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" ' ~ - 'on count I C~ ~ I ~.~~ <br />M rt <br />, . a ~ <br />~ ~ OREGON <br />~C~~1~'-t~--~~~ ~ <br />C;~-- l ~_ <br />Travel and Expense Report <br />Name: ~ lt~.ti ~ <br />Department: ~.~ ~ <br />Purpose of Travel: +~ ' <br />. <br />~ ~ <br />,~~ <br />~ <br />~ <br />~~ <br />Position: IM,~,~ <br />Dates of Travel: <br />Transportation: Air <br />to <br />Taxi, bus <br />Auto rental , `S.. <br />Personal vehicle @ 32 per mile <br />Subtotal g Z` ~s <br />Parking <br />Lodging: nights @ $ per night <br />nights @ $ per night Subtotal _~_ <br />Meals: <br />Breakfast Lunch Dinner Breakfast Lunch Dinner <br />Z $ S. ~ <br />~c~ ~ l ~ ~ <br />~~~~5 <br />S ~~ 13 <br />~ , ~-'~ ~ Subtotal ~' ~ 1 <br />~'~`~ ~ ~ ~•~~ <br />Miscellaneous: Registration: <br />Telephone/fax: ~• ~f' d g, t~ p <br />Other (explain): Subtotal <br />Comments: <br />Total travel-related expenses <br />Less cash advance <br />Due to county <br />Due to claimant <br />I ce that the expenses outlined in this report which total <br />$ .O~_ were incurred by me on behalf of <br />Mazion County, Oregon. These expenses do not exceed the <br />maximum daily allowances as allowed by the Boazd of County <br />Commissioners in their current travel authorizations. I further <br />certify that this is a complete accounting of reimbursable <br />,e~cp~td~i~ur~ made by me during the indicated period. <br />Submitted <br />Approved <br />Approval signatures <br />Dept. Head <br />Claimants' <br />Commissioner <br />