ABCDEFGHIJKLMNOPQRSTUVWXYZ
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BREAK OUT CANOE UNIT EXPENSES / RECEIPTS
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EVENTDATE
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NAMEADDRESS
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CAR REG
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MAKE
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MODELPOST CODE
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BANK ACCOUNT NAME
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ACCOUNT NUMBERSORT CODE
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FUELCOMMENTS
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FUEL PRICE PER LITRE£1.40
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AVERAGE MPG50
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TOTAL MILES50.00
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TOTAL FUEL COST£6.36
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MISC EXPENSESCOSTRECEIPT PROVIDED?
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TOTAL EXPENSES£0.00
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RECEIPTSCOSTRECEIPT PROVIDED?
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TOTAL RECEIPTS£0.00`
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TOTAL FUEL£6.36
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TOTAL EXPENSES£0.00
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TOTAL RECEIPTS£0.00
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TOTAL REIMBURSEMENT£6.36
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AUTHORISED BY
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DATE PAID / ISSUED
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Leicester Scouts Cheque NumberWhere used
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