Freedom of Information 2014 - Request Reference Number: FOI 2015/005 Schedule of Records Record No 1 2 Date & Brief Description 12/2/2015 Breakdown o f expenses claimed by each individual civilian driver 12/2/2015 Driver A - assigned to Minister Alan Kelly. Page 1 File Ref 12 /2/2015 Driver A - assigned to Minister of Sate Paudie Coffey. N/A 4 12 /2/2015 Driver B - assigned to Minister of Sate Paudie Coffey. N/A 5 12 /2/2015 Driver A - assigned to Minister Phil Hogan N/A 12 /2/2015 Driver B -assigned to Minister Phil Hogan N/A 12 /2/2015 Driver A - assigned to Minister of Sate Jan O'Sullivan N/A 7 8 Relevant Facts 1 Expenses claimed by each civilian driver 18 Copy o f Subsistence Claim N/A N/A 6 of Findings/Conclu sions (Public Interest Considerations) Grant or Refuse Basis of Refusal: Section of Act Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Part Granted Section 37(1) Person information Record Edited Identify Deletions N/A N/A 12 /2/2015 Driver B - assigned to Minister Alan Kelly. 3 No pages N/A Copy o f Subsistence Claim Copy o f Subsistence Claim Copy o f Subsistence Claim Yes N/A 7 14 Yes N/A 8 Copy o f Subsistence Claim Yes N/A 6 Copy o f Subsistence Claim Yes N/A 10 Copy o f Subsistence Claim Yes N/A 24 Yes Yes N/A Yes / Freedom of Information 2014 Request Reference Number: FOI 2015/005 Schedule o f Records 9 12 /2/2015 Driver B - assigned to Minister of Sate Jan O'Sullivan N/A Page 2 Copy o f Subsistence Claim 13 N/A Yes Part Granted Section 37(1) Person information Freedom of Information Request 2015 -005 Breakdown of Expenses claimed by Minister's Civilian Drivers in 2014 Minister / Minister of State Civilian Driver Travel & Substance Alan Kelly Driver A 3,223.80 Driver B 3,468.68 Driver A 2,238.02 Driver B 1,917.84 Driver A 4,780.15 Driver B 5,029.14 Driver A 4,536.46 Driver B 4,889.82 Paudie Coffey Phil Hogan Jan O'Sullivan J X v fi* ft H fS fe * 'M * C r 4 M o '* SUBSISTENCE CLAIM FORM (for Input into COREESS system) 1. Claimant's details (to bo completed tn block capitals) Name:^ Grade: Group N o :. vm Car Reg: Payroll No: o < \ «u l i j l 3 )P a \? e a g - Business U n it:__________ a * . CC: k£ L q c PO 2. Subsistence details ■ *■'* ' 3JBS31EBI : i~ t .__ £, ' xmt""1 f ^ tSM bba " ~>y S£._ Sr'liUi t>4 6 P **\ ''X sl\ 3 I ■ w IVtj a * la . vCejjA^r, r \- \ t ipurpow -df^m ey S fvA . u j& U NBSoffOMmlgiil •No,dMOhoUr rates mm-M* \ Q 4 /0 ~ ? No. of S hour rates -£>*{ m XdbL-S\r\ Ji «ott-P »-v.V \ 4^ o U 4 j -> . rw , h ftlh (> (W ^\V>H lo th *. $ \% H> w £?£-w \ . 1^-vvt A / W V tja iw j "• uv \ I la in« j-v tiJ l-u iS ' f ic X u r j . 2_ J i i $ (** VH ^ t\ (X a J C- Business Unit: _ _ _ _______ Engine C C :. , <*. 0=teujL _J~-<: ''U-Jt-f . . Novof OWmlghti•No1,df 10 Holjr No. of 6 hour i^rai«S^s rates S I X )3 ’3 t 1 XI03- <0^ 2 - MOV £ 3 n w iU w 5P m '^ 1 + w\u\\h \ c f a ItflW \o It Ik JL^, i,rt %fUJi o Tl4~4&%,iO *-TkfO* -l>cl \ ulM-b fcAWV* O i \ ! bH-b-IH- 2 3 * 11 . Is 1 L 3. Claimant's certification I certify that (i) the allowances claimed are in accordance with regulations, (TiJ the expenses charged have been disbursed sotely in relation to the public service, fm) the details shown here are true and (iv) no daim far same perid has been, or will be made against another Government Department, or elsewhere Date:. 4. Certification by Private Secretary I certify (hat (I) I have examined and checked the abova claim, (ii) the particulars furnished thereon are/coned and in accordance with the relevant regulations and (ill) the expenses incurred were disbursed solely in relation to ffie public service. SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. capitals) N a m Group No: _ _ _ _ _ e : H Payroll No: P S A _______ Grade: h -^ g " Z - fr A v rv Car Reg: Q Q V o V -J g ja x A CL Bustness U nit:_____________ ^ 0 - ^ % Engine CC: * 2 - Q Q 2. Subsistence details * Ltfciwrn pj * k f t I ji W c W \ b ? M . n m 1 Ka. J a s & ; No. of Overnight *Ner..oM0 hour No. of S hour ® 5 S s ^ rates m jk & m m . •fa l VCvSll^tvrvo t o ^ r \ jo V x 2 a ^ > 2 V * £ L l/> 3 * fo^ - w \ S 1 - A rl i i £>*IO Vk>T * 6 4 V 14* 3. Claimant's certification I certify that (i) the allowances claimed are In accordance with regulations, (ti) the expenses charged have been disbursed solely In relation to the public service, (lii) the details shown here are true and (iv) jr s a jn ^gen'd e m has been, or will be made against another Government Department, or elsewhere no claim for same Signature: 1 Dale. AW \-S ^ Ih -:. f c S V S S v / 4. Certification by Private Secretary I certify that (i) I have examined and checked the above claim, (ii) the particulars furnished thereon are coned and in accordance with the relevant regulations and (iit) the expenses incurred were disbursed solely in relation to the public service -s . SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Clalmant s_d£tails (to be completed In block capitals) N a m e :^ .____ Group N o :_________ \ _________ Grade: Car Car Reg: Reg: Payroll No: V aa u A O O SS ZD>fi-v J Slf L ^ Business Engine 2. Subsistence details Nd oT Km* 'No.,of 10 Hour "'Na. of S hour _.J&L rates K lJ U ^ g K iS U fA X u J lU o J t/y K -iX V L ^ v q jL ^ , 3. Claimant's certification I ccrllfy that (1) the allowances claimed are in accordance with regulations, (ii) the expenses charged have been disbursed solely In relation to the public service, (in) the no daim for same perid has been, or will be made against another Government Department, or elsewhere Signature' Date: _ \ Ip here are 1 1<+. 4. Certir I cer$- ■>iin, (ii) the particulars furnished thereon are correct and in accordance with the relevant regulations and (til) the expenses incurred were disbursed Input on COREESS b y Name _ 30jbjtyr C /^ SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (to bo completed In block capitals) Name: ___ Grade; Group No Business Unit: Car Reg: O CL % 2- O Engine CC: Q O 2. Subsistence details E i 'D t t T " ' s ia a B B n iK *5« ' , f' - . it ' “No. o f K m , ■■ % b \^ U \\K \ \ $ b M - ' No, o IQJiour rato & b 7 ID V C b -a ^ M ° l? fA I T h A U \o \-V n \P m No, of S hour rates [& J il£ c * r \ r i jj 1 \ 1 I U jS ^ v ' / y \ d .. C s / > > / / # / ^ ^ # * . $ * * j r , - ^ ! V * ; / i V - /C L ' ^ j53* 4- , £ ’ V - / * ' / w / / / I certify that (I) the allowances claimed are in accordance with regulations, (it) the expenses charged have been disbursed solely ! in relallon to the public service, (iii) the details shown here are true and (iv) no daim for same psrid has been, or will be made against another Government Department, or elsewhere Date Signature: . 4. Certification by Private Secretary I certify that (i) I have examined and checked the above daim, (ii) the particulars furnished then solely in relation to the public service. Signature:: _ _ 5 = l^ h £ £ / ^ o -T flL M _ S ' 0 /M ) \P lA \ 0 ^ “s sA m i 1 ,'•itfjifevii& fA j f i t n i K 3 - yCti tlxo'xu T S ifi& rtJ Va. s \lr ^ * C c u K * *- \ J L ___________ 1 \■ Z J— ----— ™ - j f _ *■- J —1 1 _ _ J L -_. „__ !; 1 J-_- ] _ _ n i ■ ' i ______________ I I------------ i ------- J 1 1 i ] _A , 1 r » ! y? yU i^trvfV i u $ t/ ■ : W Pm 2>1\ X L ! $ i . S ^ lo T -'b ') 1 X 13 ?f - 5 1 a «+i> 3. Claim ant's certification I certHy Uial (i) tfto allowance* darned aie tn accwdoncq with teaublions, (il the cxpenies charged hava bwn d.jburtcd sotaly tn rolalton to the public sctvkz. (0) the dainHs shewn here are tfua and (tv) no dam (cr sarrm pcrid has been, or will be made against nnotltor Government Oepsrtroefll. or oteowtara Signature’ Data. 4. CerlHlcatJon by Private Secretary I certify Itint (0 I have examined and chsdtod the obovn claim. (It) the particulars hvnished thereon arc concd and in accordancn wHh the reJaninl mgulations and (ii) the orponees loomed worn ifnburacd solely in rateUonia the public service Inputon COREESSbyNtuna:_ Dote Signature PnvBln Secretary to Mlnolor I/& IW M t _OalB VV u‘ SUBSISTENCE CLAIM FORM (for Input into COREESS system) 1. Claimant's d«tolls( ahcnmpmni In blockcaptMi) j N»mn;__ Group H o:,_________ Payroll No: Orm**: if^A O C arR & fl: u ^ T Q K u fi, CD ^ C . ^ r p f i t J- * - , ( - e i u ' . M U in] V C a A ^ '-tn u \ V No. of Overnight rJo. ofMOhSur rates ra t« m m m 1 1 No. of B hour 1 rates "1 iV i t ft t s f t A * It* J X J X fin . \ " 3 i^ U r ? M 3 * , _ r ____ 1 ' . 13 8 U -S T L . Claimant's certification certify lhal (i) the allowances claimed are in occoidance with regulations, {ii) (he expenses charged have betmdjsburaod solely iff relation io the publicservice (m) Ihe details shown hoia arc Irue and (ivj o clam tor same perid has been, or will be made against another Government Department, or oisowhwe ignalure Date’ _ ■ r -io -tn l- CartllkaUo' by Private Secretary rsrtify tha* mo examined and chcckod the above claim, (n the particulars fumishod thereon are >lely ir ‘le public service S I S - 12, ;t and in accordance with the relevant regulations and (in) the expenses incurred went disbursed 4 , Input on COREESS by' Nome ______________________ __ Dato _ _________ _______ _ Date * ia Q L t DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT S S S S B S g g l a g ______________Travel 8 Subsistence Claim Fonn__________ 1. NAME (Block Capitals) < HEADQUARTERS PERS. ID. No. 089664Y Nenagh Co. Tipperary COST CENTRE 010200 Civilian Driver CAR CC (if applicable) HOME ADDRESS GRADE 2. SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) __________________ TRAVELLING EXPENSES _€________________ SUBSISTENCE ALLOWANCE € MISCELLANEOUS (taxi, fee, elc.) Please attach receipts _€________________ LESS IMPREST RECEIVED (if any) _€_ BALANCE DUE € 3. CLAIMANT’S CERTIFICATION 1. I certifythat; (i) the subsistence and other allowances claimed are In strict accordance with theTefevant regulations* (II) the expenses charged have been actually and necessarily disbursed solely in relation lo the public service / (iii) the particulars furnished herein are In ail respects true / (iv) no claim In respect of the same period has been or will be rpade agafnst^another Government Department or elsewhere <$b, 2. If higher class of subsistence is being claimed, please give reason:- '■’// , f o / 3 If the journey was EU-related and if a refund is due to the Department, piease tick the appropriate boxes ~ / / , EU-RELATED Y E S q _____ REFUND DUE Y E S Q NO Q SIGNATURE E\ 4. SUPERIOR O FFICER'S CERTIFICATION I certify that: (i) I have examined and checked the above claim (ii) the particulars furnished thereon are correct and in strict accordance witfi the relevant regulations* (iii) the expenses incurred were wholly andnecessariiy incurred by the officer in the actual discharge of his/her SIGNATURE R J B t ___h C U ^ j f c W l X / GRADE _________________________________ > ( ACCOUNTS SECTION USE ffl» °l / 1M - _____________/ _____________________________ Name Examined: > v DATE . 1U ' " V ~'lf f Date f 2 3 4 5 6 JOURNEY Car/Train /Bus No o f Kilom etres & Rates COST SUB SISTENCE ---------- — 1 DATE To From € e c 8 7 c PURPOSE O F JO URNEY Tim e Arr. Tim e Dap. (State o ther officers present} Sun -------------- - -------- -------- — i . -------- - M on (^ k fW c J ? j^ e n a g U h ic n c v q L - ---- -------- ------- - — > -V -+ U la — . Tues !V b 2 0 j4 l° T - b ° \, * ...... . W ed — ____ 1 o 7 ■ T h u rs +■ _ L / i / 2 o M 3 F rl \ & _ i3 J C o 3 ' f c L 0 / .0 O . c D ( 2 s i^ e w c J ? ^ 1 - V L q a ( Z c H 2 0 M 3 Sat 3 b \ , A - b o R - < X ' O k ------------Q (2 /J fc /2 0 ii£ ------------------- T 3 PO ST PHONE K I L U M b TOTALS € € TRAVEL T O TAL a & j a ^ v t J ) — 3 - W ° , SUB SISTENCE MISC GRAND TO TA L I K f c S € y * The Regulations must be strictly observed, note in particular Circular 11/82. Any neglect in this regard will cause correspondence and Inconvenience and will delay the processing of the dalm. Where as part of an official journey an officer Is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The following should be observed In relation to Ihe above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward journey should be shown under it's proper dale. Column 3 In all cases stale mode of conveyance and, where appropriate, dassof rail and/or cc of private car. Column 3 & 4 • Where it is practicable Io do so, the cheapest and shortest period tickets should be availed of. Oislance in kilometres from Headquarters to Ihe town nearest destination should be given only where private or hired vehicle Is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out In paragraph 9{l) of Circular 11/B2. Column 6 If foreign currency is being quoted on daim form, Ihe rale of exchange at the time of travel should be quoted. Column B Please state whether any other officer attended at Ihe same location on Ihe same datefs) and whether transport was shared. ' LESS IMPREST NET AMOUNT DUE € ------------ 2 . W ip © DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Contt!Jhotrt, Po&ol ogui Rtaira! AlltoM Envjipnmoil. Coromurtty ami local Govamrerl Travel & Subsistence Glaim Form NAME (Block Capilals) iy PERS. .D. No. 089664Y HEADQUARTERS Nenagh Co. Tipperary CO ST CENTRE 0102Q 0 Civilian Driver CAR CC (if applicable) HOME ADORESS GRADE SUMMARY OF CLAIM FOR WEEK ENDING (To be completed by Claimant) tSTi TRAVELLING EXPENSES € SUBSISTENCE ALLOWANCE € MISCELLANEOUS (taxi, fee, etc.) Please attach receipts € . '? > < + * • € LE S S IMPREST RECEIVED (if any) € BALANCE DUE € l h U k > U ---------------------------_________/ < ✓ 3 CLAIMANT'S CERTIFICATION ^ 1. i certify that: (i) the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (ID the expenses charged have been actually and necessarily disbursed solely in relation to the public service (HI) the particulars furnished herein are in ail respects true Date <*~r 2 1 3 JOURNEY DATE To From Sun ^ 3-/20^ k OupHi Mon ^/JL/ 2G^4 ( < T ubs 5_/_l/20Uf I r u Wed [Q_/f _/20L ^ f \J Thurs \ U S W !^ 0.uk&TK. lOe-/^cy(/\ Frl lr\ 'tfp ] M ' 20CH V Sat ., CLAk* (u PHONE POST TOTAL KILOMETRES TOTALS € € ■ V- , ,... 