one (1) copy for You rocorde, Complete amount, ‘company, account, and center feds. Fle atleast monthly and not later than 30 days ater month ends, Propare hn nk o pe. [ Paes Won Pow tanker QUIENES] Reimbursement or approved teining expentes must be submited to OSDT. Pape naa Fe Woe LL ‘ranetaion Fearn state Highway Patrol / Executive Protection Detail Ta Tosa ano & Rane |200 North Blount Street [trooper [Raloign, 81 (ety, Sa. Z) owns vrs Paws oar Fa vr ra ro ‘Unde peas pote Icey is ote Fund maa Rarer ey ol ig sprae an souaove readin wen othe Sie se BAG] (ClsnertPrved Nave) AALOET VALUE lorena & fe Eran PR a4 4 Si 404 [23-7 Ta Gove aye fen " 12 of departure and arrival in blocks indicated. ‘Other Travel Exposes Explanation Tar intete [Outer aon ‘ubeatence InSite [owarsia| ‘Amount Day BIR $1640 [iy Pe Coen si ram Cra een i Pris Or ee 2 iH 7 10.70 $1.40 SeiyPrste con L wana (GRAND TOTALS $37.80 $6640 7 a |More: 11) Mode of Trave: (2) Type of eubsistonce: iy total for subsistence na air os oman AG) Ameen | SIE Extoencmeseas See 91000 Nao NIG. Form CNTR 009 Rermbursement of Travet and Other Expenses Incurred inthe Discharge of Offi Duty Foim structure as raised February 2018 NC Deperiment of Pulc Sofely, Division of Adminsration 1(ther Travel parses = Exploration | Arount Subsistence WnStato [Onesie] $56.00 3600 $10.70. $18.40 Transportation Insite [ower Se] Travel Ghow each aly vised) rom © 7_ TOTALS BROUGHT FORWARD 2 sl Dae te Eso ay raat carmags, aie Ce noe 38 ‘i DT sn rn ca Dest [i Prats Cotas ay Pros cortege Dena yr eee f= \o}-|2) 8} =\ol-leletelo lols lola fe ay rm eras ys ar a Pris We Eo Dei rt eine 2 este an Pia Car Nae Bean 8 | =|0]-[>] =} =|o]-le]= xloln lot ay re are 1 rl Cas Mae Ta Fram Ca [by Prensa FF Ioh- l=} = follola sla | Lal abo) Lal Sanaa ‘GRAND TOTALS iy Prva a Nae ly vn Garey Form CNTR 003 Reimbursement of Travel and Other Expenses Incurred inthe Discharge of Oficial Duty Foim stuctue lst revised February 2013 INC Deparment of Publ Safely, Division of Administration 2: MUD APR 21 20%4 NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Fea due Tel)! REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED. fei | IN THE DISCHARGE OF OFFICIAL DUTY Ste 3 ona receipt and other supporing documento this fom, rato, lodging, and out-of atelcountry travel. Retain one (1) copy for your records. Complete amount, ‘monty and not lator than 30 days aor morth ends, Prepare inink or ype, Roimbursomntfor approved training expenses must be submited to OSDT, Fann Fe WBS Toner Fae —_—— Stato Highway Patrol Executive Protection Detall — Fors) “ ese ta ER eb rh Blount Siret hooper ae (erin 2) Pe We ro Se aaa ro [Raleian, NC_27601-1006. NaN eet ir Teac to aaa Haan SET Tian mara ances eee TOE {epa, ve een to enol nent! ‘itgea genes od sewer aes ine een ce Se A 1 emesis a —_ ¥ ‘Rama Sones) a Zxfo¢lt ive no stout ane 0001 ‘02 090s ‘90 008. 9008 ‘ooo 00 0008 t Tae sre Tot Ove (ow e a Ee $26.60 BO east “Travel (show wach ey visted) Transportation in-state [onvorsias ‘Sibesiance Other Travel Expenves Day irom a In-State [OutetSine] Explanation [Amount ny Pita ae 2 2 a is 8.40 $6270 [oar rate Caraneane i Ca mimo [ip ca rae cau ny rts Gar Mirae Sessile (GRAND TOTALS $28.60 (1) Moe of rave: (2) Type of subsistence lwo: Daty tot or sunsitence P= rveie car O= Other, al, bus, tas, pang fees A= AR Renisicor B= Breakfast, Into exceed auhoreed amount Le Lunch Hs Housing for instate or aut-osate wave B= Diener ‘Room, 1 best A iL Form CNTR 003 Reimbureement of Travel and Other Expencos incurred inthe Dizharge of fic Duty Form suture ast revised Febuary 2013 NO Department of Publ Seely Divison of Adminstration 1‘Gina Travel Expenses Expanaion | Amount ‘Subsstonce insta [oust 528.60 "aval (tow each ely ste) tom © TFOTALS BROUGHT FORWARD, Day Besa ira a ge sires cor [air care petra Cr wins ay rac pe ets Pim Cortese De Day rete Carnizos asst Day rts Grae 3} =|o|-le}a}+|o}-\oz]=|o}-lo}ef|-[=[]=[0|-[o|z] [|e] f}o)—|0 i rata Gara osiy rit Cores i rte oat, Pins Co 2 }=|2]-12] 2} |-[e1z] |} Fo Car Nee Pr =lo]-=let=fo|- fe ‘ay rin Garni ay Pra ore es Pra Or iage Sanwa ‘GRAND TOTALS ‘$20.10 Form CNTR 00 Reimbureement of /av0l and Other Expenses Incurred in be Discharge of Ome! Duty Form structuce last ovised Februey 2013 NC Department of Pube Seely, Deion of Aainstration, NORTH CAROLINA. oe, baie abery PTY leS” DPS! "\ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED RECD APR 14 201 IN THE DISCHARGE OF OFFICIAL DUTY \STRUCTIONS TO CLAIMANT. Submit one orginal io General Accounting. Attach all nacesaary orginal receipts and oer supporting documenta to Inctuaing any pir ween approval of excoss rgisvabon, lodging. and cu-oF-stalelcountywavel Retan ene (1} copy for your recorée, Complote amour ‘company, acount. ané erter felis. Flea leas! monthly a not later than 20 days aie month encs, Prepare vk or ype [Ponctior Fevetoosr (IE) —] Reimbursement for approved training expenses must be submit to OSDT. Faeos ae fe Ns = Saas — state Highway Pavol /Exocutve Protection Detal i; Fees ra) Ta tian ea [200 Nerth Blount Street Hooper IRaleigh, 81 (o¥y Sle) Pret hg Tea onto iad oan os Reet vont le 21006 ‘Une gratis cay leo is abe sue Bnd ass Bana eT Theol a reir eqs 2 ey ep 9 OOS toga exons se sewancetninein tre rence oe Sie, Hh “pate thave gen appenltovoght al enero peso ‘cet ob ervey oer suc tet sone eka. wtih, 08 3/ (Eo £92 [4 Hy Lune no. o oot 002, 000 ‘oa 5 9008. 0007 008 ‘008 Tain Exes avout 93. 