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U.S. ENVIRONMENTAL PROTECTION AGENCY
1. NO.
TRAVEL AUTHORIZATION
(Read reverse before compleing form)
T 453053
ORIGINAL
AMENDMENT
CANCELLATION
2. DATE
March 1, 1979
3. NAME
4. SOCIAL SECURITY NO.
Dr. William J. Darby
5. TITLE Member, Environmental Health Advisory
6. ORGANIZATION
Committee
7. OFFICIAL STATION
Science Advisory Board
New York, N. Y.
8. PERIOD OF TRAVEL
STARTING ABOUT
March 20, 1979
March 21, 1979
(Date)
ENDING ABOUT
Date)
9. ITINERARY, PURPOSE AND OTHER DETAILS (If foreign travel is involved, see EPA Travel Manual for special instructions)
FROM: New York, N. Y.
TO: Washington, D. C. and return
PURPOSE: To attend March 21, 1979, meeting of the Environmental Health Advisory
Committee's Study Group on Pesticide Tolerances in Arlington, Va.
D-7, 618,951
Prepared by Rita Haggerty
ANNUAL LEAVE AUTHORIZED FROM
TO .
10. PER DIEM ALLOWANCE $
PLUS AVERAGE COST OF LODGING (Not to exceed maximum set by GSA). SPECIFY IF OTHER
ALLOWANCE AND LIMITATION IS AUTHORIZED IN LIEU OF PER DIEM. NTE $50 p/d
11. MODE OF
d. OPRIVATELY-OWNED.
(Auto, Airplane, etc. )
_ AT A RATE
COMMON CARRIER
OF
CENTS SUBJECT TO D(1) or D(2)
EXTRA FARE
(2) ) NOT TO EXCEED COST BY COMMON
c. D
GOVERNMENT-OWNED
(1) FOUND TO BE TO THE
CONVEYANCE
ADVANTAGE OF THE
CARRIER INCLUDING CONSIDERATION
GOVERNMENT
OF PER DIEM ALLOWANCE
12. TDY ALLOWANCE AUTHORIZED
13. CHANGE OF STATION ALLOWANCES AUTHORIZED
a. Q
CAR RENTAL
SHIPMENT OF HOUSEHOLD GOODS d.
RESIDENCE HUNTING
b.
a. O
c.
BOB
TAXI
AND PERSONAL AFFECTS
EXCESS BAGGAGE
-LBS (Est)
b.
TRANSPORTATION OF IMMEDIATE e.
TEMPORARY QUARTERS
d.
OTHER
(Specify) Official
FAMILY
REGISTRATION FEES Phone Calls c.
REAL ESTATE EXPENSES
f. 0
MISCELLANEOUS EXPENSES
14. COST ESTIMATE AND ACCOUNT CODES
FINANCIAL MGMT OFFICE:
APPRO-
RIATION
DOCUMENT
CONTROL
OBLIGATION
NUMBER
NUMBER
DOCUMENT
ACCOUNT
OBJECT CLASS AND AMOUNT
NUMBER
00 325 453053
NUMBER
CODE
AMOUNT | CODE | AMOUNT| CODE
AMOUNT
689/00107
94101 1BOOT
2111
$100. 00
2113
$ 84 00
2117
$ 50.00
N
TOTAL
TOTAL $234 .00
15. APPLICABLE REG'S: SGTR'S
JTR'S O
16. ORIGIN AND AUTHORIZATION
a. RECOMMENDING OFFICER'S SIGNATURE
NAME AND TITLE (Typed)
Ernst Linde, Executive Secretary
applicable regulations
Authority is granted to travel and incur such expenses as may be necessary for this authorization in accordance with EPA policy and
b. AUTHORIZING OFFICER'S SIGNATURE
NAME AND TITLE (Typed)
Richard M. Dowd, Staff Director
EPA Form 2610-1 (Rev. 8-77)
PREVIOUS EDITION MAY BEWSED UNTIL SUPPLY IS EXHAUSTED
TRAVELER
Source: http
ce/bukan0227

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