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REPLICA
OF ACTUAL FORM |
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UNIVERSITY OF NEVADA,
RENO |
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TP#1 6 TP 349346 |
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CLAIM FOR EMPLOYEE TRAVEL
EXPENSE |
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Controllers Office Use
Only |
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| Date: |
1/6/06 |
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| Social
Security No: |
(ID #) |
111111 |
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I do |
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I do not have a travel
advance |
| Name and
Title: |
Elvis Presley |
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King of Rock and Roll |
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| Official
Station: |
English |
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Claimant Signature
Required |
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Date |
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Method of Travel |
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| P-Plane |
AV-Agency Vehicle |
L-Limousine |
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DISPOSITION OF CHECK |
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| B-Bus |
PC-Private Car |
T-Taxi |
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X |
Campus Mail Stop |
098 |
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| RR-Rail |
X - Passenger in Car |
RC-Rental Car |
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Cashiers Office |
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Detail |
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Method |
Time |
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Trans- |
Daily Expense
Requirements |
Travel |
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List
Purpose and |
of |
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Trip |
portation |
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Meals |
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Lodging/ |
for |
| Date |
Location
of Each Trip |
Travel |
Depart |
Return |
Mileage |
Costs |
B |
L |
D |
Other |
Day |
| 1/1/2006 |
Reno-San Francisco |
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PC |
8:00a |
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365 |
147.82 |
5.50 |
6.50 |
14.00 |
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173.82 |
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Drove
PC to S.F. |
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Cheaper
Flight from SF |
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| 1/1/2006 |
San
Francisco-Memphis |
P |
4:00p |
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50.00 |
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100.00 |
150.00 |
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*Attend Blue Suede |
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Shoes
Conf and present |
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paper |
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| 1/1/2006 |
Taxi to hotel |
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T |
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21.00 |
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21.00 |
| 1/2/2006 |
**BSS Conf |
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RC |
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120.00 |
5.50 |
6.50 |
14.00 |
65.00 |
211.00 |
| 1/3/2006 |
BSS Conf |
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5.50 |
6.50 |
14.00 |
65.00 |
91.00 |
| 1/4/2006 |
Taxi
to airport |
T |
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20.00 |
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20.00 |
| 1/4/2006 |
Memphis-San
Francisco |
P |
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| 1/4/2006 |
San
Franciso-Reno |
PC |
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9:00p |
365 |
147.82 |
5.50 |
6.50 |
14.00 |
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173.82 |
| 1/4/2006 |
SF
Parking Garage |
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25.00 |
25.00 |
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Registration
Fee |
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50.00 |
50.00 |
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*Hotel
rate due to holidy |
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**RC
needed for Conf. |
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field work |
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* Please explain or
document any unusual circumstances that may further support this claim. |
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Total: |
$ |
915.64 |
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| By |
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Date |
Approved |
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Date |
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DISTRIBUTION OF CHARGES |
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CLAIM
SUMMARY |
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Total of this Claim |
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915.64 |
| FUND |
AREA |
ORGN |
OBJ |
SOBJ |
Descrip |
Amount |
Air
Fare Paid with Purchasing Card |
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Prepaid Expenses |
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Balance of Claim |
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915.64 |
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Advance Received |
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Balance Due to Traveler |
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915.64 |
| PURP |
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DEST |
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Balance Due to University |
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