EVACUATION LODGING REIMBURSEMENT CERTIFICATION ‘The purpose of this certification is to ensure the accurate lodging amounte are reimbursed during and their dependents (actual lodging receipt is still required) . hen the nenber/sponsor and their dependents evacuate and reside together, the lodging is normally claimed/paid via the dependent evacuation travel claim. Since there are occasions when the travel Claine are paid Via separate systems (DTS and WinIATS) and at Sifferent times, this certification is required to try and prevent the duplicate payment of lodging. Member/Sponsor Certification: The following lodging reimbursement ip requested and thie lodging has not and will not be claimed via @ separate travel claim. In addition, this lodging has not been paid via another Covernment Agency (FEMA) wane: FCC SAILOR O. YEAR pay Grade: _ET commana: SAF-TRMC YOKOSUKA rere # _BI1- OI-H0- B10- 5488 poait addres, SAILOR.NEaie@ Sar NAVY. MIL ane end tocation of todging: HALE WAY HOUSE HOTEL FBANELIN, VA pates of todging: JA MAR~ 18 APR 201! paily todging amount: 8 B.B2 Nane/ielationship of Parsonnel that resided in thie Lodging Tuo Sao? (wifed , Tpan SAILOR Cpauenter). Additional Information concerning thie lodging reimbursement Bnployes/Spansor Signature Command authorizing Official Signature