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Duluth Travel Document Header Information Document Type: Voucher Document Name: VCH2I006974 Travel Authorization Number: 101113327 Trip Name: Manchester, NH - Site visit TA Date: 11.23,20 Currency: USD Organization: VAVACO 101 OFFICE OF THE SECRETARY Current Status: CREATED Purpose. SITE VISIT Document Detail: Manchester, NH • Site visit Type Code: REGULAR TDY Traveler Profile Name: ID: (b)(6) TID: Organization: VAVACO 101 OFFICE OF THE SECRETARY Title' Duty Station: Security Cl; Card: NON IBA HOLDER Office Address. 810 Vermont Ave NW --BR --Washinizton, DC 20420 EMAIL: b)(6) va.gov Office Phone: (b)(6) Cell Phone: Home Address: Home Phone: Alternate Address: Alternate Phone. Document Information Trio Number I Purpose: Manchester, NH - Site visit Itinerary Locations frolh M-10falYT-ocaW0_11 _ *I 1111)00_ TrefINemRaies 1-171-972-6 I 1/2072(T- MANCHESTER, NH SITE VISIT 61.00 Document Totals Total Expenses: 477 19 Reimbursable Expenses: 302.92 Non-Reimbursable Expenses' 174 27 Advance Applied: .00 Net to Traveler 111 61 Net to Government: 174.27 Pay to Charge Card: 191 31 Document Totals by Expense Category Exfien.teCarriti Cost Advance Amount Corn. Carrier 13-9.77 .00 Lodging-Per Diem 124.26 .00 M&IE-Per Diem 91.50 .00 Mileage 47.16 .00 Parking 40.00 00 Transxn Fees 14.50 .00 Total Expenses: 477.19 oo Trip 1 Details Expenses Trip#: Total Non-Per Diem Expenses: 271.69 Total Per Diem Expenses: 205.50 Date UesoriPticin Category Coal Tray Method Per Diem 1/10626 Airline Flight Corn. Carrier 1.50.17 OBA 1, 19/2020 Lodging Lodging-Per Diem 114.00 IBA 1119/2020 Hotel Taxes Lodging-Per Diem 10.26 IBA 119/2020 M&1E M&IE-Per Diem 45.75 OTHER 1/19/2020 Terminal Mileage Mileage 23.58 OTHER 1 19/2020 Parking - Airport Parking 20 00 OTHER 1/19/2020 Government Vehicle Transportation .00 OTHER 1/20/2020 M&IE M&1E-Per Diem 45 75 OTHER I120t2020 Terminal Mileage Mileage 23.58 OTHER 11/20/2020 Parking Airport Parking - 20 00 OTHER 11/20/2020 Government Vehicle Transportation .00 OTHER 11/23/2020 TDY Voucher Fee Transxn Fees 14.50 CBA Trip#: I Total Per Diem Allowances: 205 50 Pate _ Rate Ldicost LdgAlloWed M&IE Cost M&IE Allowed B L D Cord% 1119:2020 I4 00. 61.00 114(X) 114.00 45.75 11/20/2020 124 00/ 61.00 0.00 0.00 45.75 45.75 Advance of Funds Cannot print default advance form. Account Summary for the Selected Trip Org: VAVACO 101 OFFICE OF THE SECRETARY Label: VAVACO 101 OSVA Acct Code 000000A0011010004 0142A1101 212172 477.19 Expense Category: Corn. Carrier Fiscal Year 2021 Amount: 159.77 Expense Category. Lodging-Per Diem Fiscal Year: 2021 Amount: 124 26 Expense Category: M&IE-Per Diem Fiscal Year 2021 Amount: 91.50 Expense Category: Mileage Fiscal Year. 2021 Amount: 47.16 Expense Category: Parking Fiscal Year 2021 Amount: 40.00 Expense Category: Transxn Fees Fiscal Year 2021 Amount: 14.50 Total: 477.19 Payment Detail Information ntirlization Label Shim feiggit Method Amount VAVACO 101 OFFICE OF THE SECRETARY VAVACO 101 OSVA 000000A0011010004 0142A1I01 21/17-2 CBA 174 27 VAVACO 101 OFFICE OF THE SECRETARY VAVACO 101 OSVA 000000A0011010004 0142A1101 21/2172 IBA 124.26 VAVACO 