48. \2|2| 0) 0] ole/o| 2 lees 3D Ln blocks indice ‘Subsistence inSia a0 E070. Sia cord the actual time of de Other Travel penne Explanation | Amount Travel (show each ely vstes) Transporation insiate [Oot Sao Day uate ‘tom ‘o. iy Pret Co Wn fo, Piste Carwin Pay Poe ape Day Fe Con lesz: a Ponca 2 maine ‘GRAND TOTALS (2) Type of subeisience: INOTE: Daily ite for subsistence B= Breakiest Int to excaod authored amano Le Luneh”—-H= Housing. listate or out-o state ave, = Dimer (oom). |) tose of Travet Pe vate car = Gia. BW ob & Br AULD ll car Ferm CNTR 008 Refmbursemen! of Travel and Other Expenses Incuredn the Discharge of Oficial Duty Form svuctue last revised February 2049 NC Department of Pubse Safely. Dison of Acminisrtion 1NORTH CAROLINA DEPARTMENT oF Pustic sarery Uf |/l4SL6~ ‘REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal io General Accounting. Allach al necessary orignal celts and other supporting documents to this frm, incivding any prior writen approval of excess regstraton lodging, and out o-lateleouity travel. Retain oe (1) copy fr your woods, Complate aroun, ‘company, sccourt, and centr fag, File at oas! monthly and not later than 30 days afer month onde. Peper in ik orp, a Reimbursement for approved valaing experts mua be submited O80 ey a STATE HiGhWAY PATROLIexecUTIVE PROTECTION roneoes oh os eo pooner SLoUNT STREET luasteR raooPeR leaveionst en ea rata (rate nc 201 ee TT a SoS eee aera Tato nas papareedie marion eee Samm ee woe SS eS oa (Giga Teen 2 ‘003 0004 0008) 0006, ‘o007, 006) =e trae © : -| Te DilOmm 2 la HAY 15 204 ed thy time of departure. i tod. ‘Subsistence In-State [ower Sa Travel (show each ay vse) tom vo Teansporiaton in-state [onersen| Otter Travel Expenses Explanation ‘noon ay (ay Pres ew Maar som 318-40 Z 2 a aaa $820 Sa Pe Gu a = Sip Gere Beare Geman (GRAND TOTALS pein O=T BUY E- RAbMKICZ $37.30 (2) Type ot subsistones INOTE: Daly total fr substance nt B= Breakiost to exceed aanorznd amount fr La Lund” H= Housing Jets or out of ta ave, B= Dinner (Goon) +) Mode of Travel P= Pivalo.car_O= Other, bus, to £Foim CNTR 003 Reimbursement of Travel and Other Expenses Incurred inthe Discharge of Offi Duy Foim structure lst revised February 2013 [NC Department of Pubie Safety, Dision of Amis rationNORTH CAROLINA DEPARTMENT OF PuaLIc sarery '4 NW3vS REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY 7 INSTRUCTIONS TO CLAIMANT. Submit one orginal o General Accounting. Atach all necessary orig racelpts and other supporting documents to ts for, Inching any prior witen approval of excess egistraton, lodging, and out-of Diener 91L99V N39 NI @.93u Form CNTR 003 Reimbursement of Travel and Other Expenses Inced inthe Digcharge of Offi Duty Ferm structure asl evised February 2013 [NC Doparanont of Pubic Safety, vision of Administration7 BPs? NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY 1418 eS REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY Pata te Dos INSTRUCTIONS TO CLAIMANT. Submit one original to Gareral Accouning. Atach a necassary orignal receipts and other supporting documents to hs fam, Inclusng any prior writen approval of excess registration, lodging, and ou:otstatafeounty travel. Retain ne (1) c9py for you recoes. Compete aut, ‘company, acount, and center feds. Fie atleast marthy and not lator then 30 days afer mani ends. Puapar in nk or ype. Papa Won Pros are EIT] Reimbursement or approved taining expenses must be submited to OSOT. Toye Fr We al Ta Coren reer State Highway Patrol Executive Protection Detail Pores si (a) Ti 1200 North Blount Stroot reper ‘eh, Sts 20). res [Baloiah. No 27601-1006 Hae Tien ont hap ieana adores ia Tes ane Hoigng pom mashes eros saca ee ao ar {tpt har orn per apo ot rei ed ane per ‘Seat eileen an svete ora oer. once > ‘eee set) (SareiFiredany) {Geren Pye) epee Tama) 4 BIF-oG2T¢ O silat E Se ae oe im rival in bl ‘Subeetence eSiate [ours sem $10.70 Sie Travel show aaah aly valied) Transporation nStae [ourarSiae| ‘Other Travel Expenses Explanation | _Anount Day ftom to re cara cm z 310.70 518.40 iy Pree Os Wea 80 $10.70 best ay Pree Crane ay re ara (Benen (GRAND TOTALS 2 2 Has 398.80 ore: paty toa for subsistence na io exceed authorzed aroun fo h- sole or autotstate a (1) Mode of travel of eubsiotonce: ay Pr=Pivao car O- Olver, a, bus, ten, paring oes A= AS AE Aafia Al La fo fh H= Housing = Dinner ‘Ream Form CNTR 009 Rembursamont of Travel ans Other Expenses Insure the Dccharge of Offelal Duty Foo structure las ovsed February 2013 INC Department of Pubic Saat, Division of AdminstrationSubsistence inSiale | Ont Sie $95.50 Other Travel Ewpersos Setaten w "Travel (how oaoh aly vated) irom © TOTALS BROUGHT FORWARD. Transportation Tnsinte [OstorSiae 7 ‘Anount ae SEO oa ar nae: [syne Coron Bena @ceasnie Be [Sa Prva brass Dats iat Gar Mes ia Fever Rae yr or ep Gsiven ar oa iF Ca Mioae a} =|>|-[=| | ={o|-Jo]]xo]-/o)zflollof | [ria crane fonts Pra cor ane ee Dany rt cao fosy Prats carnage Be [ay Piatra any rs tape z Ban Pc arts aaa [oss Pats err Bertin le} le =[e|-Jo)29=|o|-la}s|=/o}-lo}e|falclol-laletclele telat Bea ry Pa ae Tame ly Pi Cena Hse (GRAND TOTALS Form CNTR 003 Reimbureemont of Travel and Other Expenses Incurred in the Discherge of Oficial Duty Form suucture ast evised February 2013 INC Deparment of Pubte Safety, Division of Adminstratlon 2Drs. NORTH CAROLINA DEPARTMENT OF PuBLic sarety IL MleQos~ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one erga! Ganeral Accounting. Atach al necessary eginal receipts and other supporting documents to tis fom, Inclasing any per writen approval of excess registration, lodging, and ou-tstale/caunty aval. Retain one (1) copy fer our records Compote amount, ‘company, account, snd contr fels. File at acl montny and wot later than 30 daye afer mont ends. Prepare nrk or ype Taye Wo Pra Ran (GNI Roimbursemont or approved traning expenses must be submited to OSDT. 7 aa Tenneain Fossmeria ‘—aiiaiiie state Highway Pavol /Exacutive Protection Detail ete) ™ Cessna a [200 North Blount Steet Lrroower Ratoiah, $1 hs 2) ke oy sito Raleinh, NC 27601-1006 Une prt toa ora) ow iv ae aa Tmo Thaw sarad as SAR ea est) PRL SON st eayrg earn an outs haere toi ote i eer ‘cts, ha ran rr mn veal rinse ve Townace) ‘Oae) F-vhg2iy (Gam Pisoa ers S BN oor "0002" ‘003 oe 0005. 0006. 