4 5 6 No of COST SUBSISTENCE Car/Train Kilometres Dep. /Bus & Rates € c € c Time 7 8 PURPOSE OF JOURNEY (State other officers present) Time Arr. o j a , _ £ ,u (\ m .o *.67 L/ 93-e e 33 b \ (> X y j-< b \ © j-OD ft-JO idr- 6«i 06-i9p % [r\ VtCO ^ r*cbc±- 9-jcJ<_ , 33' b I 33- I * <5° -O0 c'j-OO oto ee MISC ^ TRAVEL SUBSISTENCE € €3%1■ l£ * The Regulations must be strictly observed, note In particular Circular 11/82. Any neglect In this regard will cause correspondence and inconvenience and will delay the processing of the daim, Where as part of an official journey an officer Is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The following should be observed in relation to the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return (oumey not made on the same day as an outward journey should be shown under It’s proper date. Column 3 In all cases stale mode of conveyance and, where appropriate, dass of raU and/or cc of private car. Column 3 & 4 Where it is practicable to do so, the cheapest and shortest period tickets should be availed of. Distance In kilometres from Headquarters to the town nearest destination should be given only where private or hired vehlde is used and local distance travelled should be Indicated separately. In this regard each officer who necessarily uses his/her own transport on offidal business should sign the form of undertaking set out in paragraph 9(0 of Circular 11/82. Columns If foreign currency is being quoted on daim form, the rale of exchange at the time of travel should be quoted. Column 8 < Please stale whether any other officer attended at the same location on the same date{s} and whether transport was shared. V - 9ej>tr - \JaM#u/) (hl&i 33-fc l GRAND TOTAL £ S n h-3 LESS IMPREST € NET AMOUNT DUE , ) ./ 3 S 3 -« *3 DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Travel & Subsistence Claim Form ComhUiooL Pobcl agin Riottoj Alllutl Envlrflfrninl. Communily end local Govwiwnail 1. NAME {Block Capita(s) PERS. i.D. No. 089664Y Nenagh Co. Tipperary CO ST CENTRE 010200 Civilian Driver CAR C C (if applicable) HEADQUARTERS HOME ADDRESS GRADE 2. 3. SUMMARY OF CLAIM FOR WEEK ENDING (To be completed by Claimant) TRAVELLING EXPENSES € SUBSISTENCE ALLOWANCE € MISCELLANEOUS (taxi, fee, etc.) Please attach receipts € TOTAL € LESS IMPREST RECEIVED (if any) € BALANCE DUE € 6^3 7 - fe U* 3 ^ - 6 I f CLAIMANT'S CERTIFICATION 1. I certify that: (0 the subsistence and other allowances claimed are In strict accordance with the relevant regulations* (ii) the expenses charged have been actually and necessarily disbursed soleiy in relation to the public service (III) the particulars furnished herein are In ail respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere a \ . 2. tf higher class of subsistence is being claimed, please give reason:v y / A J / 3. If the journey was EU-relaied and if a refund Is due to the Department, please tick (he appropriate boxes < S f w Ky EU-RELATED YES V S V ? * , g FUND DUE YES SIGNATURE n / NO n 0,1 te SUPERIOR OFFICER’S CERTIFICATION I certify that: /Oz (i) I have examined and checked the above claim (i<) the particulars furnished thereon are correct and In strict accordance with the relevant regulations* ere wholly wr a cessarily incurred by the officer in the actual discharge of his/her (HI) the expenses incurred were official duties / SIGNATURE DATE GRADE < 7 . Name Examined: Total due € ^ ' CV0 Checked: Date C lV ^ i Aryj^V^ ^*— •z.z.j iq jiH a a -V e > l { 3 2 JOURNEY 1 DATE Tq From Sun £2/^20/^ Car/Train /Bus 5 COST 4 No of Kilometres & Rates € 6 SUBSISTENCE € c Time Air. Time Dep. c 8 PURPOSE OF JOURNEY {Stale other officers present) ' ^ ■— — Mon [2 jlQ l2 ((!£ -- T --— t r T ubs (o l-tl \ Wed f ijf ip A X \ Thurs ^L/j©2oLif (V 3 v 33 3 S -^ 1 b Sat ru>) the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (II) the expenses charged have been actually and necessarily disbursed solely In relation to the public service (iii) the particulars furnished herein are in all respects true (iv) no claim In respect of the same period has been or wiH be made against another Government Department or elsewhere 2. If higher class of subsistence is being claimed, please give reason:- V$ v? > 3. If the Journey was EU-related and if a refund is due to the Department, please tick the appropriate boxes / ”• / EU-RELATED YES n NO f ^ ^ a rF i iMn DUE YES □ NO Q SIGNATURE 4. jiM / O SUPERIOR OFFICER'S CERTIFICATION I certify (hat: (I) I have examined and checked the above claim (>0 the particulars furnished thereon are correct and In strict accordance with the relevant regulations* (iii) the expenses incurred were wholly pnd necessarily Incurred by the officer In the actuai discharge of his/her official duties SIGNATURE i i - ia GRADE Name Examined: {Tl* F i Pate 'Z T . j i q ^ / 4 - 1 DATE 2 3 JOURNEY Car/Train /Bus To From 4 No of & Rates 5 6 COST SUBSISTENCE € c € 7 c 8 PURPOSE OF JOURNEY Time Arr. Time Dep. (State other officers present) Sun ^ J /0 /2 0 ^ ' -Pl4>lis\ /■ /o /y J & sP-3o 1- Mon flltn * y bjJOf2QIjf Tues — Wed H * f* l D JhLiA —* IV ? / . y ^ 0 0 *2 0 / 0)s-o° h - & jfflt 'M&t&su,t / M th z # Thurs H o *z - W Fri 33 y Oj vO Qji-cO V Sat _ /_ _ /2 Q __ POST PHONE TOTAL TRAVEL SUBSISTENCE MISC GRAND TOTAL lULUNIt 1Kta TOTALS € £ € € * The Regulations must be strictly observed, nolo In particular Circular 11/82. Any neglect in this regard will cause correspondence and Inconvenience and Mill delay the processing of the daim. Where as part of an official journey an officer Is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The following should be observed In relation to the above numbered columns: Column 7 Tima of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward Journey should be shown under ll’s proper date. Column 3 In all cases state mode of conveyance and, where appropriate, class of raH and/or cc of private car. Column 3 & 4 Where It is practicable to do so, the cheapest and shortest period tickets should be availed of. Distance In kilometres from Headquarters lo the town nearest destination should be given only where private or hired vehicle Is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own Iransport on official business should sign the form of undertaking set out in paragraph 9(l) of Circular 11/82. Column 6 ' I f foreign currency is being quoted on daim form, the rate of exchange at the lime of travel should be quoted. Columns Please state whether any other officer attended al the same location on ttiB same date(s) and whether transport was shared. ^ LESS IMPREST NET AMOUNT DUE " I f ' 6 ty € -=---------------- DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCALf. GOVERNMENT ■ Ctrniniireoi, Pobol agia RhdtMAJflutl Travel & Subsistence CJalm f orm; Envifonmatt. CctnmunBy end Local Govcinmenl 1. NAME (Block Capitals) HEADQUARTERS PERS. I.D. No. 089664Y Nenagh Co. Tipperary CO ST CENTRE 010200 Civilian Driver CAR C C (ff applicable) HOME ADDRESS GRADE SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) TRAVELLING EXPENSES € SUBSISTENCE ALLOWANCE 'S' 2 MISCELLANEOUS (taxi, fee, etc.) Please attach receipts LESS IMPREST RECEIVED (tf any) _€_ BALANCE DUE 3. € 'S '2 . CLAIMANTS CERTIFICATION 1. t certify thal: (') the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (ii) the expenses charged have been actually and necessarily disbursed solely in relation to the public sen/ice (iii) the particulars furnished herein are in all respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere 2. if higher class of subsistence is being claimed, piease give reason / y> \ ___________________________________________________________________ 3 if * st jr£ If the journey was EU-reiated and if a refund is due to the Department, please tick the appropriate * « « EU-RELATED YES n U N0 . REFUND DUE * YES - "S- x V j{ *D. NO n V ' U V*. . / SUPERIOR O FFIC ER S CERTIFICATION 1certify that: (I) 1have examined and checked the above claim ( fa o £& <% #>* a O boo / d L A e ' g ■ fl/}< r f< jp fe s ie > ^ Wed >*<•/ * i 120 tZ e td /o W jU 33 M l \-3*> lU t- - S> Fri 51^1 /g -3 0 Sat I hg*- 120 POST TOTALS PHONE TOTAL KILOMETRES TRAVEL SUBSISTENCE MISC 3 H 1 -S rz _ E3 ^ - m * The Regulations musl be strictly observed, note in particular Circular 11/82. Any neglect In this regard will cause correspondence and inconvenience and will delay the processing of the daim. Where as part of an official journey an officer is entertained Io free meals and/or accommodation, details of same shouid be submitted with this daim. The following should be observed in relation to the above numbered columns: Column 7 Time of departure from and anival at residence or headquarters shouid always be given. Column 1 & 2 A return journey not made on the same day as an outward journey should be shown under it’s proper dale. Column 3 In all cases stale mode of conveyance and, where appropriate, dass of rail and/or cc of private car, Column 3 & 4 Where it is practicable to do so, the cheapest and shortest period tickets shouid be availed of. Distance in kilometres from Headquarters to the town nearest destination shouid be given only where private or hired vehide is used and local distance travelled should be Indicated separately. In this regard each officer who necessarily uses his/her own transport on official business shouid sign the form of undertaking set out in paragraph 9(1) of Circular 11/82. Column 6 If foreign currency is being quoted on daim form, the rale of exchange al the time of travel should be quoted. Column B Please state whether any other officer attended at the same location on Ihe same dafe(s) and whether transport was shared. GRAND TOTAL LE SS IMPREST € NET AMOUNT DUE € 3 < ^ 7 . 4 DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Travel & Subsistence Claim Form . Comhitiool, Potwl ogia RkUIOS MlUIl Emrttonmwil Community ond Locol Gcwnmgd 1. NAME (Block Capitals) HEADQUARTERS Nenagh Co. Tipperary PERS. I.D. No. 089664Y CO ST CENTRE 010200 HOME ADDRESS 4 . GRADE Civilian Driver CAR CC (if applicable) SUMMARY OF CLAIM FOR WEEK ENDING (To be completed by Claimant) TOTAL € € € € LE S S IMPREST RECEIVED (if any) € ^ 5d- 6 r _____ BALANCE DUE € £>1/64 TRAVELLING EXPENSES SUBSISTENCE ALLOWANCE MISCELLANEOUS (taxi, fee, etc.) Please attach receipts ' CLAIMANT'S CERTIFICATION 1. I certify that: (0 the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (II) the expenses charged have been actually and necessarily disbursed solely in relation to the public service (iii) the particulars furnished herein are in ail respects true (iv) no daim in respect of the same period has been or wiii be made against another Government Department or elsewhere 2. if higher class of subsistence is being claimed, please give reason:If the journey was EU-related and if a refund is due to the Department, please tick the appropriate boxes EU-RELATED YES NO REFUND DUE SIGNATURE 4. YES Q NO Q DATE SUPERIOR O FFICER’S CERTIFICATION S. 4) I certify that: (i) I have examined and checked the above claim the particulars furnished thereon are correct and In strict accordance with the relevant,I'egulations* the expenses incurred were w h ^ l!^ ^ necessarily Incurred by the officer In the actual discharge of his/her r Aofficial duties t. SIGNATURE DATE >7H M GRADE ACCOUNTS SECTION USE Name Examined: Total due € Checked: f7) Date Fi'uniAC-^ ] lc 2 1 JOURNEY OATE To From 3 4 5 6 Car/Train /Bus No of Kilometres & Rates COST SUBSISTENCE € € c 7 Time PURPOSE OP JOURNEY Time Arr. Dep. c B (State other officers present) Sun Mon ---- HU1 y »?■**> K - Tues \ Wed \ — ■■ XlM j2oB r f .......... \ Thurs * —. Sat ILlM20l±- f U TOTALS w m \ 4r“ POST PHONE € € TOTAL KILOMETRES V ,-rt t-o <• > X-~ S . —t 3 V I o f ' 6 f / * * 1-3 Frl &Q- \ -op, 33 6 1 - / jP « J 7% co I O-f'tyf J .33-6/71 s p t r )£ipta' 9 TRAVEL € \1 u - ? i J l}.-o SUBSISTENCE € * The Regulations must be strictly observed, note in particular Circular 11/82. Any neglect In this regard will cause correspondence and inconvenience and will delay the processing of the daim. Where as part of an official journey an officer is entertained to free meals and/or accommodation, details of same should be submitted with this claim. The following should be observed in relation to the above numbered columns: Time of departure from and arrival at residence or headquarters should always be given. Column 7 A return journey not made on the same day as an outward (oumey should be shown under it's proper date. Column 1 & 2 In all cases slate mode of conveyance and, vtfiere appropriate, class of rail and/or cc of private car. Columns Where It is practicable to do so. the cheapest and shortest period tickets should be availed of. Distance In Column 3 & 4 Kilometres from Headquarters to the town nearest destination should be given oniy where private or hired vehicle is used and local distance travelled should be indicated separately, In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9(1) of Circular 11/82. Column 6 If foreign cunency Is being quoted on claim form, the rate of exchange at the time of travel should be quoted. Please state whether any other officer attended at the same location on the same dale{s) and whether Column 6 transport was shared. MISC € GRAND TOTAL € LESS IMPREST NET AMOUNT DUE € DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Comtistwol. Pobol qqiis Riotrns Aitiuil Travel & Subsistence Claim Form E n v im f jn e n t . C o m m u n it y e n d l o c o ] G o v e rn m e n t 1. PERS. i.D. No. NAME (Block Capitals) HEADQUARTERS Nenagh Co. Tipperary CO ST CENTRE Civiiian Driver CAR C C (if applicable) 010200 HOME ADDRESS GRADE 2 . SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) fy jtt j Q f jt* + jly TRAVELLING EXPENSES *37 M SUBSISTENCE A L L I A N C E € M iSCELJ^H^5ua^6xi, lbe, etc.) Please attach receipts € — -------- € € W-tl TOTAL — € BALANCE DUE € € " M- 6 1 y C L A I M A W M T O F ffr(iFF i 1. k 9 e r ti£ the subsistence and other allowances claimed are in strict accordance with the relevant regulations* the expenses charged have been actually and necessarily disbursed solely in relation to the public service (iii) the particulars furnished herein are in ail respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere If higher class of subsistence is being claimed, please give reason:If the journey was EU>related and rf a refund is due to the Department, please tick the appropriate boxes EU-RELATED YES NO SIGNATURE REFUND DUE Y E S Q NO □ DATE SUPERIOR O FFICER'S CERTIFICATION t~ v I certify that: (i) i have examined and checked the above claim (II) the particulars furnished thereon are correct and in strict accordance with the relevant regulations* (iii) the expenses Incurred \j^re whoily^tj necessarily incurred by the officer in the actuai discharge of his/her official duties CS' SIGNATURE DATE I /lvj(if i l h p iL t GRADE Date Examined: «i a>Vo-v-M Version 1/06 Claim _________ 8__________ PURPOSE OF JOURNEY JOURNEY DATE From (State other officers present) To k - JU Je/ 2 jtl± l2 Q fL t Mon I'f / fi/2 0 ^ Tues & °7ao O r tP . QJL 1 £ m / 2 0 JC ^ - i & i - IfiJgJ'eZ' c t* * a p f Thurs H ) u i0 ) W /i 'T.Kr 0 0 { jC \£ 5 h r< & o j '$ K o p r U , A jj Fri ^ /J _ S /2 0 iC p fW e £ 3 -6 k & fr a A c J I [ Sat id ^ a J POST TOTALS PHONE -4 ? /b 3° TOTAL KILOMETRES TRAVEL SUBSISTENCE * The Regulations must be strictly observed, note in particular Circular 11/62. Any neglect in this regard v**JI cause correspondence and Inconvenience and will delay the processing of the daim. Where as part of an official Journey an officer is entertained to free meats and/or accommodation, details of same should be submitted with this daim. The following should be observed in relation to the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on tha same day as an outward oumey should be shown under It's proper date. Column 3 In all cases slate mode of conveyance and, where appropriate, class of rail and/or cc of private car, Column 3 & A * Where it is practicable to do so, the cheapest and shortest period tickets should be availed of. Distance in kilometres from Headquarters lo the town nearest destination should be given only where private or hired vehicle is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9(l) of Circular 11/B2. Column 6 If foreign currency is being quoted on claim form, the rate of exchange at Ihe time of travel should be quoted. Column 6 Please stale whether any other officer attended at the same location on the same date(s) and whether transport was shared / I ^ MISC LESS IMPREST ca ^ d u / if r f l JLtbty • GRAND TOTAL € NET AMOUNT DUE ------------------------ \ -- / — \\Jh J) ( o ^ t( 7 3 DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT ----- CornrtsiMol Potwt og Mottoi AllliiH __________ E n v iijn m c r .t . C c m .T u r .it ’.