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["TRAVEL EXPENSE REPORT"]
[]
["Name"]
[]
["Address"]
[]
["City / State / Zip",null,null,null,null,"Iowa District East, 1100 Blairs Ferry Road, Marion IA  52302, 319/373-2112"]
[null,null,null,null,null,null,null,"$"]
["Social Security Number",null,null,"Report Date",null,null,null,"Total Amount Due"]
[]
["PURPOSE OF TRIP:"]
["DATE:",null,null,null,null,null,null,null,null,null,"TOTALS"]
["Transportation"]
["Business Miles Traveled"]
["Mileage Allowance @ $0.48","$","$","$","$","$","$","$","$","$","$"]
["Airfare",null,null,null,null,null,null,null,null,null,"$"]
["Auto Rental",null,null,null,null,null,null,null,null,null,"$"]
["Taxi Cab",null,null,null,null,null,null,null,null,null,"$"]
["Shuttle",null,null,null,null,null,null,null,null,null,"$"]
["Parking & Tolls",null,null,null,null,null,null,null,null,null,"$"]
[null,null,null,null,null,null,null,null,null,null,"$"]
["Business Meals"]
["Breakfast",null,null,null,null,null,null,null,null,null,"$"]
["Lunch",null,null,null,null,null,null,null,null,null,"$"]
["Dinner",null,null,null,null,null,null,null,null,null,"$"]
["Business Meals for Others",null,null,null,null,null,null,null,null,null,"$"]
["Lodging"]
["Hotel / Motel",null,null,null,null,null,null,null,null,null,"$"]
["Telephone (Business-Use)",null,null,null,null,null,null,null,null,null,"$"]
["Other (explain below)",null,null,null,null,null,null,null,null,null,"$"]
["Miscellaneous (explain below)",null,null,null,null,null,null,null,null,null,"$"]
["DAILY TOTAL:","$","$","$","$","$","$","$","$","$"]
["Explain - Other / Miscellaneous:",null,null,null,null,null,null,"Total Expenses",null,null,0]
[null,null,null,null,null,null,null,"Less:","Prepaid Airfare"]
[null,null,null,null,null,null,null,null,"Cash Advance"]
[null,null,null,null,null,null,null,null,"Other"]
[null,null,null,null,null,null,null,null,"Other"]
[null,null,null,null,null,null,null,"TOTAL EXPENSES DUE:",null,null,"$"]
[]
["Traveler's Signature",null,null,"Date",null,null,"Approved",null,null,null,"Date"]