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<br /> Employee Travel / Leave Request and Expense Report <br />Form PD-6 <br />Itinerary <br />Name: <br />Department: <br />Meeting: <br />Travel Dates: <br />Sponsoring Organization: <br />Destination: <br />Expenses <br />Paid Directly by Paid by City Credit Paid by <br />CityCardEmployee <br />Expense CategoryEstimated CostActual Cost <br />Registration - <br />Transportation - <br />Mileage (_____ miles @ _____) - <br />Lodging - <br />Meals - <br />Local Transportation - <br />Other - <br /> - <br /> - <br /> - <br />Total - - - - - <br />Remarks <br />Less Advance (by exception only) - <br />Total Owed to Employee (City) - <br />Travel Approval:Reimbursement Approval: <br />DateEmployee Reimbursement SignatureDate <br />Employee Request Signature <br />*The form has been modified slightly to accommodate digital agenda format. <br />I-1-l <br />October 1, 2007 <br /> <br />