- e n d L u c d S o y s n r . t t r l I* ■ p "— ---------------------------- I - - - - — %-*• *----• — - -1— ■— Travel & Subsistence Claim Form NAME (Block Capitals) A PERS. I.D. No. 089664Y HEADQUARTERS Nenagh Co Tipperary CO ST CENTRE 010200 Civilian Driver CAR C C (if applicable) HOME ADDRESS GRADE SUMMARY OF CLAIM FOR WEEK ENDING (To be completed by Claimant) S i/a jiw i TRAVELLING EXPENSES x SU B SISTEN C E, _L MIS Piease attach receipts € TOTAL ESS IMPREST RECEIVED (if any) € BALANCE DUE € ■ ^7 V" 2. the subsistence and other allowances claimed are in strict accordance with the relevant regulations* the expenses charged have been actually and necessarily disbursed solely in relation to the public service (Iii) the particulars furnished herein are in ail respects true (tv) no claim In respecl of the same period has been or will be made against another Government Department or elsewhere If higher dass of subsistence is being claimed, please give reason:if the journey was EU-related and if a refund^ due to the Department, please tick the appropriate boxes / EU-RELATED YES S - SIGNATURE } NO n lr?E / / A ('i)^/'-tfie particulars furnished thereon are correct and in strict accordance with the relevant regulations* (ip> the expenses incurred were wl By and necessarily/incurred by the officer in the actual discharge of his/her official duties SIGNATURE > DATE GRADE Nsme Examined. Totai due is [ a j 3.0/4- € 4 6 4 3 7 Checked: / f f ) , Ft Date m ________ 8________ PURPOSE OF JOURNEY JOURNEY DATE From (State other officers present) To Sun 3 ^ j !L i 2oI ^ Mon 1 _ /A 2 2 ° !^ 1 0 ^ .-6 f QA k £_ Tues \ \ 2 ii\ 2 jw lk Wed 3 Jl2J2\ Column 1 & 2 In ail cases stale mode of conveyance and, where appropriate, class of rail and/or cc of private car. Column 3 Where it is practicable lo do so, the cheapest and shortest period Uckels should be availed of. Distance in Column 3 & 4 kilometres from Headquarters to Ihe town nearest destination should be given only where private or hired vehicle is used and local distance travelled should be Indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9(f) of Circular 11/62. Column 6 If foreign currency is being quoted on claim form, the rate of exchange at the time of travel should be quoled. Please state whether any other officer attended at the same location on the same date(s) and whether Column B transport was shared. MISC GRAND TOTAL LE SS IMPREST € NET AMOUNT DUE __ f m ft w>s ^ 7 SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's (Mails (to be completed In block capitals) < __ Name: « Group No:- Payroll No: O g CJ Grad*: Civilian Driver Buslniss Unit MoS Offlca Car Reg:- Engine CC :- 10400 2. Subsistence details Frotr 4Tfmo Dots ,21 } WK 3Ll-vJ VhT , t i To Location . US-tU VJ Clk/Vtr‘ ^\ loUB^- u r 'Date ] 1 \ 1 O-l U w '> U I * \ i * Tkno Purpose of Journey Location t e 'jo , D*-bi- lo ^ U e ,V t/rir c / H a of No;oMOhowr Ovemkiht rates rates X 14 ' No, of B hour rates *33 £./ X33 b f y **3. m»A .lAl*«^Vbi\ b 1w No. of Kms ■ / ___ - 11 y i X Claimant's certification I certify Oral (i) (he allowances claimed are In accordance with ragulahons, (i) the expenses charged have been disbursed solely in relation lo the pubttc service, On) the details shown here are hue and (iv) no claim for same perid has beef), or will be made against another Government Department, or elsewhere Date: *3~j 1* ^ - - ''f p - T f t L - y/' 4. Certification by Private Secretary I certify thal (i) 1have examined and checked Ihe above claim, (ii) the particulars furnished thereon are correct and In accordance with the relevant regulations and (iii) the expenses incurred were disbursed solely in relation to Ihe public service. Signature: ___________ Private Secretary to Minister Dale: •9 ( I nput on COREESS by: Name:______________________Date:__________________ / •p p ), P ) SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (to be completed in block capitals) Name: * Grads: Civilian Driver Business Unit: MoS Office 10400 2. Subsistence details Date: I) f? A 1 14- Vo 'o t ' M® 1n4 0 ‘ I)a "Y i ■iTimeB Date N dW YW U W ftu T U i ll-r x Locational Tim* . $ k Location 3o-JrH , H r -i. jVwc- ) \ No. of Kras Overnight rates No. of 10 hour4 Na of 5 hour rstds rates ^ *1 3 . .0txk4 l*> /W a t tX r ' 4 l ItIIl.T , the details shown here are true and (tv) no daim (or same pehd has been, or will be made against another Government Department, or elsewhere Signature:; l Dale: --------------------------------------------------------- 4. Certification by Privals Secretary I certify thBl (i) I have examined and checked the above daim, (ii) the particulars furnished thereon are corred and in accordance with the relevant regulations and (IS) the expanses Incurred were disbursed solely in relation la the public service. Signature1 Q ___________ Pitvale Secrelary to Minister Da(e; T f io j / y input on COREESS by: Name:______________________ Date: /< * > SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's dotails (to b* completed In block capitals) Name: ^ ______ \ V ^ " ---------- \ Payroll No: O & *] Group No: - £,() 8 2> Grade: Civilian Orivsr Business Unit: MoS Office C* r Engine CC: * ' / 2. Subsistence details Date >l f H 1 1) ’ Frwr Time Location \ Oren- ll K l>L,1 t U I ’l\ 6*-c 14a vyJ-'' W^UAirv ■Tf r 7 u J itlu lo t>A 10400 UdW lrvJ Date M fK * t 13 A v To Tima C ^r I w w U I ii 3 - v V VT u 1 1 U ls l^ i“ i i ' Location H n ,\W A u \ P1 a W icw 1 ^ w v u ’ H u *1 33. b I 3. Claimant's certification Cj S S 5 / I certify thal (i) the allowances claimed are in accqrdanca with regulations, (H) the expenses charged have been disbursed solely in relation lo Ihe pubic service. {■■) the details shown here are true and (Iv) no claim for same perid has been, or will be made against another Government Department, or elsewhere f t 4. Certification by Private Secretary I certify thal (i) I have examined and checked the above daim, (ii) Ihe particulars furnished thereon are correct and in accordance with Ihe relevant regulations and (Hi) the expenses incurred were disbursed solely In relation to the pubic service. O. Signature: Da»e:_ Private Secretary lo Minister Q < r,-< = \ - f t ? . / *1 *■*''''%33 bl fA V i U Wo*of1Qhour No* of £ hour No. of Ovemfeht rates rates rates *-=■ XI3* Ko. of Km* Purpoee of journey f / Input on COREESS by: Name:, •v t’ C Date:. ■ H iHr SUBSISTENCE CLAIM FORM (for Input into COREESS system) 1. Claimant's details (to be completed in block capitals) T----------------------------------------------------\ V Name: Grade; Civilian Driver Business Unit MoS Office 10400 2. Subsistence details From\ Time ^L o catio n p~ . Date • 07 A To y _ ^ Date”!1^TlmoT" !t> W U 6 4- ... j"M - .> T9cm ~ Location Purpose of journey No. of Kip* No. of Ovwntoht rates No. of 10 hour rates Wo.o/fi Iw S rates H n a U tr ^ i \ b flu io l-n r, u s It IQ l7 U u t k *v_ T T U«.u/rt-A [ rT— w h X ir 9, Cow- L fc W fW l m i 1 lS < i\ju /A rt,U i r * f '(T>U) L 4 1 T kle,k/J3r-( i^ 3 B - U A. ^>13* If n «■— f “*n> K WaWfo^f »/ U * -1 3^ b\ 5 4 -8 4 - X Claimant's certification I certify that 0) Hie allowances claimed are in accordance with regulations, (3) (he expenses charged have been disbursed solely in relation to the public service, (in) the details shown here are true and (rv) no claim far same perid has been, or wiB be made against another Government Department, or elsewhere Signature: ^ Date: J \ t k i h _____________ _____________________a i r 3&- H- S 4. Certification by Private Secretary I certify (hat (i) I have examined and checked the above daim, (ii) ttie particulars furnished thereon are correct and In accordance with the relevant regulations and (iii) the expenses incurred were disbursed solely in relation lo tin public service. e. Signature: (/y k a /fr'y fl, T J _____ ____________ Private Secretary to Minister ___ €?CJ - r4Dale:__________________ 7p y r Input on CQREBSS by: Name:__________________ Dale: / ■ SUBSISTENCE CLAIM FORM (for input into COREESS system) < 6 Z l( a < o 1. Claimant's details (to be com pleted In block capitals) i 111 i Name: ii Group No: 10400 Business Unlt'fttoS Office Grade: Civilian Driver Engine-CC: - Car Reg: - _* ___________ 2. Subsistence details •From Data M Tim* Location Date f r v 'r k n rtt^ ^ w i «=- \ H 11 thr M u U U Ho - ’T< U \ i. li)« PurpoM of Journey Location 1 f l* 3 k>v *T to ' “ Time'" W M - 4 t 'i* / kltiU iH v M N o .d lih « ir rates No. of rta o f id how flnaifciTnlil uVWfflBfitTTO8 raws I ihsu V I > r 1 * Id \N y I W 'o W w U a W & *4 t'O * / O iW No. of K m V ' ~ z cc- / / 3 ■ fc / 1 0 7 . fc ? a V ... 07. 4. : ^ ^ 0 / S - 3S ervtce, (H) Ihe details shown here are true and (to) Signature:: C \ Dale : 'J 4. Certification by Private Secretary I certify that (i) I have examined and checked the above daim. (a) ihe particulars furnished thereon are solely in relation la the public service. h . . < ^ 0 - Private Secretary lo Minister O f A L Q rfc - U \ and (if) the expenses incurred were disbursed Pete: Date: I c 'f c ' W W V \ h \ x0\ ( O Name: S { ( a Business Unit: MoS Office l 10400 2. Subsistence details Froii t Time D5te ” *1 r=-----------Location Dete“ (? (Su*~J 'W J - H To Time “> b o — No* o f Kit 2 -T t* 0 ( r b \* V /■ V 1 tii,^ i \ •\ * \1^ ■ ^ ten/' No. o f Shour rates * 1A V iG iW 'frA No. o f Overnight NoJ b fia ih d u r rates rates I • O uM & \\^ Purpose o f journey Locatkm flt-v f (vO Y oiA '-' t . . . k / ' l V ' r «s>'r .cP C / \ ^ \ I certify that 0) the allowances claimed are in accordance with regulations, (Ii) the expenses charged no daim for same perid has been, or will be made against another Government Department, or et ------------ ^ ^ i i i i mm* Signature:___ __ /o r.fc « p /0 3 V 3 3 - tr fi3 v ■ — f O iS ‘ 3 ^ to o • S 3 / service, (iii) the details shown here are true and (iv) Date: ^ 4. Certification by Private Secretary 1certify that (i) I have examined and checked the above daim, (ii) Hie particulars furnished thereon are solely In relation to the public service. Signature: 5 O fA C . Date 1 * 3 I __ :atk>ns and (iii) the expenses incurred were disbursed 6 - iO ~ ( ( f- Data: Private Secretary to Minister \ £ fi / f a ^v °r >~ OuSu m m *, CO0 - DubU I °\ Date H E COM* “ To 1 iTHnen Date Purpose of Joumej N o.br Kim -t *\Vr«k 1 T X i U t i lilioW - > Ir i 2 ‘o« a vi Iftf, ofi 0"hour rtrttw No. of 5 hour rates S i ..,•* rLsv J -1S ■1 1 1 0 NOV 20 ft ... AOQniiN I S 0 ^ No. of.Ovwnfgfc: rates I \ i -2.0 l3»»- IV __ : . mLocation 10400 y 13 3-1 j r\''* 3^3 10 7.6*? ; pSB fc* /3 D 3 ‘0? ' I - I certify that (i) the allowances claimed are in accordance with regulations, (II) the expenses charged have been disbursed solely in relation to the public service, (ii*) the details shown here are true and (W) no claim for same perkf has been, or will be made against another Government Department, or elsewhere (l 3 7 0 . 3*\ Signature 4. Certification by Private Secretary ^ I certify that (I) I have examined and checked the above daim, (H) the particulars furnished thereon are correct and in accordance with the relevant regulations and (iii) the expenses incurred were disbursed solely in relation to the public service. 14 I) Input on COREESS by: Nama.____ J \* \n S \ Name: 6 8 £ > ? o m % Group No: • Payroll No: O 8 *1 (s L 5P "Z - < Grade: Civilian Driver Business Unltf^oS Office Car Reg: - Engine CC: - 1040C * ..<0V 2. Subsistence details . 'From Time Pate ________ ZT.Date “ Location 7 To "Time "1 W r 1 Xw 1 C[ to )_ — --- purpose of journey Location' q- No. of Kjiw ’ Mo..atOvi»rnlBM Kb. CKMb lioin* isiJm rates M llt jo a - O w 4 > j U 10*®^ II C JeJx/ftryJ \ No. o f 6 hour .rates ■------- ■ ■ — 1 3 T 1 X * / / 1 departm ent COMMUNITY B11 _ JFEFWROI j. Warns.________________________ Dale. / 17 V/ v " "" ^ 0 2 DEC *011 Department of Environment, Heritage and Local Government ^ \S T-' ' \ ^ , f t ---- M a s , 6 <=S j SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (to bo completed In block capitals) Name: I Group No- - ' Payroll No: 0S9528B Grade: Civilian Driver Business Unit: MoS om ee Car Reg: - Engine CC: - HKDn 2. Subsistence details From 1 Location Location i Purp o so b flo u r^ e yj N o-of Kms No. of Overnight . No. of 10 hour ? rates / .r a t e s .-. No. of S hour fates sC\ u A U 'f s ____ c C O t llf f s - 3 ^ o > 3. Claimant's certification i certify mat (i) Ihe allowances claimed are In accordance with regulations, (*i] the expenses charged have been disbursed solely in relation to the public service, (ih) the details shown here are true and (tv) no claim /or same pend has been, or witl be made against another Government Degarttneni, QFtelsev/herc Signature = 4, Certification by Private Secretary / 3>S0 • I certify that ( ) I have examined and checked the above claim, (ti) Ihe,particulars furnished Iherfeon are correct and in accordance with the relevant regulations and (in) the expenses incurred were disbursed solely in relation lo the public service, / ^ ,\» /V' ! / / - ^ A / Dale:____ jtl " - 3 & W ary lo Minister I Pnvalo Secretary % nv r I SUBSISTENCE CLAIM FORM {for input into COREESS system) 1. Claimant's details (to be completed in block capitals) Name: ™™ Group No: - Payroll No; 0B95288 Grade: Civilian Driver Business Unit: MoS Office Car R e g :- Engine C C :- 10400 2. Subsistence details From Time Date/ " Data Location M t 0 9 .S * ' ? 1c w [f\ Z ifa fF a o t No'-.o/^Overpig hj _No:;o(i1Dhour . No.of-5 hour rates , i j-.rateff ■■."