ABCDEFGHIJKLMNOPQRSTUVWXYZ
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ECI/NAME
DATE PREPARED
LODGING PAID BY CASUAL/MISCELLANEOUS EXPENSES (Baggage Fees, Airport Parking) PAID BY CASUAL
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INCIDENT NAME
MAY ENTER ON OF-288 if incident assignment is 30 days or less, excluding travel days. ATTACH RECEIPTS TO OF-288 BEFORE SUBMISSION TO ASC-IF. CASUAL MAY TAKE ALL EXPENSES (INCLUDING PER DIEM) BACK TO HIRING UNIT FOR GOVTRIP OR OF-288 SUBMISSION. DO NOT ENTER ON OF-288 IF LODGING EXCEEDS MAXIMUM ALLOWABLE RATE FOR AREA
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Lodging/Camp Location (City/County)
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ACCOUNTING CODE
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"P", "H", "F", "S", "W"
TOTAL TRAVEL
$2,678.94
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8
ORANGE CELLS - ENTER INFORMATION AS NEEDED.
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WHITE CELLS - DO NOT ENTER INFORMATION IN WHITE CELLS.
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11
POV MILEAGE PER DIEM ALLOWANCE LODGING PAID BY CASUAL MISC EXPENSES
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Date mm/dd/yy# MilesMileage RateTotalFull (1) or Partial (.75) AllowanceM&IE Rate Breakfast ProvidedLunch ProvidedDinner ProvidedIncidental RateTotal AllowanceRoom RateTaxTotalDescriptionTotal
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$0.575$5.00
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2/22/250.0000.00-0.7568.000.000.00138.000.00138.00Bag$45/Park$1358.00
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2/23/250.0000.001.0080.0080.00138.000.00138.00
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2/24/250.0000.001.0080.0080.00138.000.00138.00
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2/25/250.0000.001.0080.0080.00138.000.00138.00
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2/26/250.0000.001.0080.005.0080.00138.000.00138.00
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2/27/250.0000.001.0080.0080.00138.000.00138.00
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2/28/250.0000.001.0068.0068.00110.0012.11122.11
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3/1/250.0000.001.0068.0068.00110.0013.20123.20
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3/2/250.0000.001.0068.0068.00110.0010.18120.18
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3/3/250.0000.001.0068.005.0068.00127.0011.43138.43Parking8.72
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3/4/250.0000.001.0068.0068.00127.0011.43138.43parking8.72
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3/5/250.0000.001.0068.0068.00127.0011.43138.43parking8.72
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3/6/250.0000.001.0068.005.0068.00110.00110.00
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3/7/250.0000.000.000.000.00
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3/8/250.0000.000.000.000.00
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3/9/250.0000.000.000.000.00
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3/10/250.0000.000.000.000.00
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3/11/250.0000.000.000.000.00
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3/12/250.0000.000.000.000.00
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3/13/250.0000.000.000.000.00
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3/14/250.0000.000.000.000.00
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0.0000.000.000.000.00
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0.0000.000.000.000.00
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0.0000.000.000.000.00
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0.0000.000.000.000.00
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0.0000.000.000.000.00
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TOTAL0.00876.001649.0069.781,718.7884.16
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