( Days at Per Day)MEALS AND INCIDENTAL EXPENSES
OTHER EXPENSES (Please List)
TOTAL TRAVEL EXPENSES
SUBCONTRACTOR'S INVOICE FOR TRAVEL AND/OR SERVICES
ATTN: ACCOUNTS PAYABLE DEPARTMENT
DATE SERVICES RENDERED RATE
GRAND TOTAL (TRAVEL PLUS TOTAL FEE LESS DEDUCTIONS)
2. EXPLANATION IF FIRST CLASS PLANE USED:
AUTOMOBILE LICENSE NUMBER REGISTRATION STATE OF MILEAGE
Miles per Rand McNally
CERTIFICATION: I certify that the above claim is just and
true in all respects and that no invention or discovery, not
heretofore reported by me, has been made or conceived by
me during or in connection with the rendering of the above
services, unless specifically noted on the reverse side of this
form or on an attachment hereto.
FOR COMPANY USE ONLY
days services are hereby approved.
Cost Center or
P.O. BOX 2009, OAK RIDGE, TENNESSEE 37831-8265
(DEDUCT) PREPAYMENTS/ADVANCES MADE BY CONSOLIDATED NUCLEAR SECURITY, LLC
DATE DEPARTED FROM TIME ARRIVED AT TIME
NOTICE: USE OF FIRST CLASS PLANE SPACE MUST BE EXPLAINED BELOW.
Please check if address has changed since last billing:
DATE SUBCONTRACT NO.
days service and travel invoiced are hereby approved.
1. COMPLETE IF PERSONAL CAR USED
3. IDENTIFICATION OF PREPAYMENTS/ADVANCES MADE BY CNS
(Use the hyphen when entering a negative number.)