007 0006 Hs ; Taal beta r fy oso) ae, HAY 12 204 I ‘Subsistance In-State [Oster San| $870 Travel ehow each aly vised) Tio a ‘Other aval Expenses ‘Explanaton | Arunt In-State [Outar sia Day Des 10.70. hee $18.40 [Day Prato Caries 5 aa S00 070 1B! B20] Bepat (Pris oa ly Pans Cartage anyon cr ‘aeannie (GRAND TOTALS 7 $74.60 (2) Type of subsistence roakast Te tunch = Housing B= Dinner Reem) (1) Made of Travel P= Private car © = Oth, rad, bus tas, parking fens ah SSS H at OTE: Dany total for subsstnce net lo excaed authorizes amount frin- stale or outostat ave Form CNTR 008 Resnbursement of Travel and Olver Expenses Inca inthe Discharge of Oficial Duy Form structure ast revised February 2013 NC Department of Pua Saety, Division of Administration 1NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY / Nk Mo S0S INSTRUCTIONS TO CLAIMANT. Submit one origins to General Accounting. Atach all necessary orginal ecsots and ther supporting documentos for, Incuing any pir writen approval of wxcess registration, idging, and out-atstatefeaunty rave. Retain one (1) copy for your reoords. Complete smount, company, account, ané cantor fol. Fie atleast monthly and nat later than 20 days alr month ends” Prepare in ink hype Ta TR Rt EY ——]?trnoment ior approved ining spent a be suited i OST Sa a SL | oe Sas asa rremna ess at oo ae Naa TOTS DTS ae a aS TT TST TR Ra RTT eee eta ily = ae ey TST Tintic equ aoreastarvanneanattatar isa oso pet remap cha Stan chritnuatonayone mecrartna cates ph = ey ZAP a coueniy Live no ‘oot ‘002, ‘0003 oor 0008. ‘08 ‘007 ‘0 0008) et Dsa(ove) tual tim loatec ‘Subaiionce inset “eavel (ow each oly vinked) ‘ton . “Transpariaton ‘other Tavel ponroe Explanation in-Sinwe [owas] ‘Guat siie Day ‘amount Bess Bi irs Goto, Siw rien 3 10.70 6.40 Pa [Diy Pte cormicap [oa Ps cor wieooe ES S820 10-70 $1840 i aa a a by rat Cor pe 2 Samii ‘GRAND TOTALS 337.00 ‘$93.00 (2) Type of susisence: |woTe: osiy ott or susetence nl = Breokiast fe-pyceed authorized amount erin ' | is oF out-of-state travel hu Squee ite oF out-of-state vavel 990¥ NBO NI 0.938 Form CNTR 003 Reimbursement of Trav and Ofer Expenses incured ia the Discharge of Offi Duly Frm srucur ist revised February 2013 INC Deparment of Public Stay, Divsion of Administiation (1) Mode of Travel Pe Prvate car Om Oth ral, bus, tax, parking fees A=Alr R= Rentelcar“Travel (chow each ely vied) ‘e i Day er from si Prat Garon [San Pere car tone Fre a ae c Paty ee corn iy Oo Miao sy reaver ase yt a tn ae iy Prva aoe te Gri [sy ranean 1) a Carag Ey Pearse i Fe a Ma ea [bey Frat co iiaae Genie Pats ar Bennie sy Prt can ate Fri Oo aa (ety ea Gang sama Dear ‘a ra or aoe Doty Pet a Rue ‘GRAND TOTALS z 2. 2. = 3 = 6 no {TOTALS BROUGHT FORWARD eS lo |r fof |o]-[o]s|1-f2]z|=}2|-l=]2|=lol-felzl lol fe = |o|-[o] =| =/2}-l=}2l|o|-Lole | +/o|-|o)s)<}ol-feI 54 =lo|-fo]2}2[o|-lole|slel-lofe ‘ther Travel Expenten na ‘AmountNORTH CAROLINA DEPARTMENT OF PUBLIC sarETY / 4, i be Se ee REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED, IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Suomlone orginal 1o Generel Accounting. Atach al necessary orignal races and other supporting documents fo this fom, Including ay pir vnten approval excess registration, fadgina, end out tatelcounty ave. Retain one (1) copy fr your records Complete amount company, acount, ae carter feds. Fl least mony snd not later than 30 daye ater morin ends. Prepare inink o: ype. [ Pane ten caine RENE ——]Roimbureomont tor approved traning expenses must be submited to OSDT. Faye ava Fe Man Cae) Trmaneaan [stato Highway Patrol Executive Protection Det, Payee Aces (SPO) The Tesion Nae Ramer [200 North Btount Streot [Raleigh $1 ing reap a Rant vo (Ge Se 2) igh, NC 27601-1008 Seals let aio ba ae 3 HN aap, apente ar slowsoes heures nt sie tte Sr, Mate vet nt ete eases my atar are ase se pare, ‘asia, nave rn otter og toe anaes fran (Gone Tabphea Ober Taval eens Exptenaton | Amount ‘Subselence beSiale “Transportafon Insets [Outer sate Travel enow each ay vated) Curersi| Day “rom © ‘fe Sago sy ria Coresse ‘as Pome Ca caum 1 3 2 Sly Prana ca sae (GRAND TOTALS ti $5.20 $10.70 $1540 REZ $03.00 1) Mode of Travel PeePrivate cer 0 = Other, rl, bus, tax, poring fees ype of eubsistonco: nc YALA flea Azbie R=Rentolcar eT = Dinner |MOTE: Daily ctl for subsistence not exceed euthorzed amour fn sete 0: cutoF tae travel, ‘oom 9190V N39 NI G.03} Fo1m CNTR 003 Reimbursement of Travel and Other Expenses incu nthe Discharge of Oficial Duty Form structure iat revised February 2013 INC Department of Pubte Safty, Division of Administrationj NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY IY 4) I (08: la Sa REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAMANT. Submit ane oigina! to Genera! Accounting. Ata Imeluding any prior wien approval of excass registration lodging, and oubofiate/oounty wavel. Ratan o ‘company, acount, and centr fel. Fo atleast ment and not ater than 30 daye efer mont ‘Payee's Wek Phone Newer CEE Reimbursement tor approved training expenses must be submitted to OSDT. ‘ayer Rae fon inize Fn ay Seana — INC State Highway Patrol Executive Protection Payee Ars (Set Te Tecan Rane FS [200 North Blount Stroet State Trooper Raleigh, $:1 hs a a ind Coin Fs rams (ono i fay cay ae nts ASS HS ey Tse anno aahanenet eee oe Ti ‘agra pene ae savarcen mar ene Sm ter meme 7 creel a eon aa Zp 0 3/6 -0 52 coum comes q(t Tense) th io (Other Travel Emenses ISiate [omersive| Explanation | Amount saz $10.70 $1840. "rave (chow each aly waited) Transporation Day frm ‘o In-State [outer Sat Pre Gana 7 2 - ct af no = 5 0 A eo -s1070, a 3 si8 0 gaa r cl Be se F bo | sro, in 7 S62 A to a1070- 7 3 si. ede P naa: ‘GRAND TOTALS, $111.80 (1) Mode of Travel: (2) Type of subsistence: lore: Daiy toa for subsistence not P= Privato car O= OMe, ral bus, tax parking fees A=AIr R= Rantlcer {io excaed authorized amount fori. He Housing [state or out-of etal ave (oom) 4h Ho TT WB i Feu ca renourretr te wt oter bpm vette Dc ronetaty "39 HGH ox Form suc last revised Februsty 2018 [NC Deparment of Public Safety, Dison of