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Note: Mileage reimbursement for personal car = $0.54/ mile
* Also be sure to turn in all receipts *
Date *
Name *
Conference Name *
Purpose for Reimbursement *
Supervisor Name *
Miles Traveled To *
Miles Traveled From: *If One Way Put "0"* *
Other Reimbursement *
Date of Expense Event *
Digital Signature *
File *
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File *
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