-Id \ ' j rates ^ ' Tot f ----------- 7^ — ----- c O t ^ / L u < s f , J O m e n 'if J t f A j t r f r Z JTL. i t fT' Lf /.» e> / f JTV. it tT L / S’ x lo q - feS ____ / iv ^ T I J uS1 1 n - r? V / *> • * / / c. ■ ^ S, ■ A *■ .v J 1 / l o l b S 3. Claimant's certification I certify that (i) the allowances claimed are in accordance with regulations, (i) the expenses charged have been disbursed solely in relation to Ihe public service, {hit the details shown here are true and (iv) no clam for same perid has been, or will be made against another Government Department, or elsewhere Sls"a'",e -* ____________'_____________ < * * ? . A a % ■& % y 4. Certification by Private Secretary I certify that (i) I have examined and chocked Ihe above claim, (ii) the particulars furnished thereon are i»rrect and in accordance with the relevant regulations and /iii) the expenses incurred were disbursed solely in relation to the publfc service. ' ' ' r Signature, Private Secretary to Minister InpuJ on COREESS by: Name: . I / SUBSISTENCE CLAIM FORM (for input into COREESS system), ^ y 1, Claimant’s details (to be completed in block capitals) c Name: ~ Group No: - Grads: Civilian Driver Payroll No: 0895288 k Business Unit: MoS Office Car R eg:* y y 1040(1 v Engine CC. ■ ii V* V 2. Subsistence details \ ■'Tlme^fi A j/ z f a / [ A u jfb s T y f / r /i4 c . ■■ x 7 3^ ^ 9 . 7 t> -7 7 o ........... 4 tc J k c z ] l4 ti4 s /r p ./S — t e No" o/.Ovqrtl.Iglit ^NPt.aPIO hour, . No. of 5 hour rates 'y rates r* .rates" ■; TV Fronn J& A J L l • t / f s. 16 I % J O A - f I— 3>0 _SZ\^‘ L - / L r n c r t t C . ^ u , / 9 ““ / I ( f r 7 \ < . P J T -------------------1----------------------- / •" S f - 1 X !2 /■ )£ 3 3 { . ’ "^ r> j 3 i i - o '} 3 3 - U '1 1 3. Claimant's certification certify that (i) the allowances claimed are in accordance with regulations, (il) Ihe expenses charged havo been disbursed solely in relation to the public service, (in) the details shown here are true and (iv) no claim for same perid has been, or will be made against another Government Department, partpienl, or elsewhere e □ale:: 4. Certification by Private Secretary S~ £^ I certify that <■) I have examined and checked Ihe above claim, (I/) Ihe particulars furnished thereon are c o re d and in accordance with Ihe relevant regulations and (iii) Ihe expenses incurred were disbursed solely in relation to the public service. / i . ( r ) < a ltr y £ l 3.___________ U Signature.------------------\J_-------- --------------------- Date:_________ T~ / h a u l an o r e e s s huInput on c COREESS by: MamaName:_ '* h lk ___________________ Qalg: \ Name: / Business Unit: MoS Office Grade: Civilian Driver : v .• 1 • »*. Z. Subsistence details 1 Date ‘ Location /£. ■Date - Lluhl~ck: 7 7 . ~7. 7o ■ "■ .IrTSGf ' 'Tlme'iJP ;Vt,‘tlSl:ocatlbn5v t 0 ✓ ‘ \ l h 104&0 5 / From Time' f l f Ltjlt, d \: V - '- ' . Purpose-ofjoucnew n h fr /P fifh ? 7 > t^o; of Overnight j ^ g t.op10Jipui; . N o .of 5 hour fe -'jira te s rates #*.,•»riratas.ii.- 17 (M, r x t - / S T V ( J tf\jXS*L% ,*0 A J- V , % i -r . N g ^ K m s / f f 9 11 i7r ? * L( f.L (( KrtVl % I^ _ 61 h ^ l/ 4t ■j / . ; I C c V I certify that (i) I have examined and checked the above claim, (ii) the particulars furnished thereon are correct and m accordance with the relevant regulations and (iii) Ihe ix& h m s incurred weresSsbursed solely in relation to the public service. n5 n 5. Signature Date: I V I Lf. — 3 O i Input on COREESS by: Name. _ ° r S ] P * ;I. ^ € )< \W ? \rvrvDA^S IS IIM - « ^5 5 2. ro ^ ° i I SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (to be completed in block capitals) > Grade: Civilian Driver F' 'Jl 10400 Business Unit: MoS Office 2. Subsistence details , 'To s Frorn V , Purpose:ofJPJ^JgKS , > 7 ),fi / It / s- 6 ~ > c y / 4 A -1 \— s ^ y it " 7 No. of 5 hour rates J i a f J c (J /u N olo/Q vortilght No. oMO hour rates , >■rates' ^ _ * » IH B *r . a i J itt+ iL te -l-c V )3 % * - - 3. Claimant's certification I certify (hat i) the allowances claimed are in accordance wilh regulations, (ii) the expenses charged have been disbursed solely In relation to the public service (mi) the delails shown here are (rue and (iv) no claim for same pend has been, or will be made against another Government Depffflfnent, or elsewhere ______________________________________A o i * \ 4. Certification by Private Secretary : \ _ I certify lhai (0 i have examined and checked the above daim. (iij the particulars furnished thereon are correct and in accordance with Ihe relevant regulations and (iii) the expenses incurred were disbursed solely in relation to the public service. Signature, 6 ) { t 5 { t if " r^l . { J ----------------------------------- .-j _ //. Date.------_ 2 ------------ f l ----- Input on COREESS bv: Name: Pnvale Secretary to Minister Onto: ----------------------------------------- C itk . l/ w u o ^ l'T T i/ / / 57 ^ . Business Unit: MoS Office 10400 Engine CC: - 2. Subsistence details From Time Date /2 /M l- f-h 0 i Location To ■■ v* Time ' ’’ ''tl.o c a llo n t'H-nt+r /& O jk/P f .& 5 3a *73* *7 y* ^ . ..^ 3 9 Date. 11 A . t u iv s i. -w 't •• No. of Oversight No.:of 10 hour +'Nq..pj;Kms ^ rates i .T rates No. or 5 hour rates ( lw 7 ... t( H lo (6? ! m ' f07- - ^ I U ,U '*81 / "I Purpose or jo u rn e y %■ j V 1 (1-9 I. u^a Ac^L £ . CV ........ H, s ? '•r /3 -^ f *3 ---------------( S> < 1 3. Claimant's certification I certify that (i) Ihe allowances claimed are in accordance wilh regulations. (i>) the expenses charged have been disbursed splely in relation to the public service, (ui) the details shown here are true and fiv) no claim for same pend has been, or will be made against another Government Department, or elsewhere jr S ig n atu re .^ D a te ;/f 4. Certification by Private Secretary = 4 ^ ^ ’ I certify that (r> Jhave examined and checked the above claim, £i) the particulars furnished thereon areptfrrect and in accordance with the relevant regulations and (iii) the expenses incurred were disbursed soieiy in rdslion lo ihe public sgfvjcg Date; Pnvale Secretary lo Minister * 9 0 Inpul on COREESS by: Name\ 2 * \C ~ Dalo: , SUBSISTENCE CLAIM FORM {for input into COREESS system) 1. Claimant's details (to be completed in block capitals) Name: T Group N o :- " Payroll No: 08952BB Grade: Civilian Driver Business Unit: MoS Office Car R eg:- Engine CC: • 10400 2. Subsistence details Fror n /■ / / A * 7 7 o ' 2t 7 -5 . 7 H Cl *V Xba. tr.tt* 3^1\ b t “7 7 * 9" h r To Yl nrallon Locfliion / O u------ /ft ? 17 / , . £4 7^ /U< n * Signature: ^ ____________________ ^ W V rn i - 4. Certificalion by Private Secretary (i) I have examined and chi s^y^n^elB HoM o meepuWic^emreCheCKeo i / JL-[ / j p ' / C - l " frkk f * Q r J U ih > •W-’iXSSr“' V'N b-ofK m s " k Purpose of journeys No. of Oversight No, of 10 hour rates rates f/p faj/XftuV - i- L s I I J f\ J * 1__ 9 .U O / 1/ I L u /% ”7 - C O No. of 5 hour rates -X (JA jJt/ C -l— f . 7 X . ii' L v 1 ( } \ /• / J r> 2 * 1 3 ' * J 'I Y 10 a?’j Nr / «? r' / ■ !\1 X 3. Claimant's certification . .-5s - " '* I certify lhat i) the allowances claimed are in accordance with regulations, fii) the expenses charged have been disbursed solely in relation lo the public servica, (iii) the details shown here are true and (iv) no claim for same pend has been, or wilf be made against another Government Department, or elsewhere £ Signahm 4 li!l 4. Certification by Private Secretary I certify Ihal (i) I have examined and checked the above claim, (ii) (he particulars furnished thereon are correct and i/£ccortfanc ir^Sccortfance with the relevant regulations and (iii) incurred were disbursed {iii} tWexpenses tfrfe a x solely in relation lo the public service. s,™n,*= c Dale: Inpul on COREESS by: Name:_______ _ Date: . / v 5 > Name: Group Nor - Payroll No: 08952B8 ^ Grade: Civilian Driver Business Unit: MoS Office. Car Reg: - Englrfe C C tj , / / c ? > ': Date From Time 7/7/Az Date A fiM C 'i’" / * * 'a * ^ , \ tT \*1 / L _ a 1 <. f/ 1 / . U * C', 1 \ / y ... J rJv ■?s ■£t T} ,r . ... ..... o-y- „ a t\ , r .._ %, ?t- i-T -' f M jr h l o - U M . fe-lyHl* J - / / _« 1. 1( »1 1 •A ■w a te ff ■■ "'McCocatlonur i -h* 9 Zo g f f iL 9hf/k w A 'y jv w t-i '/ A T lm o ifi No. of 5 hour rates o f 10 hour Wb" o^ Over.plght £Np.L4r 1/ ■ 5 -r& rales 1/Toy SiV.S’i — Location C* rtfyf ^ .-S' C s -' £ f - y .■ ^ T / C> f *T ■ ’ /■( K / IS WWRTMEWT Of environmfi /T ~J /)L / 3. Claimant's certification I certify that (i) Ihe allowances claimed are m accordance with regulations, (ii) the expenses chargad.have been disbursed solely In flatio n lo the pub f t service, (iii) Jh9 dttails shown here are Iruf and (iv) no claim for same pend has been, or wdl be made against another Government Department, or elsewhere f J w L W ’k Signature! 4. Certification by Private Secretary e I certify that (i)11I have have examined and checked the above ciaim, {#) the particulars furnished thereon are ^ rre c t and in accordance with Ihe relevant regulations and (iii) the expenses incurred were disbursed solely in relation sn to (o the public service. ^ Signature.. Input on COREESS by: Name: . h Date: Business Unit: MoS Olflcc ■c ♦K 00 Engine CC: - 2. Subsislenco details From Time Dale "2 m l t net V ? To Location L iu . tti i-'./— 7- Location Time n \7 5 < r 19 - 3 e / ’3 11 A ( t+tn.-T—t ' No.-ofKms Purpose of journey'' fib UJ^L^f " 7 -? 0 9 f t * ! /£ G> I f \ , / u rnn'tlC.I-f £ * ■Lr- J xu * s i e / . c \ ~ No. of Overpigltl No. ol 10 hour rales rates , ( 1 Nu. of £ hour rales C"? / Ntim t^’L.+^AiL p Z lftfc X i* * -d Dale I HW [ * . m - .Ilci ... ( 1. .................... I X B If /_x.»3 n 1 Q ?- r+ 4- 2. 3. Claimant's certification I csmfy tliat (t) the allowances claimed aro in accordance wtlh regulations, ( i i ) tha expenses charged have been disbursed solely in rotation to Ihe public service, (in) (he details shown here are Hue and (iv) no claim (or same pend has been, or will be made against another Government Department, aisewhere Depurtmenl, or oral! S ignature _. Dal —_______ z l 4, Certification by Private Secretary l S w ,S a ! ! in ^ m c“ - r = e ^ l ChaCked '"e 8b° VC C,a'm' W "'a pari,c'J,!,rsl fmm5f1cd ,hcfcon afe cofrecl Signature. , Private Secretary to Mimcter Dale: ^ *3 - ( - rg > £ ~ Q - LV r accordance wilh the relevant regulations and (.«) the expenses incurred weie disbursed Input on COREESS b y Name. . Dale i f - h 114H '/'V Name: \ J n m UnitSTamo P a yro ll No: 000528H G roup No; - G rade: C ivilian D rivo r B usiness U nit: MoS O ffic ii C ar R u g :* Enplno C C :- l-.MJ J 2. S ubsistence details Data 1 i 9 'r r r n t ( 0 9 3 0 t / f- 4£< —?r -v. o jf i- h g L U A . im a - n c . K ' j fl >( <1^ . f? K iir t-y i - I « / Z . .o y 1 1* A 9- J T \ A i i_ Urr*yuc)s£ No. of S hour ratos 4 i <^_t w W / 1 Lr L i* 1 / 9 ) * Tlmo No. of Overnight No. of 10 hour rales rates No. of Kms Purpose or Journey Cj * ~7U y Date Location 3o V ........ . Location Yo From Time A T I f I * i\ L/ Jr 3 2 3 -0 > / x li H -l 13 3, C laim ant's ce rtifica tio n I ccmly i h ji m i m allowances cinimcd arc m accordance w ilh regulations, («j Ihe ex J in e chargod havo been disbursed solely m relation lo Ihe public service, (m) Ihe details shown hare arc true and (iv) na claim lor sam r ocrid has been, -jr w ill be made against another Government uap^unerti, D a ft/lin c rtf. o elseivhero anot net uotfemmom orr eJseivJiaa* i------ ^ S ignature / A. C u rtlffc a lio ii by Private Secretary Pa * Dam ------------------- i/uiu,. Grade: Civilian Driver U’JDi. Business Unit: MoS OfFlco 2. Subsistence details From Time ! Date C (/[frfr if t / l. 'lL ‘ ■'’Y T F f i> « . ?■>* / Location tort q . n o Date * /tiu t. i ft - 2 0 1 .0 f t * * V To w u It /a rt * Location t* TJjno -* ■S' w No.-of f» I( 11 i £_ 9 o j Purpose ofjoufpeyi & 3 fl Y ?f 1_ _ _ _ _ 1 • f t ‘ Location r e le v a n t r e g u l a r s an d (i i) I h e e x p e n s e s in c u r r e d w e re d is b u r s e d 'B - /?% < SUBSISTENCE CLAIM FORM (for input into COREESS s 1, Claimant's datells jfc ^ ^ jc tn g lc te ^ n block capitate) Name£ ^___ _ ~ Group Wo:/ O j* Payroll No: Q Grads: c j u r i L i f f r J ^ % *'?*"( ^ b > R i i/£ f? Car Reg:_____________ ______________ tngina CC: 2. Subsistence dstalls -TST-T' i’ ..... 'At!S -1 ff p M 6 'O B 7 3 -Z _ v t- m j 9 -0 3 /• T s rc Z . ~c3 K K 1 X \\R > K & 3pn, r ^.AjTv/S ,, h i’hi f ? £ -o l ' !i* 3 s rrn \a l W r f e 1 1 * / 11 '1 / t w n t K^> W o H 11 11 1 VI M ( l H K K S b u ii li>* -tf ^ r 3ph S S 1 2pv J''jwmJ'r?bn e \J f£ M f < k ^ h u b T Z J -c S tOf-M K K ^ u f c Vi-2 (c>fM iZ OH •. & ffia w &"VF,Vr-Zfft \ 3. Claimant’s certification I certify that (i) Iho allowances claimed ere in accordance wilh regulations, (ii) (lie expenses charged have been disbursed solely in relation to the public service, (fit) Ihe detail* shown here are true and (tv) no clam for same pend has been, or will be made against another Government Dopartmenl, or elsewhere vrnim m m Signature:. . Date- 4. Certification by Private Secretary I certify that (i) I have examined and checked the above claim, (ii) Ihe particulars furnished thereon are correct and in accordance wltJi tho relevant regulations and I lit) the expenses incurred were disbursed solely m relation to Iho public service. i_________________ <_ _ S ig n a tu r e ; D a le : - 3\ Input on C O R E E S S b y Name: . k p m t M C O M M U N IT Y < s r v ' & o f e n v i r o n m L O C A L 2 7 : :/ j e n t G O V E R N M E N T 2 0 14 ACCOUNTS ) t/iV tA fii V > 8 u 7 f7 ? : ___ Car R e g :________________________________________ _________________________ 2 . S u n s m o n c o d e t a ils Business Unit: Engine C C :___ v nVT n*.Vr-rrfrurr.‘p^rxiX^rfrv^K.’j m m s m s m m m e m tg s m B m r a s H K _S«fM 7 7 ,-$ 7 U - S /OftK ® f § e t l i N i S T f K i / l L V \u 7 i> ■ ! >c rf. * ? S T & 3 i o*=? -4 ^ t z - I S -5y2ta- l k - Z Ja b k , Z U 4 , JOIS I ft- 6 Sprt n h *i #i i i / t 1 / ’ i ... £■ f ?, / •** **<3 T. far ■ j/L fa j 2. Claimant's certification t coruby that (t) tne allowances dawned are in accordance wrtb iegu!alions, (it) the expenses charged havo been disbursed solely in relation to Ihe public service, (lli) Ihe details shown to no doim lor same pend has been, or wilt be made against anoher Government Department, or elsewhere ^ C=> Signature: Dale: (rue and (iv) l it 4 Certification by Private Secretary I certify that 0) i nave examined and checked the above claim, (n) the particulars furnished thereon are correct and in accordance with the relevant regulations and (iii) Ihe expenses incurred were disbursed solely m relation to the public service /npt/ on CORECSS by Namo: \ y O -T -' r IV ^ I 3 Dato . M W SUBSISTENCE CLAIM FORM (for input into COREESS system) N .-.1110 .(4. G ro u p N o: _\ LoL__ G ra d e : P n y ro ll N o : _______________________ Cib>(/Lirt-i\J CSRii7f/? C ar R eg. B u s in e s s U n it :__ E n g in e CC: _ _ _ _ _ M j3 - Lf iiilt e iiiiM iiia K K^>huG ?