ࡱ> !` Tbjbj\\ 8>>BnnnOOO8O\>PtgQRRRRS6TT TgVgVgVgVgVgVg$ihlzgnsXSSsXsXzgRRgZZZsX^8RnRTgZsXTgZZ]Vn]RQ &mOX^]^g0g],l/Y0l]]ln]!T?UZ VV!T!T!Tzgzg_Z^!T!T!TgsXsXsXsXD%+#+ EXPENSE REPORT Loma Linda UniversityExpense report of:DepartmentExtensionMonthYearSocial Work 88559Mailing addressCost Center0315-8811-14- 50817Addresses for Mileage Reported BelowMISCELLANEOUS (attach travel application if ANY expenses in this column)DestinationAddressLLU11234 Anderson St, Loma LindaDateTRAVEL FARES - destination$ amountHomePracticumDATEDESTINATIONMILESREASONDate#of daysHOTEL$ amountDate(s)#of daysPer diem rate$ amount $ 34.00  Long-distance phone calls (attach bill) Total of above lines Total incidentalsMileage IF  REF TotalMileage \h  \* MERGEFORMAT  > 0 " REF TotalMileage \h \* MERGEFORMAT  1995.63 " "" miles @0.38 IF  REF TotalMileage \h  \* MERGEFORMAT  > 0 " =PRODUCT(TotalMileage,.33) \# "$#,##0.00;($#,##0.00)" $ 658.56" ""   TOTAL EXPENSES FOR THIS REPORT IF  REF AmtMileage \h  > 0 " REF AmtMileage \h $ 658.56 " ""  Less cash advance for ___trip ___other Less airfare chargedAMOUNT DUE TO _X__STUDENT ____UNIV. 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R _ NT #%&'*/7<BYt- y  >    # #EMAT  !"$()+,-.012345689:;=>?@AS .3Z^d!'RWlntCEKpzNR`gp~T"""l,b$gT񥡨ί+Z ;3@0(  B S  ?T AmtMileage TotalMileageMU)UC iD E F G ,0H I YRJ 0K IJL ,M l/N $ZRO dZRP tOQ l1R ,/S T \U l0V .22&U     $$CC%00U  : *urn:schemas-microsoft-com:office:smarttagsStreet= *urn:schemas-microsoft-com:office:smarttags PlaceType; *urn:schemas-microsoft-com:office:smarttagsaddress=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace      BBDDEEGHJKMNPQUBBDDEEGHJKMNPQU[[ghjoqqss.(RNABBDDEEGHJKMPQQRUBBDDEEGHJKMNPQUTntxx^x`OJQJo(hH^`OJQJ^Jo(hHopp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoPP^P`OJQJo(hHT̳0        K,#"(2%@ABDEGOXfopqstvxz  !#$&.*+,./1R #45?ACEFMlm@AU@ Xa  8T@UnknownG: Times New Roman5Symbol3& : Arial9GaramondgCaslon224 Bk BTTimes New Roman;Wingdings?5 z Courier New"1hʨʨ/f;;!4d>> 2qKX ?02DEPARTMENT OF SOCIAL WORKLindelle Rippon Wendy Hoopes Oh+'0$ <H h t  DEPARTMENT OF SOCIAL WORKLindelle RipponMileage Reimbursement FormWendy Hoopes3Microsoft Office Word@F#@D@l@Fm;՜.+,0 hp|  LLU>d DEPARTMENT OF SOCIAL WORK Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstvwxyz{|}~Root Entry Fm&mData D|a1TableulWordDocument8SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q