Travel Daily 20Expense 20Report

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					                                    FAMILY HEALTH CARE CLINIC, INC.
                                         DAILY TRAVEL FORM
               Name:



Days of the Week Sunday Monday          Tuesday   Wednesday    Thursday Friday      Saturday   TOTAL
Date:
Breakfast
Lunch
Dinner
Hotel
Registration
Taxi/Limo
Airline
Mileage
Transportation
Faxes
Computer Serv.
Tips
Other: Parking
Registration
e-mail
copies

Parking


Explain By Item any Unusual Expenses That May be Questioned:

.


Purpose of Trip:




Endorsed By:                                            ( X ) Approved
                       Supervisor                                        Executive Officer
                                                         ( ) Approved
                       Employee or Board Member                          Chief Financial Officer

                                                               Date

				
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posted:7/30/2012
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