REQUEST FOR REIMBURSEMENT OF EXPENSES Form # FTR-02
Name: |
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Employee no.: |
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Employee Signature: |
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Address: |
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Department: |
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Date: |
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Period Covered: |
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To |
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Authorized Signature: |
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Date |
Description/Purpose |
Full Day Per Diem |
Expenses Actual |
Account Code Distribution |
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B |
L |
D |
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