>PH \ KK-^tauR HiM(S7?KlPZ. W d t. sh3epb bvtB^KK W - lf 3(f>H * H pS 2.S u o s ts to n c o d e ta ils m i; ssMBEsad. ■ 3 9 w 1 SI 1Or (s'! / / m ii ~vrv • / - \ / , < *> i / Z.C iu tm a m 'u c e rtific a tio n i* I s' TTS ^ ' -5- *+-7 'i ** v ji .. • v * / "v. V comfy ih a l (i) tne allow ances claim ed a re in accordance w ith ■egulations, (ii) the expenses charged have been difbursed solely m relation to the public service, (hi) the details shown nere arc true and tw) no dawn fo r sam e pend has been, or w ill be made against a n o fte r G overnm ent Departm ent, o r elsew here • ‘ Cj D ate 2 3 . ~ h -r s -a a -H S J C e rtific a tio n b y P riv a te S e c re ta ry 1 c e riiiy ihat 0) t nave examined and checked the above claim . (Ft) the particulars furnished thereon are correct an din accordance w ith the relevant regulations and (ml the expenses inzurred w ere disbursed solely in relation to the public service. C* » SUBSISTENCE CLAIM FORM (for Input into COREESS system) 1. Claimant's details (to bo completed in block capitate) \--------------------------------------- -------. Name:_^ V______ 2. Sub* (stance details ’ JV-:V■ I J i: . „ -T \ -5 2-5 / 5 -K / ■. L■ ". .. . , ' . i&iV'-'t ; •; •; \sua~?KU \~*7 y ! 1pH 1J ^ U G ^ /C K til & " *> j Tfr>V.TkV.7vr.I1!?.!!P?1.. ?.&! S'J^-JiU-i-4-L-laV.ibj 1 SI V I1 k ‘- ! > S 3 fe\ M / r M / « S 3 (o\ 7 5 3 -8 3 )3 -} X Claimant's certification t certify that (i) the allowances claimed are m accordance with regulations, (ii) the expen»ee charged have been dsbursed safety in relation id the public service, (■&) the delaits shown here are true and (iv) no dam for same pend has been, orw il be made against another Government Doportmenl, or elsewhere SlgnatJ 80t* IS Date. 4. Certification by Private Secretary I certify that (i) I have examined and checked the above claim, (ii) the particulars furnished thereon are coned and in accordance with Uto relevant regulations and (Iii) the expenses incurred were disbursed solely in relation to the public service. S ignature:. Date: \® o InputonCORBSSSby Noma:, / s' 2_( ) \f ^ .D aft. m c > < ^ > >5 \ W Q ra «t«:r‘ I (/ / / _ t A M Nams:_ Group N o :L & i_ _ Payroll Ho: t) V \J £ /? C arR ejj:___________________________ B u tlM M Unit Engine CC:__ Z. SubalaU n ca ddtalb L u 0 5 £ k l6 A ^ S z ja w iK K ^ - jf c m f l k ' K -^ > f \ u i3 I lV 4 a 1. Claimant's certification I certify that (i) Ihe aflowancn clamed are in acaxdance with regulations, <>i) Ihe a ip o r w t charged havo bno c iu n lor same perid h a t been, o r w ill bo mado ag«lnsl another Government Department, or elsewhere Signature. Date. 1 ( ~ n disbursed solely mi rotation lo the public i n v a . (ill) lha details lhow n hsre are true end (ivj 02.- jtf- 4. Certification by Private Secretary I oortlty Ihot (i) I have examined and checked Ihe above d a m (n) the particular! him uhed thoroon are correct and in accordsnco with the ref Bvcnt I emulations and (i»l the ttperw ea incurred worn disbursed solely m relation to Ihe pubtlc service. G lgn slu io , Inpu t o n C O R E E S S J j y Nam e. Nanw:_ C ro u p H a t J O _ _ _ _ _ I P avro ltH n : P rado; Q H S G.IVlLt/QhJ ts R w y T /? Business U n te . C arH e n: Ervomo C C .___ 2. Su b sid e n ce detail* is® vz:+ mhmi) (2r-f2. 4".? /s 7 ‘ ‘‘ Vn ,;r ■/T W,riVkL.’^ is -d fc.A*' Aa&JbuA J b T ^ A i'/ J L ’ .'V iL*> , -"■ ** the expanses chains j havo boervdisbursed solely in relation lo I ho pubte service (ill) Ihe (M ails shown hem no daim for same pend has been, or will bo made against another Government Department, o f oteawftera Signature. _ a re Inm and ( r v ) " X . 4 CertHlcatton by Private Secretary I oe ittv lh *t (l) I have examined and checked Ihe above claim, (ii) U»o particulars furnished thereon am ctVTed and in nocordonco wilft the ratevanl rag utal lo o t and (nit Ihe expenses incurred wera disbursed solely tn rotation to Ihe public service Signature » Dale: fqpuf on < £ A i lU ^ u u t n f,ff¥ COREESSby Wnmo. _ Dorn. TO-Ti* 5 v Y " SUBSISTENCE CLAIM FORM (for Input Into COREESS system) 1. Claimant's details (lo bn com pleiad hi block capitals) _______________ Grade: f l l / t T - U r i B u s in e s s U n it: 2. Subitatcnco details ~ THnS Cl 2 - f M 3>~M_ 7 ft M V H f»yo > fciu t3 M.~ U - IZmN 1L- i f 2 p ta dSri/\ ZpM f a U-^ bsUG> 2 1 -! e w rap i 'fE io H IF T K jilr' 'IS-d T K iitt TU ift'-^ rates y n tK " ' ------ T* ‘‘ b liT iV s f ' Dsffc M l fg o n 1\ ha. ol £ hour ! rates 1 *< a. H i t 7 ° f~ It T p H r ^ 2 - 1 2 . Z LpM ;U U ~ ? b u & L, . \ rl u v - r r ■■ t J c 7 /’/I cerltfy that (I) the allow a nces c la im e d are in accordance w ith regulations, (it) Ihe exp enses cha rged ha ve been disbursed solely in relation lo the public service, (U<) ih e de tails show n I tare are true and (iv) ____ ■te c la im lo r sa m e perld h a s been, o r w ill b e m ade ngatnst anothe r G overnm ent D ep a rtm e n t, o r elsew here , ~TO T«l D^g: 3 —£ £ r ~ & o\ L DalePrivate Secretary lo Minister * ^ ' Sjji f n ' 1-1 1. C a rlin c a U o n b y P riv a te S e c re ta ry certify that (i) t have exa m ined a nd c he ched the a b o v p 'd w tn , (li) the pa rticulars furnished thereon are correct and in accordance w ith Ih e re le vant regulations a n d (m) th e expensos incurred w ere disbursed jo le ly in re la tion la the p u b lic a c tv ic e S ig n a tu re :. iS 7 7 Input on COREESS by: Nnrnn . 1 '+ 41 DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT . Travel &,Sub3lstenc9'(^alm!t;ormK Corahjltool, Pvbal ogiH Rtalhn Allfull Environment. CommunHy end Local Government 1. NAME (Block Capitals) \ HEADQUARTERS ^ Custom House & Nenagh HOME ADDRESS GRADE 2. “ “ PERS. t.D. No. 0 9 5 0 8 5 8 CO ST CENTRE 01200 ~ Civilian Driver CAR C C (if applicable) SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) fv -r 2 TRAVELLING EXPEN SES SU BSISTEN CE ALLOWANCE M ISCELLANEOUS (taxi, fee, etc.) Please attach receipts I certify that: accordance with the relevant regulations* (I) the subsistence and ly disbursed soieiy in relation to the public (ii) the expenses charged have service (iii) the particulars furnished herein are in ail respe (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere if higher class of subsistence is being claimed, please give reason:- 3 If the journey was EU-reiated and if a refund is due to the Department, please tick the appropriate boxes REFUND DUE Y ES Q NO □ _______ d a t e SIGNATURE SUPERIOR O FFICER’S CERTIFICATION (I) (ii) (iii) I have examined and checked the above claim the particulars furnished thereon are correct and in strict accordance with the relevant regulations* the expenses incurred were whoiiy and necessarily incurred by the officer In the actual discharge of higher official duties . , / SIGNATURE GRADE ___________ DATE & t in i f c G jl'f ’ . Date z -r^ r/ % JOURNEY DATE From To 5 3 4 Car/Train /Bus No of Kilometres & Rates 2 1 6 COST € c SUBSISTENCE € 8 7 Time Arr. Time Dep. c PURPOSE OF JOURNEY (State other officers present) Sun _ /_ /2 0 __ Mon iA C7 yv\(L^ Tues L.lpc-0 -^ £>S,cC> 3 5 - f c l^ WC» 2ccc> i v,\ > C jO o i'^ Zo, &o \o 2 Jjj£ l2 0 Jj* H i^ poju M om e 1 2 0 1 2 0 a r\ ! 0 ( - 3 o «/• '-''Wed __ /__ __ Thurs __ /__ /S s' / _/__/20_ i K M om C Co POST PHONE € e $ / / cjO The following should be observed In relation lo the above numbered cotunns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward journey should be shown under it’s proper date. Column 3 - I n all cases state mode of conveyance and, vthere appropriate, dass of rail and/or cc of private car. Column 3 & 4 Where it is practicable lo do so, Ihe cheapest and shortest period tickets should be availed of. Distance in kilometres from Headquarters lo the town nearest destination should be given only where private or hired vehlde Is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own transport on offitial business should sign the form of undertaking set out in paragraph 9(1) of Circular 11/82. Column 6 - I I foreign currency is being quoted on daim form, the rale of exchange at Ihe time of travel should be quoted. Column 8 Please stale whether any other officer attended at the same location on the same date(s) and whether *' " transport was shared. GRAND TOTAL MISC « //4 -S t * The Regulations must be strictly observed, note In particular Circular 11/82. Any neglect tn this regard will cause correspondence and inconvenience and Mill delay the processing of the daim. Where as part of an offidat Journey an officer is entertained to free meats and/or accommodation, delaHs of same should be submitted with this daim. t sies'cJ' < / / 4 - £ f c LE SS IM PREST € NET AMOUNT DUE € L oo DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Comhshool, PoM ogus Hlollns AllkiU Environment, Convnunily aid local Government 1. Travel & Subsistence Claim Form' PERS. I.D. No. -aa r,trofiBo s q fe 6 7 S - Custom House & Nenagh CO ST CENTRE 01200 Civilian Driver CAR C C (if applicable) NAME (Block Capitals) HEADQUARTERS HOME ADDRESS £ GRADE 2. SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) ^ / Q acj 74 TRAVELLING EXPEN SES €.________________________________ SU BSISTEN CE ALLOWANCE « U f i - / y _____________ M ISCELLANEOUS (taxi, fee, etc.) Piease attach receipts TOTAL € LE S S IM PREST RECEIVED (if any) 6 BALANCE DUE 3. E CLAIMANT’S CERTIFICATION i certify that: 1. 0) (ii) (iii) (iv) the expenses charged have been actually and necessarily c service DEPABTMf-WT OF ENVIRONMENT the particulars furnished herein are in ail respects true COMMUNITY & LOCAL GOVERNMENT no daim in respect of the same period has been or will be rr ade against another Government ' Department or elsewhere 0 3 3EP 2C« 2. If higher dass of subsistence is being ciaimed, please give reasoi 3. ^ ^ I if the journey was EU-related and if a/afund is flu ^ b the Departi - hnyoc .... AutOtlNTS 0 'f.K EU-RELATED SIGNATURE YES □ NO REFUND DUE Y E S f- / / DATE - y . ’A * i NO □ f ' ' - > 2 9 . ^ sc, ■ ; V SUPERtOR O FFICER’S CERTIFICATION I certify that: / a h I iv y I have examined and checked the above claim (i) the particulars furnished thereon are correct and in stndl accordance with the relevant regulations* («) the expenses incurred were wholly and necessarliv^ncLirred by the officer in the actual discharge of his/her (i») official duties / ^ ./ IW J U a J H , t , SIGNATURE GRADE f i f ----------------- ~ Z f7 U i-------------------------------- T ? Name ACCOUNTS SECTION USE Examined: Date 1 2 3 JOURNEY Car/Train /Bus DATE To From 4 No of Kilometres & Rates 5 6 COST SUBSISTENCE * / € a 7 Time Dep. c PURPOSE OF JOURNEY Time Art. (State other officers present) Sun _ _ /_ /2 0 __ ■# Mon V , _ /_ _ /2 0 __ J ■ b f i Wed i Zl_!W20ai \ iK 5 Tues 5 3 ^ tv A to / v i£ W & w ik $Qi j V ^ o.vad t f j O 5oo H °w \ £- 1 Sat 3 3 -6 1 ^ )Z-~l I C> C aJ o tt Wl (V L to r\ / O g o O * S -$ £ > 153nevnajjA + “t T o w *A (Y i v\\ (jZ T ro ) / A-necvS "TUovVfiV Thurs z&&ea> 0 \ a , 3o osco )$ 0 O (a 3 o t^ - (V f us\ >rvn\ r w S t e / c J . &K3 o i ► i»s L s o r if , c->L C O o v rV x ll^ l _ / _ / 2 0 __ POST PHONE € € TOTALS TOTAL KILOMETRES TRAVEL € SUBSISTENCE e H * The Regulations must be strictly observed, note In particular Circular 11/82. Any neglect In this regard will cause correspondence and inconvenience and will delay the processing of the daim. Where as part of an official journey an officer is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The following should be observed in relation to Ihe above numbered columns: Time of departure from and arrival at residence or headquarters should always be given. Column 7 A return journey nol made on Ihe same day as an outward journey shoufd be shown under it‘s proper date. Column 1 & 2 In all cases state mode of conveyance and, where appropriate, dass of raH and/or cc of private car. Column 3 Where it Is practicable lo do so. Ihe cheapest and shortest period tickets should be availed of. Distance in Column 3 & A kilometres from Headquarters to the town nearest destination should be given only where private or hired veWde Is used and local distance travelled should be indicated separately. In Ibis regard each officer who necessarily uses his/her own transport on official business should sign Ihe form of undertaking set out in paragraph 9(1) of Circular 11/62. If foreign currency is being quoted on daim form, the rate of exchange at the time of travel should be quoted. Columns Please state whether any other officer attended at the same location on the same date(s) and whether Column 8 transport was shared. GRAND TOTAL MISC « / ^ - 1 LESS IM PREST € NET AMOUNT DUE € r DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT ComlnttDol, Potal agin Hattol Alliiil Travel & Subsistence Claim Form _Jnwjn(mnMionminitv^ 1. HEADQUARTERS Custom House & Nenagh HOME ADDRESS LCivilian ___________ ___________ Driver GRADE PERS. i.D, No. 0950858 CO ST CEN TRE 01200 CAR CC (if applicable) SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) F n TRAVELLING EXPEN SES € SU BSISTEN CE ALLOWANCE € M ISCELLANEOUS (taxi, fee, etc.) Please attach receipts € TOTAL € LESS IM PREST RECEIVED (if any) € 6 * VSC,- S e p t (/U r <2$(z- k t r BALANCE DUE € 3. CLAIMANT’S CERTIFICATION 1. i certify that: (I) the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (ii) the expenses charged have been actually and necessarily disbursed solely in relation to the public service (iii) the particulars furnished herein are in aP respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere ■fj ^ if higher class of subsistence is being claimed, please give reason:2. If the journey was EU-reiated and if a refund is due lo the Department, please tick the appropriate boxes EU-RELATED YES Q NO 0 ^ E SIGNATURE 4. NO;■ Q v . REFUND DUE YES g / //< . SUPERIOR O FFICER'S CERTIFICATION X W \ //Yl t _ I _ / . icertlfythal: ^ i \ 4 M P -S ' ^ / yS . / SIGNATURE GRADE « 7 X D A TE " / / / Y ___________ . *s, ACCOUNTS SECTtON USE Examined; Total due €______^ " v '/j Name flfl ■Fi ^ V Date 2 1 JOURNEY DATE From To 3 4 5 6 Car/Train /Bus No of Kilometres & Rates COST SUBSISTENCE € c 7 € 8 Time Dep. C PURPOSE OF JOURNEY Time Arr. (State other officers present) Sun _ / _ / 2 0 __ / H ofaiz ZjZj20_i’''/cm c z V \G L Tues C t \ z , ^Sbo - k )Ilf. o 3 Xcoo 2or ) 5 ,/ _ / _ / 2 0 __ c# / Thurs / i tr1 & «r F rl < _ /f _ /2 0 . . oo Q tfV b «? f33 H Wed \ /^f’/ )i fescSCtjod-r: Mon 3 3 4 ^ 6 ^ 0 0 (V ^ V X N ?G O O VuJO W-VtL ^ O e t /ic x W oo H fi iv \6 2oc>o ■ Sat A /o m 'v fy o W c tl POST PHONE € € TOTALS / 3 - f l TOTAL KILOMETRES TRAVEL f r f i 1 ts r t& s < d e * The Regulations must be strictly observed, note in particular Circular 11/82. Any neglect in this regard will cause correspondence and inconvenience and will delay the processing of the claim. Where as part of an official journey an officer Is entertained to free