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Hartford School District
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Meal Reimbursement Form
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Employee's Name: _______________________________
Date: _________________________
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Reason for travel:______________________________________________________
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RETURN APPROVED FORM TO ACCOUNTS PAYABLE DEPARTMENT
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Receipt DateBreakfastLunchDinnerTotal for DayCity,State
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TOTAL MEALS
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Attach Meal Reimbursement form to an Envelope containing *Original * Dated * Itemized Receipt(s)*
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Please Note: copies will not be processed for payment
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Alcohol Beverages are NOT Reimburseable
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Administrator's Approval Signature: ___________________________________ Date : _____________________
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