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NCASWCD AREA 6
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TRAVEL VOUCHER
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INSTRUCTIONS TO CLAIMANT:Attach all necessary receipts and other supporting documentation to this form. Detailed
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receipts must be provided for hotel reimbursement. Receipts reflecting a "Total Only" will not be accepted. Indicate any meals
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provided by the program or function being attended as "Provided" under the appropriate meal column. Travel reimbursements
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are made in accordance with Area 6 Polices, Article XI.
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COMMITTEE MEMBER NAMEDISTRICT
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PURPOSE OF TRAVEL AND DESTINATION:
ITINERARY:
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DEPARTURE POINT:
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DEPARTURE DATE/TIME:
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ARRIVAL DATE/TIME:
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PART 1: MILEAGEODOMETER READING
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DATEMILESSTARTEND
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0.00
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0.00
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0.00
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0.00
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0.00
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TOTAL MILES0.000.50 / mileTotal (1)$0.00
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PART 2: MEALS AND LODGING
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DATEBREAKFAST @ $8.30LUNCH @ $10.90DINNER @ $18.70HOTEL
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TOTAL MEALS & LODGING
$0.00$0.00$0.00$0.00
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Total (2)$0.00
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PART 3: OTHER EXPENSES
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DATEDESCRIPTIONAMOUNT
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TOTAL OTHER EXPENSESTotal (3)$0.00
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TOTAL (1+2+3)$0.00
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 /BALANCE DUE $0.00
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Certified as Correct (Committee Member)/Date
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 / /
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Approval for Payment (Area 6 Treasurer)/Date
Paid Check Number/Date
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Version: 6/2017
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