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Ramona Unified School District
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720 Ninth Street Ramona CA 92065
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TRAVEL EXPENSE REIMBURSEMENT CLAIM FORM
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Claimant:
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Meeting/Conference expenses were incurred as follows:
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Name of Meeting:
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Address:
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City:State:
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Date(s) of Meeting: FROM: TO:
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1st Day of Travel2nd Day of Travel3rd Day of Travel4th Day of Travel5th Day of Travel
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Date:
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Airfare
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Lodging
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Lodging Address:
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Mileage(.76) to/from Meeting
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Parking
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Registration Fees
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Taxi/Uber
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Other
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Per Diem (Meal Reimb.)
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100%_______75%_______Per Diem Rates | USE ZIPCODE OF CONFERENCE/CLASS/BUSINESS - PRINT AND ATTACH MEALS PAGE
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Less Meals Provided:Enter Amounts for Meals as Negative Numbers
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Breakfast
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Lunch
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Dinner
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Daily Totals: $ - $ - $ - $ - $ -
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Grand Total - $ -
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Claimant's Signature:
Date:
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Immediate Supervisor's Signature:
LCAP -
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FUNDRESOURSEGOALFUNCTIONOBJECTSITEOPUNAMOUNT
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Signature:
Date:
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(Finance Dept. Approval)
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(Fiscal Use Only)
(Fiscal Use Only)
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AMOUNT $
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FUND #
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VOUCHER #
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WARRANT #
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DATE PAID
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DATE MAILED
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