Cost Number Type of Unit of Number Funds # Trip Destination per Claiming Expense Measure of Requested Unit Expense 1 2 Travel Subtotal Travel Justification: Trip 1: Trip 2: Contractor 1: D. Special Purpose Equipment Acquire # Item Description When? Requested 1 2 Special Purpose Equipment Subtotal Special Purpose Equipment Justification: Item 1: Item 2: Contractor 1: E. Supplies Cost Number Acquire Funds # Item Description per Unit of Units When? Requested 1 2 Supplies Subtotal Supplies Justification: Supply 1: Supply 2:
# Trip Destination Type of Expense Unit of Measure Number of Cost per Unit Number Claiming Expense Funds Requested 1 2 Travel Subtotal Travel Justification: Trip 1: Trip 2: Contractor 1: D. Special Purpose Equipment # Item Description Acquire When? Requested 1 2 Special Purpose Equipment Subtotal Special Purpose Equipment Justification: Item 1: Item 2: Contractor 1: E. Supplies # Item Description Cost per Unit Number of Units Acquire When? Funds Requested 1 2 Supplies Subtotal Supplies Justification: Supply 1: Supply 2:
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