Adminstration 1tos (Other Travel Expentes, anal ‘Amount ees ‘Sibson: 2_| teste [ouarsinn a 0 Toa Transporation ‘ner Sat Travel (how each ely vstodh trom ‘e TOTALS BROUGHT FORWARD Day ‘aes loi pre ox aoe i rite Ga one ya Ga ae sires care at poate ape iy ra Car a 5 Pte Cor ness aie Cer ae vate Cx ino: [ban reas arniaoe ies is Fran Sar rn cer eae sae aay ivi Cor age yet a Has ae Co ror iy Ft ar Sy roots ane ny Ca ape Same (GRAND TOTALS Form CNTR 003 Reimbursement of Travel ang Other Expenses inured nthe Discharge of Offa Duly Form structure last revised February 2018 Ne Department of Pubic Saat, Ovision of Admini 2NORTH CAROLINA DEPARTMENT oF puBLic sarery /{ | [ 686 yy REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT, Submit one orignal to General Accounting, orga recips end other supporting documents to tis form, Inclacing any peor witten approval of excess registration, lodging, and out-ctsateleouny travel. Relan one (1) copy fr Your records Compt eget ampary, account, and center fais. Fie atleas{ monthy and not later than 30 daye afer month ande. Prepare iti or ype, Taira aro NR —]ronursoment or approved alning oxpernee must sbi to O80, IC Sate igh Parl Execute Proweton Peer nen re a ae 200 North Blount Set state Trooper aan ue Eee ea leawian, wo 27s‘.1000 (Ut oensis pry ex ate wa vw and acre a The aarti rarirver request en co Pall ana ae “epee, Ive pane apt vera ae lr oe! pero (Ginn res Nas) {Supers Patan) ~ 0223 i$ 0001 0002 008 0008 005 2008. o007 ‘008 008 sce, Err Sa fp ane " ; ZAC TH Roy 6 departu rival in Iz ie By 6d the actual Travel Ghaw each ly visto) Transpertaton Subsistence ‘other Travel expanses Day irom e in-state Touctsito] 2 | wstate | ouatsin] explanation | Amount 7 Sez Lf $107 se of sie [bay Paver cor riage i 1 3.20 BIO 70. $1640 om S70, 36 10:70 $1840, Be ne Bean (GRAND TOTALS 2 n a $111.90 (1) Mode of Trav: = Prvata car O = Other ral. bus, tal, parking feos A= Ar R= Rental car (2) Typo of subsistence IwoTe: atly ita for ewistence nol lc exceed authorizes amount or. egksonae sem ewe 9 Wi G.038 He Housig Form CNTR 003 Reimbursement of Travel and Other Expenses incued inthe Discharge of Onishi OW NF Form stuetce at eves Feta 2019 IN Deparment of Pubie Sat, Ousen of Amisoon :‘Subsistence TeStale owat Sa ‘siri90 ‘Transpetation InStae | OxotSiae “Travel (how eech aly vl) ‘ion © TOTALS BROUGHT FORWARO i rat Gartnoe rn a sire com Test ai Pom Os eae [ay Pew cerns [Day Pvt sr aoe [ay rvn Garage ay rs Cx uope 8) ={>]-[2]2]=lol-lola| elo) ~-fofz | Jolla) 2] )-2] Dest ay et x Den Pine corning [Daiy Pre or Baty naa ar ese Femara [asi bts Cartes sain ‘GRAND TOTALS | =|o]~(2] = f=Jol-|=fet Foim CNTR 003 Reimbursement of Travel and Other Excenses incuredn the Discharge of Oficial Duy Form structure ast revised February 2013 NC Department of Puble Safety, Dvsion of Administration Other Travel Epanses| pln “Anount EINORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Tl, / leBloS G REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit oe original to ccounting. Aitach af necessary orginal recep ac other supporting documents te thi orn, including any prior writen approval of excets rogiskaton, lodging, and out slate/county travel. Relan one (1) copy for yor seconds Geepots oan company, accounl, end center flas. Fle aleast monly and nt lator than 30 days ater monih ends, Prepare row or ype [PonetViek Prove Naroer REI] Reirmoursement for approved training expenses must be subimitied to ODT, ‘Diisanokon Pesca [State Highway Patrol / Executive Protection Detail haters (ex) Tie Cosson na Fab 200 North Blount Streot Trooper IRaleigh, $4 (CH. Si, 2p pret ig Hawa ar oy as tent (Baleiah NG 27601-1008 es ‘nas eres pea ty tin la ss wou ae Tharsauoineg i acters pa aa ea soaha. gens ane aawarces nouradin ba ace tbe ise. Tite Wasi, Ive poner erg i art prt outer bea ane arenas te, Pars (Conan gy vos) Stee ZA 04-30) 0 5 of/¢ weno, conan ‘001 02 0008. ‘00a 008, 0008. 0007; 0008) D008) ese Advares i S=GZl4 a bie EHC Record the actual time of departure and arival in blocks indicate, Transportation ‘Subsitonce Other Travel Exponeee In-State [ouror sia insite Explanation $50 $10.70" $16.40 RE peceeeea “Travel (how each oly vated) ‘rom © a Dr ‘act Sat ‘arount ED 20 E1070 $160 Desa ay i ar TT 5 Tay paca ta Wa ‘em ay Peat a nee @erumie ‘GRAND TOTALS 1 6 $74.60 1) Meo of Trave P= Pvele car O= Olver rall bus, ox, porking ees A= Ale (2) Type of subsctonce B= Breakfast Le tuneh = Housing De Diner, (aon) INOTE: Day ica for subsistence not [exceed authored amount for state or outotate Wave! Th Rental car s 2 Faun CNTR O09 Reinureeent of Tne and Oe Expenses nares nie Dwcharse ol @feayONerN'3O NI G.034 Form strytue ast rovsed February 2013 NC Department of Puble Safety, Onvson of Adminstration 1(Otter Travel Expenses Exolanaip | _ Amount Substance inStata | outer sa] $74.60 Transportation Insite [outer Sut] Travel (show each ety vistea) ‘fom 2 STOTALS BROUGHT FORWARD. 2 be [by Pre Corto [si rene Cornea ni rie Ca Wee yore Gu no Bee nore sy Five Co Mea 5 2 5. ay rons Carian Baty Prats So Wee Dea [sais Pavone [ay eves Carnage Bay Penta Gu tao i ‘Berns fony Pia Cari Bass ban Pree boiz iy Prt Gar Mine [py rvs Carn Sawa eam (GRAND TOTALS, Form CNTR 003 Reimbursomient of Travel and Other Expenses Incured inthe Discharge of Offical Oty Form siuctre tet rovieed February 2013 NC Department of Puble Safety Divsion of Administration 2NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY —/L/ /, te REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED. NeSos— ee IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one origina to Generel Accounting. Attach a necessary orginal recolpts and other supporting documents ot fom, ‘cluding any pir wntten approval of excess reqistiaon, ding, and cut slate/counry tavel. Retain one () copy fer your records. Complete amount, company, accourt, and canter fields, Fle atleast manly and not later than 80 days afer month ends. Prepare