IN-STATE MEALS AND LODGING
Leave Arrive
Headquarters Headquarters
Meals Lodging TOTAL
not to exceed not to exceed Meals Lodging Total
Date Hour Min. m Date Hour Min. m. State Rate State Rate
TOTAL MEALS & LODGING TOTAL ACTUAL EXPENSE
OUT-OF-STATE MEALS AND LODGING
Leave Arrive
Headquarters Headquarters
Meals Lodging TOTAL
not to exceed not to exceed Meals Lodging Total
Date Hour Min. m. Date Hour Min. m. State Rate State Rate
TOTAL MEALS & LODGING TOTAL ACTUAL EXPENSE
Separate mileage by TYPE of Travel:
Place an "I" for In-State or
an "O" for Out-of-State
Type In-State Out-of-State
Total
ACTUAL EXPENSE
ACTUAL EXPENSE
INFORMATION REQUIRED BY TEXTRAVEL GUIDE Mileage
DATE AND OTHER PERTINENT INFORMATION Point to Point
*Show point-to-point breakdown, including intra-city mileage claims Total:
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