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Mileage

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					PI FIELD EXPENSE REPORT FORM                 For Period Covering__________________
Name___________________________________________
Account #:____________________  Field/CC #:_________
SUBACCOUNT CHARGED FOR THIS REPORT:
[ ]Support Acct [ ]Project [ ]Home Leave [              ]Departure [     ]Rent
                           Project ID#/Name_________________________________________
(NOTE: Please do a SEPARATE expense report for each subaccount!!!)
EXPENSE SUMMARY (Bring forward from detail sheet)
 Code #                         Description                                        Amount (in US $)
  1610     Equipment/Vehicle (Cost More Than $500)                                 $
  7000     Printing
  7090     Office Rent/Utilities
  7110     Repairs & Maintenance
  7300     Services from Nat'l Workers
  7450     Shipping-Overseas Freight
  7480     Books/Subscriptions
  7500     Telephone-Long Distance
  7520     E-Mail/Internet/Fax
  7600     Training (Language/Education)
  7700     Travel/Vehicle Exps/Meals & Lodging
  7730     Passport/Visa Processing
  8200     Bank Charges/Fees
  8261     Conferences
  8400     Equipment (Cost Less Than $500)
  8420     Immunizations/Home Leave Physicals
  8600     Hospitality/Gifts/Business Meals
  8720     Membership Dues/Fees
  8800     Supplies-Office/Work
  8810     Computer Software
  8820     Audio/Visual
  8900     Postage
           Other:_______________________
           Other:_______________________
                                              TOTAL EXPENSES:                      $

    PAYMENT INSTRUCTIONS (Check ALL that apply)
[   ]Send With Next Scheduled Salary Payment (End of Month Direct Deposit [      ]/Wire [   ])
[   ]Accounting for Previous Advances (See Back ) No Reimbursement [ ] Partial Reimbursement [        ]
[   ]Send Funds as Instructed below: [ ]Check [ ]Wire DATE NEEDED_________________

Name (if different)_______________________________________             Bank____________________
Address:______________________________________________                 Acct No._________________
CITY/STATE/ZIP:________________________________________                ABA (if applic.)____________


SIGNATURE____________________________________                          DATE____/____/____
****REPORT will be RETURNED if not SIGNED!!!
Finance Signature:____________________________________ DATE____/____/____
Rev. 12/1999
SS MILEAGE REIMBURSEMENT LOG (use additional pages if needed)

              Odometer      Odometer
  DATE          Start         End           MILES             DESTINATION/PURPOSE

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                                                         (IF VEH OWNED PERSONALLY)
TOTAL MILES                                              x    .40 /mile = $

(Enter dollar amount as one line item on detail sheet)

				
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posted:10/5/2011
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