ik ope [Paes Won Proce nonce ~_AENT—Rotmbursement for approved training exponeee must be submitted to OSDT. Passes are Fra Nae tal Us) ‘ineansecnm Fanaa [State Highway Patrol Executive Protection Detall Payee her (ee Toe Leonon None OTR 1200 North Blount Street {Trooper [Rateigh, $+ (OY, Sa, 2) Resma rans Rare ome) ‘Rea Cormady ne Ruel ro 1906 ‘noe pouboscl py ont in isbe atin 3 sonal HERS RR BY loi sents aa sownes hnsrein beac ste Sa hie / Travel (ahow each oly ved) ‘tom 7 Recor time of. Traneporaton stato Towers iar Travel Expenses ‘Amount TeState | Ours S020 $10.70 Day Explanation tne 318.0, sly Peat age ‘Besa [bss Pisa cota ei a $820 lay reso mece Day Pron bowie ‘ay Pre Corea 2 |=}o}-l=]2}=|o|-fa] | =|o|-la) aan ‘GRAND TOTALS $46.50 (1) Mose of Travet (2) Tyee of eubsistence: P= Private car = Olver, ral, bus. tax, parking fees A= A R= Rontacar |OTE: Daly ttl for substance nat No exceed 416.038 Farm GNTR 00 Reimbursement of Travel and te Exseses nae ne Oschae of Oeah OA, 4139 WI GeO Ferm struct oved Fabry 2072 SLOOY N39 Ne Dope ot Mle Ste), Ono AdissaonTravel chow each iy vised) tom e TOTALS BROUGHT FORWARD "Transportation InSite [Outer a Subsistorce In-State [oot $45.60 Other Travel Expenses planaign | Amount 7 ae Es rv aap Paty Pat Carinae [bay res orn aes fa Fs a wane i=|o}-|e}sf>{>}-|2]z}=/>}-/a [Bay rirem ope Pai Cacia Toes si Prva Carina Pana oss Prt carminos Basra [Sarr wae fos Frere Gx ae pay vance aa aaa Gettin a ri ema Sata Gere (GRAND TOTALS z : F|= Fo} foe} =lo|-lole| <|ol-lo]z|xfo|-lole|/ol-lofi|zxlol-fofefslel-lolelclol-leleelolle orm CNTR 003 Reimursoment of Travel and Other Expenses Incured inthe Decharge of Ofc Daly Ferm siructur as rovieed February 2013 [NC Deparment of Pubic Safety, Division of Adminetration; 14 08tes NORTH CAROLINA DEPARTMENT OF PUBLIC SAFE REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURREI IN THE DISCHARGE OF OFFICIAL DUTY zy £0 due d gly ( INSTRUCTIONS TO CLAIMANT. Submit one orginal to General Accounting. Atach al necessary argnal aceite and other euppotng doouments fo this erm, Inclusng any prior witen approval of excess registration lodging, and out-oFsale/countr travel. Retain one (1) copy for your recov, Compate amount, ‘company, account, and center felts. Fle at aac moniny and not ater than 30 aye ar month ends, Prepare in ink or ype. Payee Won one |Relmbursomont for approved training expenses must be submitted to OSDT, = — oowora our srReer hisren rrooren Acts 200NORIH lusSTER TROD = RALEIGH NG. 27501 £4 . a — rE ee eee Entinanenanetel pees cant that | wil not be rer Letras sours fo hess Same aAPENSE, vekiclo, heey Say f —— ‘ [Sipe Talo g Is in blocks indicated, ‘Subsistence State | Cuter oet| ao $0.70 i840. "Travel (show each ety vistod) ‘kom co (ier Travel Expenses Explanation Day InSiate [Outer siae| ‘Anau Desa [ay Pun Cae 30) 58.20 10.70 6.40 iy instar ca ‘ay Pena caress Sanam 30, or 310.70 te 318.0. ‘ay Pts Ceca Genre i ‘aly Pts Gare cen *g3730 ‘GRAND TOTALS 119.90 (1) Mode of Tevet Prxprvate car © = Other, ra bus, tx, {2) Type of subsistence: B= Breakfast, Letunch Hs Housing = Dime a“ |nOTE: Dat toa for eubsistence no Ito exceed authorized amount ri stats oreut-oatate ave, Whing es A=A R= Rentelcar Form CNTR 003 Reirbursemen of Travel and Other Expenses ncured the Dechage of OCgPLGDW NBO NI @.93H Form scture lst revised Febrvary 2013 Ne Deparment of Pde Salty, Dison of Adrian 1‘iher Travel Expenses Explanation el ‘Subsistence Tr-Stale | Outer Sat $1100, Tez “Transporation instate “Travel (how each ly vsted) ‘hor 0 TOTALS BROUGHT FORWARD ‘out 7 Be : Outs S| a any rv Gar espe [iy Pata Cara Dasa Danes cere aly Ponte Fee Coreg is} |>|-fo|s | =[>|-|.) Besa sy rs [oss ca Desa [as Prva Garten iy Ps Caran 2 |=}2)-l=]=)}o|- lel Gay encase oats Pasco ‘Sexiaie as sate Ga ese as rane Go oy Pte Cowes [bi Prine Gare oer, 5 | =|o]-|2]=]x\0}- lols |=|o)-|o) =} <]o}-\a| Beast Diy aa Ger nae Ix|o|-|o|5 | =|o]~| Gana (GRAND TOTALS © 2 € 3. $720.10 ‘Form CNTR 003 Reimbursement of Travel and Other Expenses incred inthe Discharge of Oficial Dy Form structure last revised February 2013 : INC Daportmert of Pub Safety Dison of Administrationces JONWUses NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY gy eennds ve Des ( REIMBURSEMENT OF TRAVEE AND THER FAPENSES INCURRE ‘ feces IN THE DISCHARG! TETRUCTIONS TOCUWANT Sunt om ogra Gunn Acautty Alda teal gantoes macen rovatng aemere niet Bor mten approve of exces rein, ning, sr ou-ostatelcnurtytavel. Reh one (1) ee er our ecoce, Completa ras npn Decent an oir als Fatt ot an etl tan coe cet mann” Pepe oop Fovare Wai Phare Raber QE] Reimbursement for approved training expenses must be submited to OSDT. Saran a ara Tanti a _—€ state Highway Patol Executive Prtastion Daal Oe = we a0é oh oun Strat Lope seg ca bore hd tarsi arose caren po Sen eran ee Tiassa naam ast ieee, hae gen ps spore semis ora mere tied, cranes et vats lced nb rc fe cay al wna inure om ay ce senor aes re. —_ = Zp 0 429] 4 2 re es Pe ee st os ; = ie : | oe tt zHH ea ta i Tate ws gr feo : eo SEN p AU rteem SEE ate I MAY 2.2 204 Recor’ time of de in bk sancematn _ ‘Subsistence ‘Other Travel Expenses Transporation ‘Travel (show each oly vated) ‘rom © \_Tirstate Towsrsine] 2] insite [owerSato) Exftanaion | Amount Va = B20 prow tarnange Sei i H BP cartoon ‘GRAND TOTALS F.4D: _ $80.50 ee Spautecat O= Other abu, tx pain es AS Rech ALMGUIER caste NCTE ts erase Letuneh HeHeusng fate urate rel $$ 2 LODE Ym “ran 9199¥ N3. ql Fexm cur 09 Reémbsament ot Tove wa te Earl ead ibe Oechane of Onn gy WO NI @.93U Form suture astrovsed February 2013 NO Department of Pubsc Safety, Divison of Administration 4 yREIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY DPS! NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY } Meas INSTRUCTIONS TO CLAIMANT. Submit one righ to Genel Accourtng. tach al necessary orginal eceets and other sunning document ots fam. Including any lr wrllon approval of excess registration lodging, snd eut-of-tale/ooutry travel. Retain or (1) copy for your records. Complete amour, Company, account. and center felds, Fl at lest monly and not later than 30 daye ater month ends. Prepare in nk or type. TRIS Taa ar EERIE —peibursoment for approved traning expanses mus Fone Fis aT | Nn SST PTE PR Faseee naar Sven) 205 Worth Bound St Te Taper "Eis Bae a) RANE TEDT pe I ee Tavera aan rqss acer Pat Eo wren nh, experst and torent eu ne savor the se. AED {Wop Ive pn er rn even rar err us eel ‘cigeemnnonen inne (Gayoso) Teseo vas fname Ral ST BREA SS|s Line no. 001 0002, 0005. Boe D008, 3008; 0007 ‘906. 