101 OFFICE OF THE SECRETARY VAVACO 101 OSVA 000000A0011010004 0142A1101 21/2172 OTHER 178.66 Totals by Label VAVACO 101 OFFICE OF THE SECRETARY VAVACO 101 OSVA Total 000000A0011010004 0142A1101 21/2172 477.19 Totals by Payment Method CBA Total 17427 IBA Total 124.26 OTHER Total 178.66 Attachments Attachments Exist Receipt Checklist pate DescrIptioti _ -- Cost 11 19/20 AIR Airline Flight i13-9:11 1119/20 Lodging $114.00 11 19 20 Hotel Taxes $10.26 11/19/20 Parking - Airport $20.00 11/20.20 Parking - Airport $20.00 Audits APdit.Nstmg Emit Reason Document History 12/02/2020 Voucher: VCH21006974 Copyright 1989-2009 Concur Government Edition: Concur Inc. TUCKER, BROOKS D. (b)(6) STATUS DATE TIME SIGNATURE NAME REASON CREATED 11 23 2020 12-41PMES1 (b)(6) I certify that the electronic signatures listed above are valid and on file (b)(6) 2 Dec 2020 SIGN DATE I certify this claim is true and correct to the best of my knowledge and belief, and that payment or credit has not been received by me or the traveler (if signed by alternate representative). I understand there are severe criminal and civil penalties for knowingly submitting a false, fictitious or fraudulent claim (18 U.S.C. Sections 287 and 1001, and 31 U.S.C. Section 3729). Document Signatures Traveler Name: Brooks D. Tucker Traveler Signature: (3.42. Date: ix/5 / Approver Name: Approver Signature: Date: Rincon ZaCatO.cano Thqueria 423-611 11/19/20,7:20 PM Sale Served by Sochli Transaction #2277922311192013026 22 Concord Street Manchester, NH 03101 1 x Shrimp Tacos 14.50 7 1 x Coke (reg coke) 2.00y Server: Bar DOB: 11/20/2020 02:18 PM 11/20/2020 Subtotal 16.50 45/3 2/20027 Total Tax 1.49 Total 17.99 SALE VISA 2097179 VI 17.99 b)(6) Card 4)000000000e Name TUCKER/BROOKS Magnetic card present: TUCKER BROOKS Approval Code 018620 Card Entry Method: S Data Source Chip Read Approval: 064758 Mode Issuer AID aopoomooa101001 Amount: $37.06 TVR 0880008000 IAD 06010a03a00000 + TIP: 707 TS! .800 ARC 3030 = Total: Amount 17.99 I agree to pay the above Tip total amount according to the card issuer agreement. Total I agree to pay the above total amount according to the card Iseuer agreement. **CUSTOMER COPY** Signature Customer Copy 10 Lake Avenue Manchester, NH 03103 United States INSERT 603 2324530 THIS END UP elrinconztiligma REAGAN NATIONAL AIRPORT www.eltInconnh.com RECEIPT A210 ENTRY TIME: 11/19/2Z 13:31 EXIT TIME: 11/20/20 20:00 PARK-DUR.: NRS:MIN 1:06:29 AMOUNT: S 40.20 KIND OF PAYMENT: b)(6) at1 MOI FXCEPTION FOR OFFICIAL USE ONLY — DO NOT DISTRIBUTE FINAL 1 THE HONORABLE ROBERT L. WILKIE SECRETARY OF VETERANS AFFAIRS MANCHESTER, NH TRAVEL ITINERARY NOVEMBER 19-20, 2020 TRAVELING PARTY: The Honorable Robert Wilkie Brooks Tucker, Acting Chief of Staff (b)(6) Michael Meador, Special Assistant to the Secretary Traci Scott, Senior Advisor for Strategic Communications Christopher Anderson, Senior Advisor, OCLA EXECUTIVE PROTECTION: (b)(6); (b)(7)(C) Special Agent (Adv) (b)(6); (b)(7)(C) Special Agent (DL) EVENT / SITE POCs: Kristin Pressly, Interim Portfolio Manager, Strategic Communications/Partnerships (b)(6) SCHEDULING POCs: Chelsea Childress, Special Assistant, OSVA (Adv) (b)(6) 7(6) Travel Coordinator, OSVA 1 (b)(6) Travel Coordinator, OSVA Thursday, November 19, 2020 Attire: Business Weather: Washington, DC H-53'; L-39° - Partly Cloudy Manchester, NH H-42'; L-36° - Partly Cloudy 1415-1430 ERT / ARRIVE WASHINGTON REAGAN NATIONAL AIRPORT (DCA) (15 min) 1 Aviation Circle, Arlington, VA Drive time: 15 min / 3.6 miles 1530 WHEELS UP TO BOSTON LOGAN INTERNATIONAL AIRPORT (BOS) American Airlines 2148 DCA-BOS 1530-1706, 1 hr 36 min 1706 WHEELS DOWN TO BOSTON LOGAN INTERNATIONAL AIRPORT (BOS) Boston, MA 02128 1726-1831 ERT / ARRIVE RESIDENCE INN MANCHESTER DOWNTOWN (1 hr 5 min) 40 Lake Avenue, Manchester, NH 03101 Drive time: 1 hr 5 min / 59.0 miles RON Updated by: Chelsea Childress 1 Mission Operations 11/18/2020 10:24 PM FOR OFFICIAL USE ONLY — DO NOT DISTRIBUTE FINAL 1 Friday, November 20, 2020 Attire: Business Weather: Manchester, NH H-57°; L-39° - Partly Cloudy Washington, DC H-63'; L-42° - Mostly Sunny 0840-0900 GOOD MORNING NEW HAMPSHIRE PHONE INTERVIEW (20 mm) Jack Heath WTPL, WEMJ, and WTSN Dial in: (b)(6) 0950-0955 ERT / ARRIVE DEKA RESEARCH AND DEVELOPMENT CORPORATION (5 min) 340 Commercial St, Manchester, NH 03101 Drive time: 5 min / .7 miles Greeted by: • Mr. Dean Kamen, President, DEICA R&D Corp/Inventor • Ms. Deborah Scher, Executive Advisor to the Secretary 0955-1000 COVID-19 SCREENING PROCESS (5 min) • Self-Screening Questions • Masks 1000-1120 LEADERSHIP INTRODUCTIONS / TOUR, DEMONSTRATIONS, OVERVIEW (1 hr 20 min) Agenda: • 10:05-10:12 o Overview of FIRST (4th North) • 10:13-10:18 o LUKE Ann (4th North) o iBOT (4th North) • 10:19-10:39 o Caspian (IV-Solutions Modular, Palletized on-Demand) (4th South) • 10:39-10:45 o CVS Kidney Care (400 Commercial Street) o HemoCare (400 Commercial Street) • 10:50-10:55 o ARMI 3D Printing (400 Commercial Street) (Vehicle Transition) • 11:00-11:18 o Mobius iBOT demonstration / observation of patient iBOT fitting and training 1120-1135 ERT / ARRIVE FEDEX HANGAR (15 min) 24 Commerce Ave, Londonderry, NH 03053 Drive time: 15 min / 7.7 miles Greeted by: • Mr. Ryan Lilly, VISN 1 Network Director • Ms 03)(6) , FedEx Government Affairs Updated by: Chelsea Childress 2 Mission Operations 11/18/2020 10:24 PM FOR OFFICIAL USE ONLY — DO NOT DISTRIBUTE FINAL 1 1135-1140 COVID 19 SCREENING PROCESS (5 min) • Temperature Check • Screening Questions • Masks 1140-1150 MEET & GREET WITH EVENT ATTENDEES (10 min) 1150-1230 PPE FLIGHT ARRIVAL EVENT & SOFT LAUNCH VA NEW ENGLAND CENTER OF INNOVATION EXCELLENCE (40 min) Location: FedEx Hangar Run of Show: • 1150: Welcome — Mr. Kevin Forrest, Manchester VA Medical Center Director • 1152: Remarks — Governor Chris Sununu • 1156: Remarks — Senator Jeanne Shaheen • 1200: Remarks — Senator Maggie Hassan • 1204: DEKA Projects / iBOT Distribution / In-Home Dialysis — Dean Kamen, President DEICA R&D, Corp/Inventor • 1210: Journey / Value of Partnerships / PPE - Ms. Deborah Scher, Executive Advisor to the Secretary • 1213: Keynote Speech — The Honorable Robert L. Wilkie, Secretary of Veterans Affairs • 12:18: Media Q&A (SECVA will open the floor for questions) o Mr.
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