| Travel
Expense Sheet |
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| ITS Program Advisory
Committee |
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| Version 2010-03-23 |
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| Name (please print): |
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| Project Name: |
ITS Program Advisory Committee |
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| Citizant Project Number: |
10072.001.8100 |
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| Project Manager: |
Robert Glass |
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| Project Mgr Ph Num: |
202-314-3828 |
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From Date: |
April 4, 2010 |
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To Date: |
April 10, 2010 |
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In the electronic
version of this Expense Sheet, the "Mileage" expenses below will be
calculated automatically upon completing the Travel Mileage Sheet. |
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| Expense Elements |
Sun |
Mon |
Tue |
Wed |
Thur |
Fri |
Sat |
Total |
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| Date |
4/4/2010 |
4/5/2010 |
4/6/2010 |
4/7/2010 |
4/8/2010 |
4/9/2010 |
4/10/2010 |
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| Expense Type |
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| Air or Train Fare |
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$0.00 |
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| Mileage |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
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| Lodging |
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$0.00 |
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| Lodging Tax |
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$0.00 |
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| Meals &
Incidental Expenses |
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$0.00 |
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| Parking and
Tolls |
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$0.00 |
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| Taxi / Public
Transportation |
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$0.00 |
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| Miscellaneous |
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$0.00 |
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| Total Expenses |
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$0.00 |
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| Please
make reimbursement check payable to (please print): |
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| I
hereby certify that the expenses are correct. |
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| Signature: |
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Date: |
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| Approval (for Citizant use): |
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Date: |
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| As described in the Travel Expense Reporting Procedures,
complete, sign, date, and fax this Travel Expense Sheet, the Travel Mileage
Sheet, and copies of receipts to (703) 263-9003, Attention: Citizant
Accounting. Mail originals of the
Expense and Mileage Sheets and receipts to the address below. If you have any questions or need
additional assistance please call
(703) 667-9420, ext. 179. |
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Citizant |
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5180 Parkstone Dr.,
Suite 100 |
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Attention: Accounting |
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Chantilly, VA 20151 |
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