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EXHIBIT"A" <br />'mate car milea a �krom to <br />Per diem (NUMtjerL of,clas <br />on <br />Date _ <br />" :' CLAtM #Mi E <br />and EXPENSE REPQRr <br />Meals (Identity guests <br />—94 <br />Garage and/or parl�ing <br />Claimant's Name <br />Account Number <br />REQi1EST FOR CASH ADVANCE <br />Stamated expenses: ` <br />irartsportation <br />$ <br />Claimant <br />Lodging <br />Approved <br />F'er died <br />(6 PARI NlEN C'IAGj" raw,. <br />.., < <br />P <br />Meals <br />Authorized <br />Other _ <br />ah paidby <br />�offerrerit <br />; tTr <br />r <br />y� s <br />OF, Awl <br />'mate car milea a �krom to <br />Per diem (NUMtjerL of,clas <br />Registradpn fees <br />Meals (Identity guests <br />Garage and/or parl�ing <br />Either expenses (Detail <br />TOTAL EXPENSES CLA1 <br />LESS ADVANCE (front R <br />BALANCE DUE CLAlMAl <br />{ € hereby certify that this #k a true d correct s#atenierai is <br />i <br />business of the C# ,! of 06ftron <br />Date <br />,77 <br />