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Hartford School District
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Lodging 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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DateDaily Rate TotalCity and State
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TOTAL LODGING
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Attach Lodging Reimbursement form to the *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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