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Reimbursement requests must be received in the UNL Accounting Office (401 Canfield) no later than 60 days after each expense was incurred.
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THE UNIVERSITY OF NEBRASKAUniversity Dept. NameSAP Document No
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EMPLOYEE
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NON-TRAVEL EXPENSE VOUCHERClaimant Telephone No.
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401 Canfield Administration, Lincoln, NE 68588-0439
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Claimant E-Mail
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PFull Name of Claimant (Employee)
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APersonnel Number
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YBuilding & Room Number
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E
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ECampus or StationCampus ZipATTACH RECEIPTS FOR ALL EXPENSES FOR MISCELLANEOUS NON TRAVEL ITEMS OVER $5.00
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Department Contact:
Telephone No. or E-Mail
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DateList Miscellaneous ItemsBusiness Purpose$ Amount
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Total0.00
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I claim reimbursement from the State of Nebraska for the above expenses incurred by me in the line of duty and declare that the
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above statement of them is a true account of such expenses for which payment has not been made heretofore by the State of Nebraska.
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Print or Type Name of Claimant DatePrint or Type Name of Supervisor or Approving Offical Date
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Signature of Claimant*Signature of Supervisor or Approving Official*
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*Must be an original signature. No copies, faxes or stamps are permitted.
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NOTE AREACost ObjectG/L AccountAmount
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