Output Explorer

U.S. ENVIRONMENTAL PROTECTION AGENCY
1. NO
T
304565
TRAVEL AUTHORIZATION
XX ORIGINAL
AMENDMENT
CANCELLATION
2. DATE
October 29, 1976
3. NAME
4. SOCIAL SECURITY NO.
Dr. William J. Darby
5. TITLE Member, Environmental Health
5. ORGANIZATION
Advisory Committee
7. OFFICIAL STATION
Science Advisory Board
New York, New York
8. PERIOD OF TRAVEL
STARTING ABOUT
November 21, 1976
(Date)
ENDING ABOUT - November 23, 1976
(Date)
. ITINERARY, PURPOSE AND OTHER DETAILS (If foreign travel is involved, see EPA Travel Manual for special instructions,
FROM: New York, New York to Washington, D.C. and return.
PURPOSE: To attend the meeting of the Environmental Health Advisory Committee
on November 22, 1976
*Actual subsistence authorized in lieu of per diem because of the high lodging
costs within the corporate limits of Washington, DC
Prepared by Shirley Smith, X77720
ANNUAL LEAVE AUTHORIZED FROM .
TO
OTHER ALLOWANCE AND LIMITATION IS AUTHO
seeexxxxxxxxxxxxxxxxxxxxxxxxxxx SPECIFY IF
11. MODE OF TRAVEL
d. O
PRIVATELY-OWNED -
COMMON CARRIER
OF
(Auto, Airplane, etc.)
- CENTS SUBJECT TO D(1) or D(2)
b. g
EXTRA FARE
c. 0
GOVERNMENT-OWNED
(1) _ FOUND TO BE TO THE
(2) O NOT TO EXCEED COST BY COMMON
ADVANTAGE OF THE
CARRIER INCLUDING CONSIDERATION
CONVEYANCE
GOVERNMENT
OF PER DIEM ALLOWANCE
12. TOY ALLOWANCE AUTHORIZED
13. CHANGE OF STATION AL
LOWANCES AUTHORIZED
CAR RENTAL
SHIPMENT OF HOUSEHOLD GOODS d.
RESIDENCE HUNTING
b.y
TAX
AND PERSONAL AFFECTS
C.
EXCESS BAGGAGE.
-LBS (Est) b. 0
TRANSPORTATION OF IMMEDIATE .D
TEMPORARY QUARTERS
OTHER
.. 0
(Specify) Official phone [
FAMILY
REGISTRATION FEES
calls
REAL ESTATE EXPENSES
MISCELLANEOUS EXPENSES
14. COST ESTIMATE AND ACCOUNT CODES
SERVICING ACCOUNTING OFFICE:
99
APPRO
DOCUMENT
PRIATION
OBLIGATION
CONTROL
DOCUMENT
ACCOUNT
OBJECT CLASS AND AMOUNT
NUMBER
NUMBER
NUMBER
NUMBER
CODE
AMOUNT
CODE AMOUNT |CODE AMOUNT
687/80107 DO0101
T304565 | 741011BQ04
2111
126.00 |subsistence
2113
74.00 |air fare
2117
50.00 taxis, other
TOTAL
15. APPLICABLE REG'S: SGTR'S
JTR'S D
TOTAL 250 00, 1904
16. ORIGIN AND AUTHORIZATION
.. RECOMMET
Washington, D.C.
NAME AND TITLE (Typed)
Patricia A. Williams
Administrative Technician
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
Thomas D. But
NAME AND TITLE (Typed)
Thomas D. Bath
EPA Form 2610-1 (Rev. 11-74)
Staff Director. Science Advisory Board
PREVIOUS EDITION MAY BE USED UNTIL SUPPLY IS EXHAUSTED
TRAVELER

Answer the question using only the OCR text from a single document page. Return only the answer, with no explanation. Preserve the answer wording from the OCR text when possible.