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["TOTALS  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(T16:T29)","v":0},null,{"$f":"SUM(V16:W29)","v":0},null,{"$f":"SUM(X16:X29)","v":0},{"$f":"SUM(Y16:Z29)","v":0},null,{"$f":"SUM(AA16:AB29)","v":0},null,{"$f":"SUM(AC16:AD29)","v":0},null,{"$f":"SUM(AE16:AG29)","v":0},null,null,{"$f":"SUM(AH16:AH29)","v":0},{"$f":"SUM(AI16:AK29)","v":0},null,null,null,null,{"$f":"SUM(AN16:AO29)","v":0}]
["TRANS/ OTHER EXPENSE",null,null,null,"A - AIR\nB - BAGGAGE\nC - CAB/BUS",null,null,null,"F - PHONE\nI - INTERNET\nL - LAUNDRY",null,"P - PARKING\nR - REGISTRATION\nS - SUPPLIES",null,null,null,null,"T - TOLLS\nU -POSTAGE/SHIPPING\nO - OTHER  ------------>",null,null,null,"If other, specify here",null,null,null,null,"DOCUMENT TOTAL  ",null,null,null,null,null,null,null,null,{"$f":"SUM(V30,AE30,AI30,AN30)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LESS Travel Advances"]
["ROUTINE USES OF THIS FORM ARE TO FULFILL IRS REQUIREMENTS, IDENTIFY INDIVIDUAL CLAIMS FOR PUBLIC INSPECTION, PROVIDE THE STATE VEHICLE DISPATCHER INFORMATION, AND TO PREPARE ANNUAL SALARY BOOK",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LESS Travel Card Payments"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LESS Agency Paid Expenses"]
["CLAIMANT'S CERTIFICATION"]
["I CERTIFY THAT THE ITEMS FOR WHICH PAYMENT/REIMBURSEMENT IS CLAIMED WERE FURNISHED FOR STATE BUSINESS UNDER THE AUTHORITY OF THE LAW AND THAT THE CHARGES ARE REASONABLE, PROPER, AND CORRECT, AND NO PART OF THIS CLAIM HAS BEEN REIMBURSED OR PAID BY THE STATE, EXCEPT ADVANCES SHOWN, AND I UNDERSTAND THE ROUTINE USES OF THIS FORM.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Reimbursment Requested",null,null,null,null,null,null,null,null,{"$f":"AH31+AH32+AH33+AH34+AH35","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DEPARTMENT CERTIFICATION"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"I CERTIFY THAT THE ABOVE EXPENSES WERE INCURRED AND THE AMOUNTS ARE CORRECT AND SHOULD BE PAID FROM THE FUNDS APPROPRIATED BY: CODE OR CHAPTER SECTIONS:"]
[]
[]
[" COMMUTING MILES EXCLUDED?",null,null,null,null,null,null," TRAVEL INCLUDES VICINITY MILES?",null,null,null,null,"DIRECT DEPOSIT?",null,null,null,null,null,"WARRANT TO ALT ADDR?"]
[null,null,"Y",null,null,"N",null,null,null,"Y",null,"N",null,null,"Y",null,null,"N",null,"Y",null,"N"]
["  TITLE",null,null,null,null,null,null,null,null,null,null,"DEPARTMENT TO BE CHARGED",null,null,null,null,null,null,null,null,null,null,null,"  TRAVEL DEPARTMENT AUTHORIZATION (TDA) NUMBER"]
["Enter title here",null,null,null,null,null,null,null,null,null,null,"Enter department here",null,null,null,null,null,null,null,null,null,null,null,"Enter TDA number here"]
[]
["EMPLOYEE'S VENDOR CUSTOMER NUMBER:",null,null,null,null,"LastFirst00",null,null,null,null,null,null,null,null,"CHECK IF BOARD OR COMMISSION MEMBER"]
[" CLAIMANT'S SIGNATURE",null,null,null,null,null,null,null,null,null,null,null,"DATE",null,null,null,null,null,null,null,null,null,null,"  TRAVEL APPROVAL (SUPERVISOR'S SIGNATURE)"]
[]
["DOC TYPE",null,null,"DOC NUMBER",null,null,null,null,null,null,"DOC DATE",null,null,null,null,"ACCTG PRD",null,null,"BUD FY","ADDR\nOVERRIDE  Y/N",null,null,null,"VENDOR CUSTOMER NUMBER",null,null,null,null,null,null,null,null,"DOC TOTAL"]
["TP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$AH$36","v":0}]
["LINE","FUND",null,null,null,"DEPT",null,null,null,"UNIT",null,null,null,"SUB UNIT",null,null,null,"OBJT",null,null,"SUB OBJT",null,null,"EMPLOYEE VENDOR CUSTOMER NUMBER",null,null,null,null,null,null,null,null,"AMOUNT"]
["01"]
["02",null,null,null,null,null,null,null,null,null,null,null,null," "]
["03",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["04",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["05",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["06",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["07",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["08",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["09",null,null,null,null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null,null," ",null,null,null,null,null,null,null,null," "]
["10"]
["DOCUMENT TOTAL  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AG52:AK61)","v":0}]
["TP",null,null,null,null,null,null,null,"WARRANT #",null,null,null,null,null,null,null,null,null,"AUDITED BY  ",null,null,null,null,null,null,null,null,null,"PAID DATE "]
[null,null,null,"TP04017EX"]