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EDUCATIONAL SERVICE UNIT 4/NCECBVI
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Expense Voucher
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Form 30
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Revised by GR: 2025.01.03
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Name:Month:
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Address:
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*If using this form prior to 1/1/25, please adjust the mileage reimbursement rate to 0.70
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Miles0.70**Room
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DatePurpose
Traveled
*AmountCost**Meals**MiscTotal
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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$0.00$0.00
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Grand Total
0$0.00$0.00$0.00$0.00$0.00
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Approved: Administrator Signature
Signature of Claimant
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*Mileage Rate .70/mile
**Explaing Miscellaneous items on reverse side
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As of Jan. 1, 2025 - mileage reimbursement rate is 70รง
Attach Acutal Receipts for Expenses
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**Explanation of Miscellaneous Items - Use gsa.gov/travel for guidelines
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(Attach Actual Receipts for Expenses)
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DateItemAmount
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