0008. (0m) ord ‘har Tevet Ewperses “Amc Subeieonce irSiale [oust Tranepetaon TrSiale [outers “Travel ehow each ety vised) trem e Explanation Day [sir orto sy Prt CoN yt Ca Me arrive in Peat eo ‘GRAND TOTALS 7460 lore: naty ttl or subsistence rol Io exceed authorized ameunt fori state or outotstale vave (2) Modo of Travel: {2) Type of sunset: Pa Pita cr 0» Cher oa tx paiatees A Are cK OHH) 7 KB ae ce (Geom) OLOOV N39 Ni C038 eum CNTR 006 Reimburserren! of Travel nd Other Expenses Incurred is he Discharge of Oficial Duy Foon siuctue last evied February 2013 ING Department of Pub: Safety, Divsion of AdminisrationNORTH CAROLINA DEPARTMENT oF PuBLic sarery [U1 |]LZaloS™ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED = IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one original fo General Acceuning. Altach al necessary eignalrecelis and ater supporting documents to is for, Including any prio writen approval of excess registration, lodging, and ou-otstatfcouniy travel. (1) copy fer yourrecads, Complete amount, ‘company, account, and cantar feds, Fle atleast monthly and not later than 20 daye aac monty ends. Prepare innk or ype. ject Wen Porno RARER | Reimbursement or approved taining expenses must be eubratted to OSDT. Fans tlana Erno Fa Lo Draariiecon INC State Highway PatroV Exocutive Protection Paes pac (ee) Te cain Ware Nani [200 North Blount Street State Trooper Fare cotati is aus ta) Iara vera ra Rannoy ant 1008 ati; ‘Soe mere ony ioe abe dors aaa Tas aa eee a RT aE Ctoipny ere onan eect St Ieper ‘aps, ow perp poem one eee coy ono o por en ee Taneerreeracet cs t-05 {3 /t vere 004 ooo 007 tae OE era cooF aaa SE Wek pane I my 29 zo .0rd the actual time of departure Li a Beets i! ad Other Travel Experies Explanation [Amount Transportation ‘state [ower in| ‘Travel chow each ety vied) rom © Insate [our site Ta Fron a Day lr Pr a aa en nie cor wane ‘ea $6.20 $10.70 $1640 poaarae Prva Corie Deiy rie Cortese iy rvs Gora Beatin daly Peo Garane cote | =]o\-}>)e}xfo|-lelel loll] a» 7 z 0. GRAND TOTALS wa ‘ods of raver: Type ofstsiencs; (OTE Cay oa er snstane va 0 Ole bs, ts pang es AA Repeater | Sx Buchiest Roexctedauorzod ancl : Ctinch" Hsing fitecrouatame tore hS 6 Wi 22 aul! HO? | bec Yeoom™ 9190¥ N39 Ni €,934 Foim CNTR 003 Reimbusomont of Travel snd Other Expenses Ince in the Discharge of Official uty Form siructure ast revised February 2013, NC Cepartment ef Pubic Seat, Division of AdieNORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY Iq] ! laBlos~ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orignal to General Accounting. Attach si necessary orginal eceple and other supporting daouments to his frm, ‘including any prior writen approva of excess registration, lodging. and outotstatevcounty wavel. Rein ono (1) copy for you recorcs. Compete amour, ‘company, account, and canter elds, Fhe at east monthly and net lator than 30 daye ater month ends. Prepare In Pk o ype, JReimbureoment for approved tralning expenses must be submitted to OSDT. state Highway Pavol / Executive Protection Dell — reaper Ratigh $1 ees vir ows ORE ‘ied Condos Ron roe (Gry, Se Ze) i Unc pee ps xt is ben aa once Bae ee Thave canine We renautaeT eg aren alta ee ae feng epeeas od etwas tein terial. sete rae van apo Sarg alr pate EXP 0504/4 ~o5f]]4 a ero sac seco cane cont eRe AT mE eH oat AE a etrtrte ta Bate sitar tere Teeter tet “0007 Biss Bs j2 i712 ]4 IT Ita io) one SIS eeriats ae 7 t EH - mre [Zyaranl a a Seo ! z om IH MAY 2.8 2014 the stu i Lia Other Travel Expenses insists [oworsise] explanation | Amount Transporation in-state [outer Sar “Travel (ow each oly vite) ‘tor a Day Sia Boost iy Pita Gr eae Psi reste Cor wins i rece ew bi Pra Berane (GRAND TOTALS, 7 o $85.30 (2) Type of subsistence: |NOTE: Daly ct! for subsistence nol 1) Mode of Travel = Private car © Other cal, bus, tx parking foes A™Ar R= Renlelcar B> Breakfost to exceed autnorized amount or n= Le Lunch” H= Housing [stato or oul of state evel, B= Dlaner (Room). seu uae ore soma epg ee 9100¥ N39 NI G.93YDps— NORTH CAROLINA DEPARTMENT oF PuBLic sareTy /4//(4SU¢S— REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED 7 IN THE DISCHARGE OF OFFICIAL DUTY Kee a le Bete S INSTRUCTIONS TO CLAIMANT. Submit one orginal to General Accouning. Attach a necessary eign] recopts and other supporting documents to this form, {Pelt any prior wrlen approval of excess registration edging, nd out-of stta/county travel. Retain oe (1) copy for your recor, Complte emaun, company, account, nd centr flds. Fest east monthly and not lator then 30 days ator month ends. Prapare mink or ype, Papa Won Poe aa Reimbursement for approved training expenses must be submitted to OSDT. Paves hae Nase tal Ln) Diesen aera) [State Highway Patrol Executive Protection Detail, na Pays faces roe The Tees hans ETS [200 North Blount Strot hooper Raleigh, $1 ‘Gi, Se, Ze) Jone: Wota ra ee: aad vay Regs ton (Rateigh, NC 27601-1006 n1a118 16105814 ‘have oral mitre oes acral a fa ones ‘Uncen wy lee iia tbs an onda ional soar ctiodyra exttsarcalowsoan named beseice st Sie cher ‘opleab, hee Gren eros ores ta! ander Fo air mene ane voces vet wel a9) isa Pras Rae} ‘Ciba Tae sie ZHfO 5 0UE- 5 5 £14. E 001 0002 0095; 008 005 0006. 