Participant Expense Report for by ramhood15

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									                      Participant Expense Report for
NSF Workshop on Data Management for Mobile Sensor Networks
                      Pittsburgh, PA – January 16 & 17, 2007

        Your Name: __________________________________

        HOME Address:            ___________________________________
                                  ___________________________________
                                  ___________________________________
                                  ___________________________________


        SSN (if in the US): ______ - _______ - _______
         (this is for tax purposes and it is needed by the University)

         Arrival in Pittsburgh:
         (day & approx. time)
         Departure from Pittsburgh:
         (day & approx. time)

  Cost breakdown:
        Hotel stay (total amount): ___________
         (should be $135 + taxes for each night)

        Transportation costs:
            o Airplane:    ___________

             o Taxi:              ___________

        Other expenses (please explain): __________________________
                                                     __________________________
                                                     __________________________
                                                     __________________________



        Signature:       ____________________________ / Date: ___________


  Please attach original receipts and mail using the envelope provided to:
          Karen Dicks
          Department of Computer Science
          University of Pittsburgh                      Please submit by Feb 17, 2007
          Pittsburgh, PA 15260, USA


                                  Funded by NSF – IIS 0642421

								
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