How many trips? [enter value] _____________________
Did these expenses include anything for...
. . . Food and beverages?
Did these expenses include anything for... . . . Lodging?
* Repeat if necessary.
Did these expenses include anything for... . . .Transportation?
* Repeat if necessary.
Did these expenses include ... . . . Anything else?
* Specify: [enter text] _____________________
What was the total amount that you or your CU paid for that trip/those trips? [enter value] _____________________
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Last Modified Date: September 4, 2008