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Average Coef. Var. 7.4 9.7
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ATX02 0235775
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Source: https://www.industrydocuments.ucsf.edu/docs/pqlp0022
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--------------------------------------------------- Unstructured Plain Text Format 1.0.4
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Name
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Dr. Mark Hegsted
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Travel Order No. ___
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Meeting of Prevention Subcommittee
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TRAVEL EXPENSES
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Please fill in the information requested below and return in the enclosed envelope in order that a voucher covering reimbursement for expenses incurred in connection with official travel orders may be prepared.
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Receipts required: Transportation (Ticket Stubs) ___ Lodging ___ Taxi Fares Over $15.00 ___
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If a privately owned automobile is used, please give odometer reading for departure and arrival to each place, and list tolls and parking fees.
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Date Time Limousine Taxi
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12/16/83 6 AM Depart from residence/place of business $ 25 miles $ odometer readings 13560-13581
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12/16 7:50 A M Depart from Boston
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Airline and Flight No. Ea 869
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12/16 8:30 Arrive at Washington, DC airport (round trip) $269.00 $8.75
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Expenses: 1st Day 2nd Day
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Breakfast $ 2.50 $ ___
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Lunch 3.75 ___
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Dinner ___ ___
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Lodging ___ ___
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Stopovers - please complete:
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___ Depart from ___ ___ ___ ___
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Airline and Flight No. ___
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___ Arrive at ___ ___ ___
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Expenses: 1st Day 2nd Day
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Breakfast $ ___ $ ___
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Lunch ___ ___
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Dinner ___ ___
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Lodging ___ ___
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