meats and/or accommodation, details of same should be submitted with this daim. The following should be observed in relation Io the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return (oumey not made on the same day as an outward Journey should be shown under it's proper date. Column 3 In afl cases state mode ol conveyance and, where appropriate, class of raH and/or cc of private car. Column 3 & 4 * Where it is practicable Io do so. the cheapest and shortest period tickets should be availed of. Distance in kilometres from Headquarters to the town nearest destination should be given only where private or hired vehicle is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9(l) of Circular 11/82. Column 6 If foreign currency Is being quoted on daim form, the rate of exchange at Ihe lime or travel should be quoted. Column 8 * Please stale whether any other officer attended at the same location on the same datefs) and whether transport was shared. GRAND TOTAL MISC SUBSISTENCE € It/o rk . € LE S S IMPREST € NET AMOUNT DUE € 2 5 5 - & ‘t DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL ■GOVERNMENT Trawl & Subsistence Ciaim Form „ Comhslwol, PotMl ogui Rhinos AJrluil Enwonmcnl. Communilv ond Loco) Govamtwnl PERS. i.D. No. AAOAJUUl v m tre tro Custom House & Nenagh CO ST CENTRE 01200 Civilian Driver CAR CC (if applicable) NAME (Block Capitals) HEADQUARTERS HOME ADDRESS GRADE SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) TRAVELLING EXPEN SES SU BSISTEN CE ALLOWANCE M ISCELLANEOUS (taxi, fee. etc.) Piease attach receipts TOTAL LESS IM PREST RECEIVED (if any) BALANCE DUE 2 ! CLAIM ANTS CERTIFICATION 1. i certify that: (i) the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (ii) the expenses charged have been actuaiiy and necessarily disbursed solely in relation to the public service (iii) the particulars furnished herein are in ail respects true (iv) no ctaim in respect of the same period has been or wiii be made against another Government Department or elsewhere if higher class of subsistence is being claimed, piease give reason:- 3 if the journey was EU-reialed and if a refund is due to the Department, piease tick the appropriate boxes EU-RELATED YES SIGNATURE I _________________________________ y ” NO g - " q REFUND DUE T / ' A / YES Q / f t DATE . NO □ / ? / '? / / ■ ■ ^ i SUPERIOR O FFICER’S CERTIFICATION g Z? y ^ >3f j , / I certify that: @C/"yn ^ j j tLf (i) i have examined and checked the above ciairrrty^. (II) the particulars furnished thereon are correct and’icysfn^gjjcordance with the relevant regulations* (iii) the expenses incurred were wholly and necessarii/ir£ijflraf officer in the actual discharge of his/her official duties ft / . SIGNATURE _________________ ■ DATE m b' .J ii __________________ GRADE ACCOUNTS SECTION USE Name Examined: fYl, FfnnZn l~\ Date 3 o f ') / 2 1 3 JOURNEY DATE From To Car/Train /Bus 4 No of Kilometres & Rates 5 6 COST SUBSISTENCE € c B 7 € c Time PURPOSE OF JOURNEY Time Arr. D ep. (State other officers present} Sun __ 1__120__ 11*50 Mon {jL i $ J 2 Q ]± /-'(o rvU O i-'b lifX s’ r t n in + j (STAiSV 351 (s - 0%o° •f i / / ‘ ( \\ v w<\ t \ : C / J o >~U. p- f f v J lb u Tints _ / _ / 2 0 __ 3 . tV l o v t ^ » / W ed C ’ _ I_ I2 0 _ / 5? £ ‘ / Thurs ^ $ _ / _ / 2 0 __ J? o Sat 4 I/_ f/2 0 ' / i - T H POST PHONE € € TOTALS TOTAL KILOMETRES TRAVEL - f y SUBSISTENCE M tW ( 5 U vcU GRAND TOTAL MISC € (a / o - U ^ « 4 ouZ jnspohence * The Regulations must be strictly observed, role in particular Circular 11/82. Any neglect in (Ms regard wifl causa con and inconvenience and vrfil delay the processing of Ihe daim. Where as part of an official Journey an officer is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The following should be observed in retailor lo the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 * A return journey not made on the same day as an outward foumey should be shown under It’s proper dale. Columns In all cases state mode DfconveyarKe and, where appropriate, dass of raH and/or cc of private car. Column 3 & 4 Where It Is practicable lo do so, the cheapest and shortest period tickets should be availed of. Distance in kilometres from Headquarters to Ihe town nearest destination should be given only where private or hired vehicle Is used and local distance travelled should be indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9[l) of Circular 11/82. Column 6 • if foreign currency is being qualed an daim lorn, Ihe rale of exchange at the lime of travel should ba quoted. Column 8 Please stale whether any other officer attended ai the same location on the samB dalefs) and whether transport was shared. LE S S IMPREST € NET AMOUNT DUE € l . DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT ______________ Travel & Subsistence ClaimForm_____________ 1. NAME (Block Capitals) V HEADQUARTERS HOME ADDRESS PERS. I.D. No. ^ -----------------------------------------------— — Custom House & Nenagh rfl06W6O ^ CO ST CEN TRE a q -6 G h s 01200 11 K GRADE — ------------ Civilian Driver CAR CC (if applicable) SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) > TRAVELLING EXPEN SES € SU BSISTEN CE ALLOWANCE € M ISCELLANEOUS (taxi, fee, etc.) Piease attach receipts € TOTAL • - € LESS IMPREST RECEIVED (if any) € BALANCE DUE 3. T r C L C i * fc r V - CLAIM ANT'S CERTIFICATION 1. I certify that: (i) the subsistence and other allowances claimed are In strict accordance with the relevant regulations* (ii) the expenses charged have been actually and necessarily disbursed solely in relation to the public service (ill) the particulars furnished herein are in all respects true (tv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere 2. if higher class of subsistence is being claimed, please give reason:3. If the journey was EU-reiated and If a refund is due to the Department, please tick the appropriate boxes EU-RELATED YES SIGNATURE 4. € □ NO ^ REFUND DUE YES g _____________ BATE 1 NO Q _ A' /■ & x SUPERIOR O FFICER'S CERTIFICATION l / I certify that: ^ / (I) I have examined and checked the above claim ' / /u \ .. ..................................... ......................... ... .'■o/ >n ml mini regulations* (II) the particulars furnished thereon are correct and In strict accordance with the relevant ncJrred were wholly and necessarily Incurred by the officer in the actual discharge of his/her the expenses incttred j. n f f ir ta l Hi i H o c SIGNATURE GRADE l\ h I ? * IfvAl .I M - s •__________ s ' ACCOUNTS SECTION USE NamB Examined: / DATE t T ) . F in / ifiA ^ pate \s j 1 2 JOURNEY DATE 3 Car/Train /Bus To From 4 No of Kilometres & Rates 5 COST € c 6 SUBSISTENCE € H + / \ % co 0\OfCO Mon -2?/3_/2oJk Tues 3?/_£/20/Cf / Cbh^ ifi. 'LfJSPO tk. Sal 2Z./Jb20]^ Lirwevtdt C ir^ L~ 1 CK S m L v -N V t V / Pvbl/K Wed Thurs 2 jP l2 0 lj£ / (rs. H o M t 12,- y" & o m . V \ 1 5 - 6 1 1/ c^bcb X (State other officers present) fh * *n fS 'F & ./c J / / ^ 0 /C 6 1 ■ <-$ r> t ^ £ l o l -69\j/CVoo Z cp c & / ■ ' c(F$oo ^6pO V" x S 1 N. >r" / / T i C (> Ofco S' ■ * ^ • ■*1-. Time Arr. C D t ? b l/ n Time Dep. c Sun 2%j± !2 qIJ+ B PURPOSE OF JOURNEY 7 yO 2c, 2qoo (tfJtn JotL-L Voo r 5'3- CiV ■ \ lo / 1 .8 / 0 0 ' ' o - f\A POST PHONE € € TOTALS TOTAL KILOMETRES TRAVEL SUBSISTENCE € * The Regulations must be strictly observed, note In particular Circular 11/02. Any neglect in this regard wffl cause correspondence and Inconvenience and will delay the processing of the claim. Where as part of an official Journey an officer is entertained lo free meats and/or accommodation, details of samB should be submitted with this daim. The Mowing should be observed In relation to the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on Ihe same day as an outward journey should be shown under it's proper date. In alt cases state mode of conveyance and, wtiere appropriate, dass of rail and/or cc of private car. Column 3 Where it is practicable to do so, the cheapest and shortest period tickets should be availed of. Distance in Column 3 4 4 kilometres hum Headquarters to the town nearest destination should be given only where private or hired vehicle Is used and local distance travelled should be Indicated separately. In this regard each officer who necessarily uses his/her own transport on offldal business should sign the form of undertaking set out in paragraph 9(1) of Circular 11/S2. If foreign currency Is being quoted on daim form, the rate of exchange al the time of travel should be quoted. Please stale whether any other officer attended al the same location on the same datefs) and whether transport was shared. MISC & A ^ \ [£ < // v < > \ o w . t»V)HgK+ fks I-io / ' X ^ ii c e* * GRAND TOTAL € LESS IMPREST € lv S & ' 9 ,' L NET AMOUNT DUE e .0 r n a l d ^ r o r i HOT E L C I 1 V W£ 1 T Copy Invoice B illin g A d d n s s Booking Com CITYWEST Room Number 127 Ajrfvsl Date: 27/09/2014 Departure Data 28/09/2014 Booking Ref 1083160-1 Invoice Mumbar 115505 Home Addtsss Paga 1 of 1 Oata/Tlms * 27/09/201403:39 59 27/09/201414 34 52 User ID: LOU VAT Humbur; S651489Q To Ret Number 258127891 Description Ex-Tax Tax Room Onlyfftoom ~ 11835 10,85 129.00 000 ooo -129.00 1JB.35 10.SS 0.00 Visa Card Totals Total Charge VAT DETAIL Description STD Ex-Tax Vatu* Tax Paid 118 35 1065 Total Ex Tax 118.39 Total Du Paid 10, / X “ TOTAL DUE: 0 00 / A / % /A , v ■ ■ KIngswood Village, Naas Road. Dublin 22 Ireland T: + 353 (0) 1 481 9900 F: + 353 (0) 1 461 9910 E lnfo.citywest@inaldronhotels.com _____________ Canto) Reservations 1850 885 B85 ,,r www matdronhotets com _______ Citywest Restructuring Limited, Rsquared In Iniland No 8842814B, C/O KPMG Rastnjcturing I Slokat Plaen, St Stsphen'i Green, Dublin 2. Ireland Dtrodora M, Madman. N. McNamara / - / / 6 & W ? DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL ! "GOVERNMENT CooilMhool, Patel agui maims AlHuH Envhomwni. Community ond Local GovBwnmi x _ Travel & Subsistence Claim Form NAME (Block Capitals) ^ HEADQUARTERS PERS. I.D. No. Custom House & Managh CO ST CENTRE Civilian Driver CAR C C (if applicable) 01200 HOME ADDRESS GRADE SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) I TRAVELLING EXPENS € SUBSISTENQ^CtLOV fcNCE € , etc.) Please attach receipts / i / 2 9 S - 1 / i/ 2 9 b -3 1 i / * € TOTAL € LESS IM PREST RECEIVED (if any) _€€ € tffaX EEH lFIC A TIO N 2. 3. the subsistence and other allowances claimed are in strict accordance with the relevant regulations* the expenses charged have been actually and necessarily disbursed solely In relation to the pubilc service (ill) the particulars furnished herein are in aii respects true (Iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere If higher class of subsistence Is being claimed, piease give reason:If the Journey was EU-relaled and if a refund is due to the Department, piease tick the appropriate boxes EU-RELATED YES □ NO 0 ^ REFUND DUE DATE SIGNATURE YES Q NO Q 3 / ' >o * r * i 4. SUPERIOR O FFICER’S CERTIFICATION i certify that: , if (I) I have examined and checked the above daim {11} the particulars furnished thereon are correct and in strict accordance with the relevant regulations the expenses necessarily incurred by the officer In the actual discharge of his/her official duties " / SIGNATURE DATE It GRADE ACCOUNTS SECTION USE Total due € 1 2 JOURNEY DATE From Sun _ /_ /2 0 __ Mon 20_ 3 Car/Train /Bus To 4 No of Kilometres & Rates 5 COST € r 7 6 SUBSISTENCE c Time Dap. Time Arr. I Z - V v C S oo I S , 2d c € 8 PURPOSE OF JOURNEY (State other officers present) - /-b (v i£ R \ r P o v-T T ubs Z% W 20_ Wed 2%JlOJ2Q_ Pi q P \m t o /■'fa M in Thurs %LH2)2 0 _ Frf 3 jj/ 0 / 2 0 _ C o O (0,CQ P m f (V j x n i y r ' / o h H - i f ' c rg o o 33 - M o tV if lA trv \L n e m o ; * * 0 0 > n ‘S T c / c Jl J j * , ) (V\ M . t n ‘ 5 T c v b jL / < J * P O S T PHONE T R A V E L T O T A L v\ i 5"revc*A SUBSISTENCE C JW A ;-_ ^ J jp / Ac r’ « $ M C O o rV 2 o oO i Sat _ /_ /2 0 __ \ (L O a .S > GRAND TOTAL / l S C S KILOMETRES TOTALS € e f ( • 2 k s i * The Regulations must be stricUy observed, note in particular Circtiar 11/82. Any neglect In this regard win cause correspondence and Inconvenience and wfll delay the processing of the claim. Where as pari of an official Journey an officer is entertained to free meals and/or accommodation, details of same should be submitted with this daim. The fofaring should be observed In relation to the above numbered columns: Column 7 Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward Journey should be shown under It's proper date. Column 3 In aB cases state mode of conveyance and, where appropriate, class of rail and/or cc of private car. Column 3 ft 4 Where It Is practicable to do so, ihe cheapest and shortest period tickets should be avaBed of. Distance in kflometres from Headquarters to the town nearest destination should be given only where private or hired vehide is used and local distance travelled should be indicated separately- In this regard each officer who necessarily uses his/her owi transport on oRidal business should sign the form of undertaking set out in paragraph 9(1) of Circular 11/82. Column 6 If foreign currency is being quoted on daim form, the rale o( exchange at the Bme of travel should be quoted. Column 8 Please state whether any other officer Bttended at the same location on the same dalefs) and whether transport was shared. 4 - / J L « 2% - 3 ( v / LE SS IM PREST € S NET AMOUNT DUE € “S ' ^ Z f t b •3 i DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT © . Comhshod, Potol agin Rtaltai AJUull ^ Travel & Subsistence Cjajm Form £nyironmen>. Ccnvnunry and lo c a l Gotwmnanl 1. NAME (Block Capitals) HEADQUARTERS Custom House & Nenagh V HOME ADDRESS GRADE 2. PERS. I.D. No. 0896675 CO ST CENTRE 01200 Vj Civilian Driver CAR C C (If applicable) SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) TRAVELLING EXPEN SES SU BSISTEN CE ALLOWANCE M ISCELLANEOUS (taxi, fee, eta) Please attach receipts Co\Jt(L UJ(32.^' to ta l e OS< IT LE S S IMPREST RECEIVED (if any) _€_____________________ BALANCE DUE 3. € CLAIM ANTS CERTIFICATION I certify that: 1. (0 the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (II) the expenses charged have been actually and necessarily disbursed solely In relation to the public service (III) the particulars furnished herein are In ali respects true (Iv) no claim In respect of the same period has been or will be made against another Government Department or elsewhere 2. If higher class of subsistence is being claimed, please give reason:- 3. If the journey was EU-related and if a refund Is due to the Department, please tick the appropriate boxes EU-RELATED YES Q NO g ^ SIGNATURE 4. SUPERIOR O FFICER'S CERTIFICATION I certify that: (i) I have examined and checked the above claim >- ^ (II) the particulars furnished thereon are correct and in strict ap£brdance with the relevant regulations’* (ill) the expenses incurred were wholly and necessarily Incurred by the officer In the actual discharge of his/her officiai duties \ . A Q fll / •' >/ L^ , % SIGNATURE GRADE I Name Examined: € /? \ ^ > P jr ACCOUNTS SECTION USE Total due l DATE &’ 0 8 Checked: TT> i Date 3-0 f t ) j >vf 1 2 JOURNEY DATE From 3 To 4 No of Kilometres & Rates Car/Tratoi /Bus 6 SUBSISTENCE 5 COST € c € C Time 8 PURPOSE OF JOURNEY Time Arr. Dep. (State other officers present) Sun __/__/20__ Mon Z j i itto u * T ubs I Wed S jftttO jL f- Fba ( Z Thurs L / iit t o jjf- flj\A iv \ Fri C O S K 2_/W 20Jit ^ W o n i e [ oyM VA.CJVM ^ j\j£v\CvC^\ Sat L jiif c o jt I / o '? . 