TRAVEL EXPENSE SHEET.xls

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1	City of Chicopee - Travel Reimbursement Expense Sheet													Instructions: Fill in all necessary fields. Calculations will be done for you.
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3	EMPLOYEE INFORMATION:
4	Name					Purpose				Dates
5		Address
6	Department					Destination
7	No. of People & Names
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9	Date		Mileage - To/From	Mileage X	Tolls	Transport Description & To/From	Transport Cost	Registration Fees	Hotels	Breakfast	Lunch	Dinner	Total
10	Date		Mileage - To/From	0.760	Tolls	Transport Description & To/From	Transport Cost	Registration Fees	Hotels	Breakfast	Lunch	Dinner	Total
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32		Totals		$ -	$ -		$ -	$ -	$ -	$ -	$ -	$ -	$ -
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34						Cash Advance Reconcillation
35					Amount of Advance	$ -
36				Refunded to City Treasurer:
37					Cash	$ -		SIGNATURE:
38					Check for above expenses	$ -
39	REV12/18/09				Total	$ -		DEPT HEAD APPROVAL:
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