007, 008 0008 1a. bse Own) Sicileitele BREE SREE Sst pss et rd th ‘Other Travel Expenses Explanation [Amount ‘Substance State | Gatot S| “Transparafon in-state [ourorsiae Travel (Show each cy vised) ‘rom e Day SI] [ay Pra Cor teaoe ‘aay Pale t Berane for ao SSipereat wea i 2 0170 $1840 ry (GRAND TOTALS 5 I=|>)-lo]z]1-l=]zfxfol-lelel =lo|-[al w 32680 IoTE; Dally ttt fr subsistence not fo exceed authorized amount for state or eutot-state travel 1) Mede of Fave: (2) Type of subsistence P= Prvatacar O= Other, ral, bus tax pating foes A= Ar R=Reniaear | B= Breast S 6 We CeepnABLY ICE «towne 9L90¥ N39 NI C38 Form CNTR 003 Reimbursement of Travel and Other Exponses Incuted inthe Cscharge of Oficial uty Fox structure last rovsed February 2013. [NC Department f Punic Safety, Division of Administration 1Lf UWoles NORTH CAROLINA DEPARTMENT OF PUBLIC SAFE REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Submit one orginal to Genoral Account. Ach al ncetsary orginal receipts and other suppertng documents oth frm. Inckssing eny ror written approval of excess cegstration, lodging, end outot-stale/county vel. Reta ona (1) copy fr your records. Complate arount, ‘Company, account, and cantor felis. Fle atleast month ana not Tater than 30 days ater month ends. Prepare neh or ype. [ Paves vcr lM —~~————reimbursemont for approved traning expenses must be submitted fo OSDT. a er Sa —n Stare Highway PxTROUexecuTWe PROTECTION ll ee a eng ORTH BLUNT STREET nasren Tnooren stpateionsh ces eer Son (RALEIGH NC, 27504 e'] Stee eRe aia Tat Seip deen paraar omer Tone ianpnaocasnoutaelijespare fj = Tt, & | eam Boowtse Sora) ‘omy eon acted sours even Te 018 (Ove) blocks i, ‘Other Tavel Expenses ‘Amount ‘eavel (show each aly valod) Transporation Day ‘kom ‘o insist [ootorSae InState [oversee] Explanation om $1070. ‘Ain 518.40, Sa Prats Coaage 7 Daly Pv Caras ira $820 3070, S180 ay Pn coro Sania 5 IP Criage 730 36 $10.70 S140 ‘Sires te eae “ga730 srin.90| eam (GRAND TOTALS, nore: Oat tts for subsistence nat i exceed authorized aroun or m= state or out-ot tte travel (2) Type of subsistence: Be Breakioet Le Lunch = Housing = Binney i 1) Mode of Travek: P= Prvato.car O= Other, ral bus, ted, parang feos A=Alr R= Rentalcar Ferm CHTR009 Rehorsamen of Travel and Otter Expenses ncredn ne Dschaig of Ontatpug DY NZO NI 938 Fem sure list ented Feb 2048 NC Deparment of Pate Sales, Deon o Adrnsation :‘Subsstones "Tavel chow each ay vised) fom a TOTALS BROUGHT FORWARD Transporation inStaie ‘Oiher Travel Expenses Explanation ‘outetsiaw] 2 Poesy inSae [Omer] Br ammount 2 $e20 sty race co ina e eee [ i rv rw 2 iy Pr arava ec Dose ism Pnaistertione [ony ae Car am [ai pes Care osiy Pre cm iy ria cor nage oy re Cor ane ay ram ene siya Cornaeone, eT Pee Oo ASS Semaine Corso oo Bay Pr Corre Baty re Cor esse 2a Pris arian 2a rie Corn ‘Sire Co Meee Sama (GRAND TOTALS $120.10 Form CNTR 603 Reimbursement of Travel and Other Expenses tnaured Inthe Osenarge of Ofclal Duty Farm suc last revised Fabry 2013 Ne Deparinent of Puble Safety, Division of Aaminetration 21GNWEes” NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY gy REIMBURSEMENT OF TRAVE Elena ve Deri ( fea BOP THER ATENSE (SES INCURRE! IN THE DISCHARGE INSTRUCTIONS TO CLAIMANT. Submit one original to | Accout orghalvedeipts and other supporting documents to his fom, ‘clus any por ten approval of excas ropstaton 09h, ars ou ot teary travel. aah ove (1) copy fr You ecorus Conplee seu, ‘company, account, snd center felis. leat east monthly an not lator than 30 days air month ends, Prepare hk or pe, [Foi icn rec fare, AIEEE roimbursement for approved training expenses must be submited to OSDT. Popes oie ea Mae al Ca) Brsevieaor Faso [State Highway Patrol! Executive Protection Detail asees Sine Tae |200 North Blount Streat Irooper (Su, Z0) Porat erg ars away ei ‘Uc pra fr naa bows Tana Hana flea. panes at aliwarzs mae eit Se tthe xy at yi einen ery er sro Pes ee. = WENO. aout 00 ‘02 ‘O00 004, D008 ‘006, 0007 B20 5 008 Tae se Bt roomy [SSE FEL TTave wand eranen ees rt al lard oe "ppt, av an pet pra eva ar peel cons ] ‘ba i a i Recor’ "2 actual tine of departure and arrival in blotkssinaiontedbe enna | "Transporation ‘Subsltence (Other Travel Epes insta [oxen sa| insta [owersate] Exglanation | _Avount a Tava (show each aly vated) ‘tom © Day Prone moe 2 Paves Car ens va ‘Presonus SI 2 roe orm esi, (GRAND TOTALS ‘ Mode o Trav SS Bld HL Lessin Pe Private car © Other, a, bus. tx, parking fans A= = Housing HI O. 5 Uoiner SS 2 Us Foor) ki 9499 orm CAT O13 Reimbusnant ot Tal rd Goer cD He Se Be Decree of OnsaiRYYy oy HID Ni @.03Y Fem stu lst revised Febuary 2013 1 Caparnent Puke Saleh, Ovisen of Adnkistaton ' InoTE: Daiy total for subectence nal to exceed authorized amour or late or owor tateNORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY } | OM REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY ito fom, Sst any ror won approval exceesrepetation lodging, and out-of salecounty travel, Retain one (1) copy or Your records, Complete acu, INSTRUCTIONS TO CLAIMANT. Submit ore oginal to General Accounting. Ata al necessary original receipts and cher supporting docu isccount, and center fel. Fle atleast morthly and not later than 90 days afer month ends. Prepare in inka yp. | company. Ter Raw tenia NNN] Reimbursement or approved training expenses must be submited to OSOT. RTT SEE Sees Se rare een —— aT | aernaten Sren) —200 No Bon ST Taser asinine oe FaegR ST {ear See) Rag NE 27H fase Hose ar say ‘ae pats Sipi Toc ae on passat STG Tae Sand ere NE Pa oan Taplcal nra en pcos roger ae oigen mores ondslarscernomadn tree ta Sa shes KSuveninr Sen) ear - Var Ce —o ff 6 bass ¥Q 4 center coven account 2 fs le [7 a ster + fefotey7 + sister + efter i = efi ir WW = epeletr HI % fsjateir, fi = dy SSH eke ture and arrival in blocks indicated. Giher Travel Epanses ‘evianation | _Anoont cord the actual time ‘Sumasonce nesta [ovat ste 320 31070 Transporation in-Sate [ouret sat| Travel ehow each ety vs) 2 ‘om Day Bese Francona 2 Bese ‘Tyra corm ea ‘GRAND