English Translation

134a Cost calculation. Amount Rh My I. a) Daily allowance under column 4 for 2 days at RM b) Overnight allowance under Column 5 , 11 " 5150 after column 6 " I.a) Daily benefit " 1 11 11 11 " 1 b) Night's allowance under columns 7 " 1 1 1 11 , 1 11 III. (a) in column 9 (b) in columns 10 (c) 11 (d) in the country according to column 12 11 19 - with bicycle or motorcycle provided free of charge .km to 5 Ripf on foot or with own bike or motorcycle .km up to 10 Rpf with rented vehicle or motor vehicle ..km. Rnl with own motor vehicle.km to Ral with motor vehicle of another civil servant kmm to 3 Ripf IV. Auxiliary costs according to column 13 Together of which starting from % of the daily employment allowance for up to ..RMb of the separation allowance. 18. Stay As a deduction have already been paid. Therefore still to be paid to recover. In accordance with the obligation that the expenses listed above under Ill and IV are really grown up. Please pay me the amount in cash. to transfer to the following account: Prague 29 December93 42. shy the cover The accuracy according to part PrRRBest. certifies de (name b The accuracy is determined after following the form over RM, verl The