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									FRMS-6D                                                                                        STATE OF ALABAMA
12/2005                                                Statement of Official In-State Travel for Reimbursement of Actual Expenses


                    Department/Agency                                            Code Number                                          Division                                                 Funds



                        Name of Traveler                                                          Social Security Number                                                      Official Station or Base



                     Address of Traveler (including street, city, state, and zip code)                                                                                 Purpose of Travel
                                                                                                                           I Hereby Certify That the Within Account in the Amount of
The mileage and subsistence expense indicated in this expense account has been previously authorized and has               is correct due and unpaid. The authority to receive actual expense are based on the following:
been checked for compliance.                                                                                                        Attendance of Conference for National Organization in which State is a dues paying member.


                                                                                                                                                                Name of National Organization
                                                                                                                                    Other:
APPROVED:

                                                                                                                                                                                    Signature of Payee

                                                                                                                       Sworn to and subscribed before me this ___________ day of ___________________.                              .
                            Departmental Authority

                                                                                                                                                                                        Notary Public
                                                                                               RECAPITULATION OF EXPENSES
Travel Expenses                                                                                 Amount                 Emergency and Necessary Expenses Incurred in Connection with Travel                      Amount
Commercial Transportation (incl rental car/gas) 0300-02                                                                Total other expenses such as postage, fax, telephone, parking, baggage,
Mileage, private car 0300-01                                                                                           handling, tolls, conference registration, etc
Meals and lodging 0300-41
  SUBTOTAL TRAVEL EXPENSES                                                                                                 GRAND TOTAL TRAVEL EXPENSES
ITEMIZED STATEMENT OF NECESSARY TRAVELING EXPENSES INCURRED FOR PERIOD                                                                  TO
                                   Points of Travel                                                                                                                                                      Necessary Expense &
                                                                    Hour of                                                        SUBSISTENCE
   Date                                                                             Private Commercial                                                           Total                     Total Meals   Conference Registration
                                                                    Depart/                                Amount                                                             Lodging
  mm/dd/yy        From                      To                                     Car Miles Fare Type                                                            Meals                     & Lodging
                                                                       Return                                          Breakfast       Lunch        Supper                                                 Detail       Amount
                      City/State                  City/State




  TOTALS

								
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