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Redacted: Travel Voucher Summary

This document is a travel voucher and associated receipts for expenses incurred during government travel from April 18-20, 2012. It details transportation costs of $135.80, lodging of $160, meals and incidentals of $152.50, parking fees of $38.50, and a car rental of $185.44. The total expenses claimed for reimbursement were $672.24. Attached receipts documented costs for airport parking, a hotel stay, and a car rental.
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© Attribution Non-Commercial (BY-NC)
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0% found this document useful (0 votes)
551 views3 pages

Redacted: Travel Voucher Summary

This document is a travel voucher and associated receipts for expenses incurred during government travel from April 18-20, 2012. It details transportation costs of $135.80, lodging of $160, meals and incidentals of $152.50, parking fees of $38.50, and a car rental of $185.44. The total expenses claimed for reimbursement were $672.24. Attached receipts documented costs for airport parking, a hotel stay, and a car rental.
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1. Voucher:
System Tracking No I Table Segment Local Voucher No Date
REDACTED
Type Travel
TOY
4. Obligation Liquidation

/Travel Purpose
!
1
Operational
Final
Travel Voucher Summary
Voucher Type
Original
Ref Doc No
NA
J
Trip Ended
4/20/2012
Highest Class Of Travel
Coach
Reason for upgrade
NA
Preparer's Name
Greater Than 12 Hrs
YES
r raveler 1
6. Expense Summary
FMIS Upload NO
Standard Travel Expenses
Traveler Paid Transportation $135.80
Lodging Total (From Back) $160.00
Lodging Tax Total (From Back) $0.00
M&IE Total (from back) $152.50
Mileage Total (From Back) $0.00
ATM Fees (From Back) $0.00
Taxi/Limo (From Back)
$0.00 !
Business Galls (From Back) $0.00 [
Personal Calls (From Back)
$0.00 1
Parking (From Back) $38.50 !
I
Car Rental $185.44
Laundry $0.00
Other Expenses

-
Disposition
Advance Repayment $0.00

Taxes Withheld Fed $0.00
Taxes Withheld State $0.00
To Travel Card $0.00
Amount To Traveler $672.24
Disbursement Mode Draft Site
8. Approval
Note: Falsification of an kern in an expen ,and may result in af"oneofnot more than $10.000 Q( imprisonment of not more1han 5 years or bolh(18 U.S.C. 287; l.d 1001).
Traveler Sign Below , Approving Official Sign Below Certifying Official Sign Below
This voucher is certified correct and proper fQ( payment 1
REDACTED
Date:
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Daily Expense Report Summary
Enter expenses in categories provided below. Enter other expenses on Box 6 on front.
4/18/2012 I FL Seminole $80.00 $0.00 $45.75 $0.00 $0.00 $0.00 $0.00 $0.00 $2.50 I NA
4/19/2012 I FL Seminole $80.00 $0.00 $61.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I NA
4/20/2012 i FL Seminole $0.00 $0.00 $45.75 $0.00 $0.00 $0.00 $0.00 $0.00 $36.00 I NA
Total:
160 0 152.5 0 0 0 0 0 38.5
US Dept Of Justice JMD/FS/FASSG 4/23/2012
Obtained via FOIA by Judicial Watch, Inc.
'-----
RECEIPT


Rental Agreement Number: 227105174
Vehicle Number: 57123463
( YOUR INFORt1ATION ]
- ( 5)( l1)
AVIS DISC : US GOVER
PAYMENT METHOD : MASTER XX7733
I YOUR RENTAL -,
Picked up: TPA
Date/Time: APR 18 , 2012@10:52AM
Returned: MCO
Date/Time: APR 20, 2012@05:51AM
Veh Group: Intermediate suv
Veh Charged : Subcompact
Vehicle: JEEP LIBERTY 2WD
Odometer Out : 8581
Odometer In: 8821
Fuel Reading : Full
I YOUR VEHICLE CHARGES
2 DY@ 33 .00 66 .00
YOUR Tit1E AND t1ILEAGE: 66.00
YOUR TAXABLE FEES
10 . 40% FEE
GAS SVC OPT! ON
7. 5% TX FF MIDY
CUST FAC CHARGE 2. 50/DY
ENERGY RECOVERY 0.60/DY
GARS 5.00/DY
STATE SURCH 2.00/DY
TIRE BATTERY 0. 02/DY
8.21
77. 18 .
. 12
5. 00
1. 20
10.00
4.00
.04
RECEIPT
City of Tampa
Parking Division
Space #2310
Expiration Date/Time
12:51 PM
APR 18, 2012
+Add Time#:358180
PLrchase DateiTirte: 11:56am Apr 18, 2012
Total $1.00 Rate: 21fl J.lalC/$t50 per Hl
Total Paid: $1.00 Payrr.ent Type: Cash
Ticket # 00113551
SIN II: 3000(1390426
Setting: City of T atr4Ja 1
Mach Natr:e: KEN200N
Please visit 01r Website
www.tanvagov.net/parklng
RECEIPT
City of Tampa
Parking Division
Space #2310
Expiration Date/Time
12:11 PM
APR 18, 2012
Add Time#:35818o
Purchase Date/Time: 11: 11am Apr 16
2012
Total Due: $1.50 Rate: 2lfl Maxl$150 tn
Total Paid: $1.50 p per m
Ticket # 00013550 ayrnent Type: Cash
SIN If: J000n390428
Setting: City of Tafl'Pa 1
Mach Name: KEN200N
Please visit 01 Website
www.tampagov.net/parking
.JZ. Hartsfield-Jackson C
Atlanta International Airport
VEH LIC RECOUP 0. 78/DY
YOUR SUBTOTAL
1 .56 L
RECEIPT
SOUTHlAND P'RIHTIHG SHIIEV!PO,.T,
TAXABLE SUBTOT
TAX 7. 000%
YOUR NON TAXABLE lTEHS
TOTAL CHARGES
NET CHARGES
YOUR TOTAL DUE :
PAID ON t1ASTER XX7733
**CONCESSION RECOVERY FEE
FF HLS/PNTS EARNED 100
173.31
12.13
185.44
185.44
0. 00
THANK YOU FOR RENTING WITH AVIS
Toll Pass inquiries,
visit
or call HTA at l-866-285-6050
Other enquiries ore-receipt visit
www. avis.
or call 888-849-0278

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