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NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NASA SHARED SERVICES CENTER STENNIS SPACE CENTER, MS 39529-6000

Travel Receipt Cover Sheet

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PRINTED DOCUMENTS MAY BE OBSOLETE. VALIDATE PRIOR TO USE

Available online: http://www.nef.nasa.gov.NSSC-FORM-0023 05 / 2014 All previous editions are obsolete.

First NameEmployee Last Name M. I.

NASA Center Travel Authorization #

Travel Type Voucher Type

Point of Contact (If different than employee)

Comments

Employee Information

COMPLETE FORM ONLINE. TYPE (DO NOT HANDWRITE) INFORMATION IN SPACES PROVIDED. USE DROP-DOWN MENUS WHERE INDICATED. PRINT COMPLETED FORM. ATTACH RECEIPTS & FAX TO (866) 779-6772

(866-779-NSSC).

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Employee Phone No.

PAGE OF

DATE

Point of Contact Information

Phone No.

**WARNING** A separate Travel Receipt Cover Sheet must be completed for each voucher.