6 ? j ( S t A y S O \*U Q u q L»\ I'ie m # -' { a LA.Vv'Oi POST PHONE o T - t C(y o l S o ' c q . i s r f S T * i/ & D t v\ ( C o /V C V. f < *5? / O ^ r 'iO 0 8 og ,r ^ / c ) ) / *? / 'i TRAVEL TOTAL VV\» vi v ^ V e ^ c J b q .iS lo 1 . 1 * % ( o '! - 6 7 3 .3 o “3> 3 * G I 'o t f o s - /S U Jo v -^ — od fY \ \ € I 'V o V 'W « W U Jc ^ c , GRAND TOTAL MtSC € Co o fV \i KILOMETRES TOTALS C * The Regulations must be slrictly observed, note In particular Circular 11/62. Any neglect in this regaftl wBI cause correspondence and inconvenience and wifl delay Ihe processing or the claim. Where as part or an official Journey an officer is entertained to free meals and/or accommodation, details of same should be submitted urftti this daim. The following should be observed in relation to the above numbered columns: Column 7 Time of departure From and arrival at residence or headquarters should always be given. Column 1 & 2 • A return journey not made on the same day as an outward Journey should be shown under It's proper date. Column 3 In all cases slate mode of conveyance Bnd, where appropriate, class of rail and/or cc of private car. Column 3 & 4 Where II is practicable to do so. the cheapest and shortest period tickets should be availed of. Distance in kilometres from Headquarters to the town nearest destination should be given only where private or hired vehide is used and local distance traveOed should be indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set out in paragraph 9{l) of Circular 11/82. Column 6 It foreign currency ts being quoted on daim form, the rate ol exchange at the time of travel should be quoted. Column tl • Please slate whether any other officer attended at the same location on the same date(s) end whether * transport was shared. . L Je v W !£ /c o 2 0 0 0 '0 1 , 3 5 r o i^ r 1 3 - > 1 , / %0,eo SUBSISTENCE O O 'f A r c - LE S S IM PREST € NET AMOUNT DUE € r\ 1 DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT Comhiftool. Pobel ogus Rtaltai Altluil Environment. Community ond Local Gwemm enl 1. Travel & Subsistence Claim>Form NAME (Block Capitals) ( HEADQUARTERS PERS. i.D. No. 0896675 Custom House & Nenagh CO ST CENTRE 01200 Civilian Driver CAR CC (if applicable) HOME ADDRESS GRADE SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) /^ A /¥ TRAVELLING EXPEN SES SUBSISTENCE ALLOWANCE M ISCELLANEOUS (taxi, fee, etc.) Please attach receipts TOTAL € i (d LE SS IMPREST RECEIVED (if any) _€________ BALANCE DUE € CLAIM ANTS CERTIFICATION 1. I certify that; (I) the subsistence and other allowances claimed are In strict accordance with the relevant regulations4 (ii) the expenses charged have been actually and necessarily disbursed solely in relation to the public service (iii) the particulars furnished herein are In all respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere 2. If higher class of subsistence is being claimed, please give reason:If the journey was EU-retated and if a refund is due to the Department, please tick the appropriate boxes EU-RELATED YES □ NO 0 ^ REFUND D U E /Y E S SIGNATURE 4. □ NO Q rE / / - SUPERIOR O FFICER’S CERTIFICATION I certify that: (I) I have examined and checked the above claim y ^ (ii) the particulars furnished thereon are correct and In strict accordance with the relevant regulations* -------------‘ discharge J!—’--------of his/her (iii) the expenses incurred--------- *--------------------id necessariiy incurred*by the officer In “-----the actual official duties \ /.A , ~ £ SIGNATURE ^ f O A T E >v V i ^< GRADE . 'r Of ’V ACCOUNTS SECTION USE Name Examined: Checked: __ f f l ■ F in OAa f3 5 5 2 U < - I a S \ u UM - LV / Date ' 3 / * z- / >4i I t 2 _ \ M 3 2 JOURNEY 1 DATE From Car/Train /Bus To 4 No of Kilometres & Rates 5 COST € 6 SUBSISTENCE € c 8 PURPOSE OF JOURNEY 7 Time Dep. Time Ait. C&,oo t? 3o c {State other officers present) Sun _ /_ /2 0 __ Mon (O_/u_/20iU lA fl. T ubs 1L/U./201U / D u . ir Z rv y g r j? a t sj Wed I Z i i y 20*^ S lt c p Thurs I$J£J2QJjf \ ':* " \ J K I O t 2: ^ 1 0 1 -, I f r J 0 % o ° 2 p oC t-3o r ^ J i * f / S3- 8£ e i,3 o 19/00 ( S T ft-Z fl »V1 ilt q o ) \ J / S S S u?P M ‘ v\ , / C - 3 o . 2 Z .it? 4 \ t» Fri S -fe l , O 'S c o 2 2 .T o ?o,co 0 2 .2 0 Sat \ j( ± m \ h POST PHONE € € TOTALS TOTAL KILOMETRES TRAVEL SUBSISTENCE € * The Regulations must be strictly observed, note in particular Circular 11/82. Any neglect in tNs regard will cause correspondence and inconvenience and will delay Ihe processing of the daim. Where as part of an official oumey an officer Is entertained to free meats and/or accommodation, details of same should be submitted with this claim. The following should be observed in relation to Ihe above numbered columns: Column 7 * Time of departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward journey should be shown under It's proper date. Column 3 In aH cases slate mode of conveyance and, where appropriate, class of rail and/or cc of private car. Column 3 & 4 Where it is practicable to do so. the cheapest and shortest period tickets should be avaBed of. Distance in kilometres from Headquarters to the town nearest destination should be given only where private or hired vehicle is used and local distance travelled should be Indicated separately. In this regard each officer who necessarily uses his/her own transport on official business should sign the form of undertaking set oul in paragraph 9(1) of Circular 11/82. Column 6 If foreign currency is being quoted on claim form, the rale of exchange at the time of travel should be quoted. Column 8 Please stale whether any other officer attended at the same location on the same date{s) and whether transport was shared. U/dV'VC M l GRAND TOTAL MISC « * 3 5 0 - & & / ■^ LESS IMPREST € NET AMOUNT DUE € v S £ C S lie y ? (? o o m I Ck w i C lc u w d qWf i m DEPARTMENT OF THE ENVIRONMENT, COMMUNITY AND LOCAL GOVERNMENT ComhsliMl. Potwl a g u Rlottai AliiuH 1. Travel & Subsistence Claim O & H lQ NAME (Block Capitals) i " \ HEADQUARTERS Custom House & Nenagh PERS. t.D. No. 0896675 CO ST CEN TRE 01200 HOME ADDRESS GRADE Civilian Driver CAR C C (If applicable) SUMMARY OF CLAIM FOR W EEK ENDING (To be completed by Claimant) 2 1 / / ■ '/ / & TRAVELLING EXPEN SES € SU BSISTEN CE ALLOWANCE € M ISCELLANEOUS (taxi, fee, etc.) Please attach receipts € 2 € - 6 £ r € BALANCE DUE ......' € CLAIM ANTS CERTIFICATION 1. I certify that: (!) the subsistence and other allowances claimed are in strict accordance with the relevant regulations* (ii) the expenses charged have been actually and necessarily disbursed solely in relation lo the public service (iii) the particulars furnished herein are In all respects true (iv) no claim in respect of the same period has been or will be made against another Government Department or elsewhere 2. if higher class of subsistence is being claimed, please give reason:- 3. If the journey was EU-related and if a refund is due to the Department, please tick the appropriate boxes EU-RELATED SIGNATURE YES g NO 0 ' " ' ^ T~ REFUND DUE Y ES Q ^ DATE / NO Q 2. 7 4. SUPERIOR O FFICER’S CERTIFICATION /A I certify that: % '-p (i) I have examined and checked the above claim (ii) the particulars furnished thereon are correct and In strict accordance with the relevant regulations* (iii) the expenses incurred w^re wholly and ssarlly incurred by the officer in the actual discharge of his/her official duties SIGNATURE DATE / GRADE ACCOUNTS SECTION USE Name Examined: /7) ■ Date \ lt+ 1 2 JOURNEY DATE From 3 To Car/Train /Bus 4 No Of Kilometres & Rates 5 COST € 6 SUBSISTENCE € c Time Dep. c tfio o Q jn iz o ljt Mon v te o * € a . S x?oQ d * 3 8 PURPOSE OF JOURNEY 7 Time Arr. (State other officers present) I9lb fy ) n r \i5 > \^ r e iL 1 f- t S m Tues 2£/iL/2oiif H a L J a s fc . Wed K \o w v£- I Frl ^ J lL w iU sat F .) Usefc' W H o v fe . U/o^ Frl 0?3o 2too AfitfsJeroJ I2jf?j20Mt BMtn Sal SoUima-/ Ai la\o& POST PHONE € € TOTALS fooo 15- > 1 / TOTAL KILOMETRES TRAVEL € SUBSISTENCE 4 7 ? .£ « * The Regulations must be strictly observed, note in particular Circular 11/82. Any neglect in this regard w ll cause correspondence and Inconvenience and will delay the processing of the daim. Where as part of an official foumey an officer Is entertained to free meals and/or accommodation, details of same shoUd be submitted wtth this daim. The following should be observed in relation to Ihe above numbered columns: Column 7 Time or departure from and arrival at residence or headquarters should always be given. Column 1 & 2 A return journey not made on the same day as an outward journey should be shown under it's proper dale. Column 3 In all cases slate mode of conveyance and, where appropriate, dass of rail and/or cc of private car, Column 3 & 4 Where it is practicable to do so, the cheapest and shortest period tickets should be availed of. Distance In kilometres from Headquarters to the town nearest destination should be given only where private or hired vehicle is used and local distance travelled should be Indicated separately. In Ihis regard each officer who necessarily uses his/her own transport on oflidal business should sign the form of undertaking set out in paragraph 9(1) of Clrctfar 11/82. Column 6 If foreign currency is being quoted on daim form. Ihe rate of exchange at the lime of travel should be quoted. Column 8 * Please state whether any other officer attended at the same location on the same date{s) and whether transport was shared. UJow4< MISC € U©vA*.< GRAND TOTAL 4Z/7S> O Sk & / Q LESS IM PREST * V / NET AMOUNT DUE / ^ ^ o' ^ ^ ) . p* .«? / \s ch : 17 ^ w A? € r. **-• Jr- '■'& i > J V la r g a r e tJ F h r in e r t^ ^ (D E C L G ^ From: Sent: To: Subject: Larry Kelly - (DECLG) 16 December 201412:16 Margaret Finnerty - (DECLG) ^ ^ Margaret I can confirm that Minister Kelly stayed in Dublin from Monday 8th- Friday 12th December 2014. Therefore his driver staying in Dublin on the nights of the 8"\ 9,h & 10 & 11* December 2014. Larry Kelly Private Secretary Minister of the Environment, Community & Local Govemmant Custom House Dublin 1 Tel: 01-8882403 Fax: 01 - 8788640 Email: larrv.keIlv@environ.ie l SUBSISTENCE CLAIM FORM ( or input into COREESS system) 1. Claim ant's details {to be completed In block capitals) Name: Grade: Civilian D river Group N o :- Payroll No: 0896713 10400 Car Reg: - 2. Subsistence details f Rht Data .. if - Tim e ."’ TO ^ U o c a ttd n M Data Tim e Purpose o fjo u ro ey Location No.oTKm s Mo. o f O vam fflhl No, oT 10 hour rates rates C o Q tO V No; o f 8 hour rates x / / « * . I 7 fr ' 1 / V / V 3. Claimant's certification I certify that (i) the allowances claimed are in accordance with regulations, (»i) the expenses charged havFbeen disbursed solely in relation to Ihe public service, (iii) Ihe delate shown here are true and (Iv) no claim for same parid has been, or will be made against another Government Department, or elsewhere Date Signature. A \ b ,- M t y q - j 4. Certification by Private Secretary 'ft? j? £ ^5“ I certify (hat (i) I have examined and checked the above claim, (ii) Ihe particulars furnished thereon arefcom ra and in accordance with Ihe relevant regulations and {iii) the expenses incurred were disbursed solely in relation Io the public sennce "^ 4 C~T /CsS* / Date: Private Secretary to Minister / * s/ik * 'C *T £ Input on COREESS b y N am e ________________________ Date.___________________ §? < i i it <7, . 7 « $ if isH"* SUBSISTENCE CLAIM FORM (for input into COREESS system) 10400 2. Subsistence details S -c o " 7 'C O TfT-oo •XJ'OB b \±&UN Jl.P-'C ja T; l, V n R L t jf i &L 1 M ■ ^ u R L /N X y j< 2 L X r 0 jr n f , -TAJCO Ttt 1 7 . r 2 a DUG -a.vJ/o No. of Kms f No, of OvemfgfH Wo. of 10 tour rates rates r / v Li No. of 5 hour rates ------- - — i o [7 Purpose of journey 1 .ftu fiL i h Location [ 1'^ L-^ 2-3' f'lit 7 - 3 o 0 6 - 4 ' '$ . ------------- to Time : ■'—1„ *- 'rfc: 3 * 5 ^ 5 i i _ d_td_ CLU-^b- Date *r Location 'Ii ~ From Time Date lifa L f’ k I * 3 : > £>I if ^ T /n F ^ O •> v / * j r V 4* - ' or ^ ■ £ ?•’ 3 .^ -k l 3. Claimant's certification t certify that (i) the allowances claimed are in accordance with regulations, (it) the expenses charged have been disbursed solely in relation lo the public service, (iii) ihe details shown here are true and (iv) no claim for same perid has been, or will be made against another Government Department or elsewhere Signalure: a Dale: 4. Certification by Private Secretary g ^ I certify that (i) 1 have examined and checked Ihe above claim, (ii) the particulars furnished thereon arg canrect and in accordance with the relevant regulations and {mi) the expenses incurred were disbursed solely in relation to the public service / c^, ' tij D ale Name: / \J i Group No: - Payroll No: 0896713 S . Grade: Civilian Driver Business Unit- MoS Office Car Reg: - Engine CC: - 70400 2. Subsistence details Frtm Dote Time Location Date Time r t TpJL&UtJ *7 -^0 ~?~LO T>4*AlJ rJ O uPJj *1 J^*00 \> u £ u J JXe->nJ bJ 1 t l - it o Purpose ofJourney Location . J .rt'rty 23 - r O mjx> M- - -T- No. of Kms Mo, of Overrtlflbt No. of 10 hour rates rates 1 141 V tSTrtUJK—l& e t t E S Tslt& L/ki I j rv-f, Li ks 'f T No. of 5 hour rates 1 hJ ? L * n J . i . T CNV$ vernm ent rn t MUN1TYS LOCAL GC T.Yf ZUIj ’Mil >}■ > ■■■ L U ;NUY -1 4 . @ io r n> \ 4-j AC« io u p t 3 A kff ) £ ) 3 o .r t 3 .V t» i yf 33 • £ htl I certify Dial (i) the allowances claimed are in accordance with regulations, (ii) the expenses charged have been disbursed solely In relation to the public service, (ni) the details shown here are true and (iv) no claim for same perid has been, or will be made against another Government Department, or elsewhere "S \/ DU: f , 4. Certification by Private Secretary •37 I certify that (1) I have examined and checked the above daim, (ii) the particulars furnished thereon are coned and in accordance with the relevant regulations and ( in ) the expenses incurred were disbursed solely in relation to the public service. Signature: v 1**'' Private Secretary to Minister Input an COREESS b y Name: . Dote V- - rw * ‘U tL'fb'ttf. 2'5is-\ 'fivAliLtJV £ . Yoi Time . . Location £ kf-'ti- 1 & -V 7,7,-tP* 7 'O X J •2-1'ui» £ r t fO ’p . Purpose of journey *> v w n No. of.Owrn^tita rates V'+ AUtJ \ H o »f10hc*f ; Nit. 6f fi-hour rates rates t r—* ►* _ ! ^ / _ _ WPARTM ;k t o f a ft IRONMEH COMMUNr r& LOCAL! JCVEKNM NT Ly,ni7 No.ofKun l - Location d From Time. ^ -r Datei I ..................... __ 11? X A p C O U rj T 9 ^ ^ .. __ . . <* a £ __ rw c H u “O 1 O f « tr ll-lif T w v c h Im y *■ Engine CC: - s' ta^ofOvnfnlght No. of 10 hour rates rates ' i _ / o / '■■i-.j .. V. nrtAKTMEMTt , COMMUNITY No. o*6 hour rates r I t ] t. \ 4 ^ 'I1' ! 