TOTALS Pte Sy Wino e740 InoTE: Daty ttl ter ebsistence no fo exceed auiborized emaunt fork state or outoF eat ave (2) Type of subsistence: de of ra ery Mt er rs, tn poring et NAR Ree » | Bs Gane! cer agra agree SS OUR 22 NSUEE ae ess Deore: (oom OLOO¥ NBO Ni G.038 ia uty Form CNTR 009 Reienbursement of Trav nd Other Expenses incurred n te Discharge of Of 1 Form situ last rovsed February 20%S NE Deparment of Publ Seely, Dviion of AdrsirationNORTH CAROLINA DEPARTMENT oF Pustic sarety /L{ |||ZaloS™ REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED FE IN THE DISCHARGE OF OFFICIAL DUTY riginal to General Accounting. Attach a nececcary origi! recepts and oher supporting documents to Wis frm, {lading any prior wien approvel of exces reqitraton, lodging, and outatetatelecunty travel. Retain one (1) copy for you records. Conplate eriour, ‘company, account, and canter fields. Feat lest menihly and not Tater than 80 days eer month onda, Prepere kos oe, Poses War oe honier QUEENS] Rcibursoment fo approved training expanses must be submited to OST. Faea ara ‘rmencar INC State Highway Petro Executive Protection Poe Asn (teed The [200 North Biount Street tate Trooper ems vn FT re ous pe easy ir bso Fn and Sonate Be Tras iad fs wise ee nxt Pd Ts ana tesa emer asin seo ie Sle. Ther Iaatsde,Thave gre er sro ora taal anaes pean en TGiomartcte ee) {Sipe Mare [U~o5 (3 /¢ eres Tosperr Tener) ve no 0001 ‘oo 0003. ‘008 0005 D006. D007 2006. 3 a nos say Pe x A Mar 28 20m |) actual time of de i bl licat a ‘Otrer Travel Expenses Explanatien [Amount Travel (show each ay vied) ‘Subsistence rom © "ransporition In-State [outst ia lnState [ouror sia =, Brox 58 ay I Pra Grae Weisner ase 3020 $10.70 $18.40 Piven Gertoge Day Pras Garis a Bijpome tw Team 2 © L ‘GRAND TOTALS 7 6 - o ‘480 1) Modo of Travet P= Prvaie car = Olver, al, bus, ta6, paring eet A“ Aly R= Renialar hS 6 We 22 Abi b 91000 N39 NI G,038 Foim NTR 068 Reimbursement of Travel and Other Expenses Incaredin the Discharge of Official Duly Form structure last revised February 2019 NC Deparment of Puble Safely, Division of Adminstrabon 1 2) Type of subsistence: NOTE: Dat totter evbeetence no fo exceed eutorized amount or H= Housing [state or outotstte rave, (Room). tfNORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY IQ1 30S REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED IN THE DISCHARGE OF OFFICIAL DUTY INSTRUCTIONS TO CLAIMANT. Suomi one crigita to General Accounting. Attach al necessary orginal reasols and other supporting documents to thi form, incucing any pir writan approval of excess repistraten, lodging, and ou of-state/country wave. Relain one (1 copy for you records. Compete amour, ‘company, account. and canter elds. Fle atleast monthly and not ater than 30 daye afer month ends. Prepare nik or ype va Fae homer JReimbureomont for approved taining expenses must be submitted to OSDT. saa Fi ica a Drisearten [State Highway Patrol / Executive Protection Detail yore recs (Stee) ia [200 North Blount Street [Trooper (Gi, S22) Iota Fars ay Somer NC_27601-1006 —, ‘Unt pais oe onthe be aan Raa aE Theo anna aaa ee rie anders rein eens ed ahovafosinarttcte vente Sie, shor Weastcste ave gon ar oat orersgt av and panel comet CYP oF 04/4 ‘ont Seer ds Tat apie) 2 7 c 008 3 Siete} t ta amet ft Bette 4 oe Sat fets eitrts ts 8 Smee t 8 ifs Etat oe B35, 80 HIGUSO OE erie : He ae gs. do[ ft oe Ai twee Py ss-y [J 8 oy peereny BES. 50) EHC MAY 2.8 2014 [1) the actual time of d rival sania ‘Substance ‘Ober Travel Expaneee Expiration [Amount Transportation in-state [OurarSte “Travel (show each ey vekod) rom a Day insiate [ours $16.70 $1640 iy Pris 10.70 S160 ae ran Ga ay Ps cor wn Sy $8.20 $10.70. Say Paam ‘GRAND TOTALS Fase $85.30 (2) Type of subsistence |woTE: Daly total or svoteence net to exosed authorized amount forme [state o outot 1 Moe of Trave: P= Private car Othe, bus, tax, parking fees A= Ar Re Reniacar = Housing fam corte va on Ober rein ie ery Form stele asi ovised February 2013 NC Departnert of Pub Safely. Diision of Administration 9400¥ N39 Ni @.03¥NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY /“1//USWO DPs REIMBURSEMENT OF TRAVEL AND OTHER EXPENSES INCURRED i IN THE DISCHARGE OF OFFICIAL DUTY $” | INSTRUCTIONS TO CLAIMANT. SuDmit one ciginal fo General Accounting. iach all macessery orignal recs and other supporting decuments toh oan, Inlading any prior wten approval of excess repstration lodging, and out ot statfcounty travel, Retain on (1) copy for your records, Complete amen, ‘company, account, end center fois. Fie et leasi monthly and nt later than 20 days eer month ends. Prope innko ype, JReimbursement for approved training expenses must be submited to OSDT, ‘ea ptr prey eet aos ors and ara Tarot Py sare epersor me rare noted ne eves the Ste Aber ay at nl aegaues = ve no 0001 ‘002 0005, ‘08 0008, 3006, ‘007, 08 008) Ya. bu0 Ore) ‘Record the actual time of departure and arrival in blocks indicated, Travel (show wach aly vied) ‘om 0 Day Prise Dyan Caries ieravtu mpe ‘pie age eae (GRAND TOTALS 7 @ 2. Mode eet ee pamieniors GeNG EYE uly hildunen weaning [ste onovcrste me spine fount ZOD 07 “rensporiation InSiate [ow oS Ra amas | [Raines iar ma oad Fema ee! state Highway Patrol / Executive Protection Deal | Pamnaeten ee The Teen tenet BT | [poonoah Blount stoat oper Raligh $1 Ch, Sab 2 er aaa a Fao Fos bana, 2702-108 Thavsnanres ns aaioaeet pe et TPS aT ‘opie. Iheve prea spyol tere eve ond ice pes & — om _——_ ome 25 0§/¢- Is SP asIalsishsS BSS SEES Other Travel Expenses Explanation | Anount Subsetonce TnSiale Overs ‘si070 070 sae f= fo}—f0]8| Greatest Le tuner He Housing B= Dinner Room) 1) Mode of Tave: Pm Private car © = Ofer a, bus, tax parking fees A= A ental car SS 8 Wi 22 AbW hoe 9190 N39 Ni G.93¥ Form CNTR 003 Remmbursement of Travel and Other Expensas Incurrec inthe Discharge of Otic! Duly Form strc ies vised Fobruary 2073 INC Departmen of Pub Safely, Onision of Admietation 1