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0 <br />Reimbursement <br />. r,:`' <br />' <br />0.00- <br />ividuaiTOtals <br />Tatar <br />J e <br />. Ex <br />C OPC <br />Po <br />3300 <br />33.00 <br />69.00 <br />60.00 <br />1000 <br />10.00 <br />- <br />- <br />- <br />can nn <br />Accourri Codes: <br />Amount: <br />Account Codes: <br />Amount <br />Account Codes: <br />Amormt <br />Account Codes:' <br />Amount <br />as three days <br />noon. <br />Out-of-StateTravel Division Mgr Approval: <br />Fill in BLUE areas only. Do not enter any infonnabon in the YELLOW shaded areas. <br />Recording mileage: Record your odometer before you begin your trip and when you reach your destination. Additional space is included for multiple uses. After your record your mileage, <br />your total reimbursement is automatically added in the <br />runt you will receive. DO NOT ENTER ANY INFORMATION IN THAT BOX . <br />Please use per diem guidelines for meals. $35 per day for meals and $5 for incidentals. <br />If you are using a company credit card, please provide receipts. If you need a cash reimbursement, please provide receipts. If you are using per diem, no receipts am necessary. If you <br />are tracking expenses, no receipts are necessary. <br />1BREVIATI0NS' CCC = COMPANY CREDIT CARD PCC = PERSONAL CREDIT CARD OPC = OUT OF POCKET CASH PD = PER DIEM <br />Date: <br />Date: Lit <br />Date: <br />Date: <br />box. This will give you the exact <br />4 J <br />0 <br />