4 _i-------- -T- V \ To Location v'V - 10400 Business Unit: MoS O ffice Grade: Civilian D river iE N V iR O H M tN ^ jfAL (jOVCfWMWl 3 ,£ )3 3 £ > ■ -v- 1 fl r ^ 20U i / / n t INTS —_1 / / 3. Claimant's certification J/5-3S / /o o - S 3 £ £ I hat (i) the allowances claimed are in accordance with regirialnJl!, q II ie expenses charged have been disbuised'solely irm lation lo the public service, (iii) Ihe details shown here are I rue and (iv) i certify that %’£ ' r S / S~ no claim for same perid has been, or will be made against another Government Department, or elsewhere Signalure: — ' Date: i i i j 4 . Certification by Private Secretary ^ ^ / I certify that (i) I have examined and checked the above claim, (K) the particulars furnished thereon are correct and in accordance With the relevant regulations solely in relation lo the public service. > y Signature: a— Input on COREESS b y Name 3 /fc . 3i . / (iii) the expenses incun •'eft I ( o ') Grade: Civilian Driver Car Reg: • ■ J - 2. Subsistence details From Date to Location Time Date Time l-T>o n. 9,'tro Purpose o f journey Location O t>vjA j_j 7 -!o If.t f - f u -U- « ( - « « - t tf . < ? -3 c > V- • A ® * .,* * ' . VJ' * , 1 iMf *JJ-brTBU,^V # 4 -1 1 - Ht. Wo. of OV*mtghi No. of 10 hour rates rates No. of Kras I \ \ •p v x fii-t V- _ L Si k! lo lo T \ h &L/*S ■9 3 . c jo {J c /^ O %fS> io ( No. of 5 hour rates .........L - \ > " . , 1 ------ f ' . OCAL6 ^ * * * ill i 1 \ 7 O fr A M A l tu iT S A C C O U W ^ ---------- 3 / £ (o T .C o *} _ i —- J ^ '3 3 £»/ V^""r ^333 ^(oT - e»? «33 3. Claim ant's certification I certify that (i) Ihe allowances claimed am in accordance with regulations, (h) the expenses charged have been disbursed solely m relation to Ihe public service, (iii) the details shown here are true and (iv) no claim for same perid has been, or will be made against another Government Department, or elsewhere y Signature: • /S M / — ,S /// 4 . Certification by Private Secretary 0 WhM * h ? > o mf fm ■-7 Data ■* To Time jp /0, ^ c ; ~ % {M 2JZQJb T )iu ( iJ £ t\ Xocatlom 1 - ? (? ,? £ M z Purpose orjoumey j , r tf flft U f o /f if if t/ l \. ) U A / T .L ^ \ / //U7 / s*\ r\ V' v j f ”■ No. of Overnight rates 1 I i / L / *- j 1 ' CL t " A w iu iM * £ N 6 i,d fl0 hour tales 4>r / No, of 9 hour rates ilJ ls f t f A i t r \ f/ L A v rf ! No. of Kms ** £*> ' / From Time Oate , \ , ' . i. 1 Y 33 - U t / / . ^ I g jfi .W / £ / / ^ ^ § 3 3 - 11 3. Claimant's certification I certify that (i) the allowances dalmed are in accordance with regulations (ii) Ihe expenses chargitd have beeH disbursed solely in relation to Ihe public service, va»»o^ 3. Claimant's certification I certify ttiat (i> Ihe allowances dain.ed are in accordance with regulalions, (A) the expenses charged no daim for same perid has been or win be made against another Govemmenl Department, or efeewhi Dale: t f A s M isbursed solely «i relation lo the public service, (in) Ihe details shown here are (me and (iv) a 4. CertilSwffcrffiT^flvalB Secretary I certify that (0 I have examined and checked the above claim, (a) the particulars furnished (hereon a--e correct and in accordance with Ihe relevant regulations and (iii) Ihe expenses incurred were disbursed solely m relation lo Ihe public service. Signature:. Date- S>Lf. Inpul on COREESS by: Name; Dale: Namo: ^ Payroll No: 0B95431 Group No: • tL ^ I / 1 7 M No. of 5 hour rates ■\ f ^ / / < / / C /o ? - 3. Claimant's certification I certify that (i) Ihe allowances claimed are in accordance with regulations, (Ti) Ihe expenses charged have been disbi no claim for same o e ri^ ]g & A A y ^ .ill ba made against another Government Department, or elsewhere the public service, (iii; Ihe details shown here are true and (iv) 'J ° t Signature: _____ Date: 9 / $ & f . / ^ . 4. CertJrrcpjSSn^Sfcp " Secretary t certify have examined and checked (he above daim, (ii) the particulars furnished thereon solely in rPJiian to Ihe public service. I regulations and (iii) the expenses incurred were disbursed SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (to be completed In block capitals) Name: Group N o :- Payroll No: 0B95431 Grade: Clvllfan Driver Business U n it MoS Office Car Reg:* Engine C C : - 10400 2. Subsistence details Eroft Time Location t 7fa M S.-CO JfU\It /V h 4jc/Jn 7 .? e Date jh MjL n ik /lh irk/,///:, 7 1C I J J M f i ujct/Jl'i \ ......... It To CTIme Ho.of10bovr No, of5hour Hoj-nf Ho.ofKms O1vem rates ntoe fgbtrates Location .. ■/33C x h lh h lJ 'll'/e J m /ii t ' ts) D o j/jjj 2/ 30 Dorf&t t 11 H it 111 A /)& Afc / I U " .e f h 10^ ‘WW3 . " i ! t t 1 f L ii * i 3 1 *5 o*V r>3 bl -H 3. Claimant's certification I certify that (I) the allowances darned are n accordance with regulations, fit) Ihe expenses charged have been disbursed solely In relation la Ihe public service, (at) Ihe details shown here are true and (iv) no daim *=i inf nrrirt JlM fouwi nrwill be made against another Government Department, or elsewhere Signature;, Dale: J/ 4. Certification by Private Secretary S I certify Ihal^i) I have examined and checked Ihe above daim, (ii) the particulars furnished thereon are correct and in accordance with the relevant regulations and («i) the expenses incurred were disbursed solely in (elation to the public service. Date,. I t r - Lf Input on COREESS by: Name. _»• \M r SUBSISTENCE CLAIM FORM {for input into COREESS system) 1. Claimant's details (to bo completed In block capitals) Name: ’ Group No: - Car Reg: - Payroll No: 0895431 ... Fro* \\ THno’V / ACM ? U r ilA 7 'iC f T/nSiUt{ > 3 0 / ” Dat* Location J ,A m A ^ A r D r S ^ 2 3,3D 2 0 (% 3 t 9, Q£ i d uL Jbvy^M cK CaM J ^ ,, . .o ' r - -* •■- - ---- — ■ ; No. of Hjim PurpaM of Journey , i ( t ^ )£i ib s r -------- -to ■■ ■ ■— Time Crr. Location !) t u f js ij) ,. ' 1 7 - W / i M lQ J h L t J u tA . ti , No. of 5 hour rates 1 v "V CL. No. o410 hour rates MoJof AJ • t 9 l *■I n 10400 Engine CC: - / 2. Subsistence details G Date Business Unit: MoS Office , _ k i_ t/ y/3> / / < L lS - 3 g 3 3 bl \3-9* 3. Claimant's certification I certify lhat i) Ihe alowartces claimed are in accordance with regulations. (I) the expenses charged have been disbursed solely in relation lo Ihe public service. (Hi) the details shown here are true and (iv) no claim lor same owiri Ir e made against another Government Department, or elsewhere Signature: 4. Cortlfi r, x* Date: /D //)6 //* ? - V o l -1 0 □ rota ry I certify ihanH ffl^rcxam lned and checked Ihe above claim, (i) Ihe particulars famished thereon arc correct and in accordance with the relevant regulations and (iii) the expenses incurred were disbursed solely in relation to Ihe public service. LO -< S 2. Subsistence details To Date r > , . .. , . / ? c ihkU it ? 3 0 M / k *7.3 O L it 4 m k fa " O ^ f r fa r i i/ d / , 4 9 C& 7^Am u. f U f t* k Location 1 , v „ , ; v j .. S ri? 6 , ' . ^ : . Ar . .. / J( d/sA-e-M^h LS f Purpose ofjourney //. /./■* No, ofKms No. of No, of 10hour Mb, of 5 hour rates Ovemtqht rates rates / tdf/tQ-' l r , I I X> } r, t*. ** 1 / V i; r ' 1 ( 1 X. 11 r r / fS > 3 23 0 } / 2 .V 4-2. t certify ihal (i) Ihe allowances claimed are n accordance with regulators. (9) Ihe expenses charged have been disbursed solely in relation lo the pubhc service, (iii) Ihe details shown here are true and (iv) no daim for s a m j^ p e rj^ ^ ^ g g ^ g ill be made against another Government Department, or elsewhere Signature^ Dale y ^ o i'A L ^ 3 S d * M 4. C e r t i n f ^ ^ ^ H m v a t f i Secretary I certify l i 4 P K f c examined and checked the above daim, pi) Ihe particulars furnished thereon are cni solely in relation lo the pubic service. accordance with Ihe relevant regulations and (iii) Ihe expenses incurred were disbursed 2. Subsistence details To From : Purpose of journey No. of No. of Kms No. of 10 hour No. of 5 hour — 7 T 7 T ----- / f M m / M rd b 6 / / / , y & 7 'd J E u ? ^ u , 1 9 ? f, f ) /L- f t f / s f J, f 1.1 1 1 I I 1/ Lf L/T USA J h -T %i-"i t f T O b / ^ ( J f is / h ft u r ) 2 1 * 0 L 7 (fJ s th * w ld / ii* J ijV A & M x J c M jA s ftP A s /? 1C f ( / ItW-bT 1J , ){ l( U ( "H / 1 X Ctt M & 1 V *** r 1+30 "H *> 3 bi 3. Claimant's certification I certify that (i) the alowances claimed are In accordance with regulations, (li) the expenses charged have been disbursed solely in relation to Ihe pubSc service, fm) the details shown here are true and (iv) no daim far be made against another Government Department, or elsewhere Signature: \ M . - g - fr /ft 6 / J i / 4. CertHic Re Secretary corr I certify Ihaff') I have examined and checked the above daim, O') the particulars furnished thereonI awr'carred and in accordance with Ihe relevant regulations and (iii) the expenses incurred were disbursed . . . . . . . . . . . . / ^ solely in relation lo Ihe pubic service. Signature: Date: 'siS t-G - f r Dale' Input on COREESS by: fi(ame: / j^ L t A A s C t ^ *> f * j h / fft.fi l ^ ^ — — ----------------- V Payroll No: 0095431 2. Subsistence details From Time Date To Location t Pate p u rp o s e o f journey^ Time JLJQ £ No. of Kms _ No. oMO hour — No: of Overnight rates rates No. of 5 hour rates 'PA , & L _ k l 2 £ % 3 L l l t 2 iiS 2 iu / ■ i * 1 .9 % L I J / _LJL L£5 _b£L 4_J^33 M M & .3 A t Z / / x i a - = fi j *r * 'S / ■■ .* .■ 1 0 - 2 , c 4. C e rtlfld Q ^ I^ W w a lB Secretary I certify lhal a) I have examined and checked (he above daim, (fi) the particulars furnished thereon are correct and in accordance with (he relevant regulations and (in) Ihe expenses incurred were disbursed solely in relation to Ihe public service. Input an COREESS by: Name:, Date: ■ig ijM lH W .Private Sacretarv to^Unlsl r / CommunHr & L« o l Government au. ' 16 JUL 20U A Dale:, Name: 10400 3. Claimant’s certification I certify Ihat (>) Ihe allowances ciaxneti are in nccotdonco wrth regulations <») the expenses charged have been disbursed solely in relalion lo Ihe public service, (hi) ihe dclBils shown here are true and (iv) no claim lor same pend has been, onmll be made ngamsl another Government Department, or elsewhere , ^ Z L t I , Signature'__ _________________________ V ___ _ A. Certification by Private Secretary J Date. - s s 0 ‘ H-g “ I certify that (I) I have examined and checked the above claim, (ti) Iho particulars furnished thereon era cnrract and in accordance with the relevant regulations and (iii) the expenses incurred were disbursed solely m relalion to Ihe public service. / Name; X G ro u p N o : - Payroll No: 0885431 Grade: Civilian Driver Business Unit: MoS Office Car Reg: - Engine CC: - 10400 Z Subsistence details Fmn Time Date tfj/z/rt 9 £>£' / ( M & u c /^ / ■■~ .. ...... — Purpose of Joumey -----u£5£T----- No. ofKm s j <7 dJb , f,9 10 y Y ' t - r / . a S c A L! No. of Overnight No. of 10 hour rates rates 1 i 1 ! ! ? , ? & 'A o o t C H ^ * & No. of 6 hour rates - I*I3 3/ L-i T J »3 ■? I 3. Claimant's certification I certify that (i) tho allowances claimed are in accordance with regulations, (b) the expenses charged have been disbursed soicly in relation lo Ihe public service (m) the details shown here are Irue and (iv) no claim for same pend has beer^’or will be made against another Government Department, or elsewhere Signature: ■* * y fft ■ ____ ~ a 3/ a j t 3 4. Certincapotvtiy Private Secretary I certify W * bove examined and checked the above daim, (ii) Ihe particulars furnished thereon are coned and in accordance with Ihe relevant regulations and ( h i ) Ihe expenses incurred were disbursed sotoly in fetation to ihe public service. Date VT\ ■ Tl>[k SUBSISTENCE CLAIM FORM (for input into COREESS system) 1. Claimant's details (Io be completed In Mock capitals) Name: T Group N o:- Payroll No: 0096431 Grade: Civilian Driver Business U n it M©3 Office Car Beg:- Engine CC: - 10400 2, Subsistence details From Tima Date Location t Date W w R rM U jOlS l ' ~ U ^ v m M M l/ft \ w m W i m / h i & / 4 m ft o i {? op; 3 p k m i i h U 'A m u c To Time PO * 2 0 O im C ? .C O \ 1 K & Gl ^30 pH Q O OC 7i n f C J L i r P n o a Yi i / , % hL C h / < J \ / K.'ii No. ot S hour rates bl / / t t X it l b 'I / / 1 **■ J■ v x i T. .7 I No, of Ovomtybt Roi,of 10 hour rates rates \lH 0 \ \ 1 Y A n l/tV r J C W H O “ if) U U No. of Km* Purpoae of Journey Location f *11 / A ! J ll r 0 > 1X3"3 \o\ r * 11 1 1 • 1 9 - 4 1 I certify lhal (i) Ihe allowances claimed are In accordance with regulations, (u) the expenses charged have been disbursed solely in retailor}(o (he public service (in) the details shown hem aie true and (rv) no dam for same perid has Been, or will be made against another Government Department, or elsewhere H n /l Signature:. / / Dale. j , 7 • . . . jv '- y ' • * * * * ..................................... 4. Certification Hy Private Secretary I certify Ihal/i) I have examined and checked Ihe above claim, (ti) Ihe particulars furnished Ltwrecin are correct and in accordance with,the relevant regulations and (m) the expenses mcufied were disbursed solely in relation Io Ihe public service. IC r - £ i _ fnput on COREESS by. Name __________________ 1 2. S ubsistence detail) Frori □ate Time Location n. P«t» i//a /* * e i "T & k m 7, 7* a W / « * A i/fn _? JCt y y z lid ii-/ I t , 7 Vf h< I t' ft 7 To TU. CV/ 'to J 'il yG ’V i , ■t"tr> '■ ?Z & } jlUj/ u ij i? 10 7 M U l t h ,y f A■"ili / / / y Mo.of ^smiiour Mo.o!£hour No.ofKms Ovem Purposeorjourney tflt*rites , nte> rates / /J/ijfLb y/Jjrt't :J-tl f.Lt I <10 > bq tc J 1, la v U i < / * J( \ t.4 i i Gl f it / l / / 7 i ^ / / ^ V2^ 0^ ' ?.2> 1>I 13 >1 3. Claimant's cartillcallon i certify that (i) Ihe allowances claimed aie m accordance with regulations {■) the expenses diargedI t]j vc V C been disbursed solely n relation lo Ihe public service, (n) Iho delate shown hera am Irun and (tv no claim for aamo perid has be/fn or will be made against another Government Department, or #teaw>C[e /Signature v / / □ale ~V), i / z t/r/. Ji/-/ 4. CartW catlon Private S sctnU ry ceilify ih jif i) I have examined and d ie d ie d Ihe above claim (n) Hid porllculDiE (umishcd thereon arc correct and m accordance with Ihe relevant regulations nnd (in) Ihe enpanief. incurred wern disbursed sotety in relation lo the public service Signature / r - i c ^ c \->C_ . Dale: Q rS C3 input on COREESSby Name Dafe tr> ftP I Mr