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BUS. OFFICE
FORM NO. 6
See Instructions on reverse side.
SUBMIT IN DUPLICATE
AMENDED 8-66
Retain a copy for your tax records.
TRAVEL EXPENSE VOUCHER
NATIONAL ACADEMY OF SCIENCES NATIONAL ACADEMY OF ENGINEERING
2101 CONSTITUTION AVENUE, WASHINGTON, D. C. 20418
To Dr. William J. Darby
Date
(Name of Claimant)
Division of Nutrition, Vanderbilt Univ. School of Medicine, Station 17, Nashville, Tenn.
(Address)
37203
Purpose of Travel: (Be Specific; include Persons and/or Organizations Visited and Reason for Visit or Meeting Attended)_
To attend Panel on Space Nutrition Meeting at the U. S. Air Force School of Aerospace
Medecine, Brooks Air Force Base, Texas, 23-24 January 1967
Date and Hour of Departure_
Date and Hour of Return_
TRANSPORTATION: (Please furnish all information requested-incomplete vouchers may be returned)
FROM
Please indicate class of service, i.e.,
(City and State)
(City and State)
Via-Name Plane, R.R. Coach, Ist Class, Extra Fare
of Line
AMOUNT
Pullman or Special Accommodations
$
Fare Only
HOTELS
$
Other Expenses
X X X X
MEALS
X X X X
OTHER SUBSISTENCE COSTS (Tips, baggage handling, etc.)
X X X X
Total Subsistence Costs
X X X X
CAB AND CAR FARES
X X X X
TELEPHONE AND TELEGRAPH
XXXX
certify that the above charges, incurred by me, are correct and proper.
Total
$
SIGNED (Claimant).
Less Advance
Balance
$
(CLAIMANT NOT TO WRITE BELOW THIS LINE)
DIVISION:
. COMMITTEE OR OFFICE:
APPROVALS: I certify that the above travel was duly authorized; and I approve the claim for payment:
FOR DIVISION:.
FOR COMMITTEE OR OFFICE:
ACCOUNT/FUND
FOR BUSINESS OFFICE USE ONLY
Type
Number
Sub .
Object Class
Transaction Amount
Check No.
Date
Audited:
Approved:.
vdocuments ucsf.edu/docs/rkbd0228

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