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DOC 0000017453
Page 16
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, ae. ™@. st |
FUNDS AND TRANSPORTATION TICKETS ADVANCED TO TRAVELER
eo —_ aan en $400,00
TRANSPORTATION ANO EXCHANGE ORDERS, BOTH USED AND NOT USED (Attach receipts, stubs, and unused items)
___ POINTS OF TRAVEL,
GB wecer ioe bee cost
“Show initia's of commun daucries, Eame of vessel, clas of service Used, ete.
2 ‘SCHEOULE OF EXPENSES AND ITINERARY OF TRAVELER
OATE. : ‘DESCRIPTION OF EXPENDITURE AND DETAIL OF ITINERARY
cable per diem for each
CG (Deduct % from the applicab:
an
id-cousing Airport to- hotel
5 Daa 7-0520-82- ; -
a Lydd ‘tem 6-G12,00—
= /—--—Kaxk bdrport-to-rasidenas = =
eno ont: “|X Trms | Yewmornewo =| 48D
use conning yor SHEET FORM NO. 22a, IF ADDITIONAL SPA REQUIRED
> : peenure
Bt eager anys ee SEMEL EE Oe IAN RT IU MIE MEET
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