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Updated 3/1/11 TRAVEL/EXPENSE RECORD Claimant Name: Home Address: A COPY OF YOUR APPROVED TRAVEL REQUEST, RESOLUTION (IF NECESSARY), AND ORIGINAL RECEIPTS MUST BE ATTACHED. PLEASE OMIT TAX. (ENTER EACH RECEIPT SEPARATELY) Date Destination (Full Address) Transport. (Mileage/Fare) To From Parking/ Tolls Conference Fee Motel Meals Tips Total TOTAL: Claimant's Signature: Date: