ÐÏࡱá>þÿ .0þÿÿÿ-ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥ÁÀ ð¿;bjbjµyµy 4××;ÿÿÿÿÿÿ·ÒÒ,,,,,ÿÿÿÿ@@@@\@•hpppppKKK$ý²¯L:,KKKKK:,,ppÛOK ,p,pKD�pÿÿÿÿ@Îê�)ÙÐÿÿÿÿU \e0•d,û_²û�û,�pKKKKKKK::KKK•KKKKÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿûKKKKKKKKKÒ ò: 91Ó°ÊÓ Faculty Development Grant Reimbursement Form INSTRUCTIONS: Please note that per 91Ó°ÊÓ policy, all expenses (no matter the amount) require a receipt. Expense claims without a receipt will not be reimbursed. Reimbursements for travel expenses related to an FDG award should be completed using a Travel Expense Voucher rather than this form. Regarding meal expenses, a detailed (itemized) receipt is required. A credit slip showing only the amount cannot be accepted. Please fill out this form completely, also submitting all relevant receipts relating to the expenses being claimed. After filling out the form, please turn this sheet over and arrange receipts neatly, face-up, on the reverse side. With invisible (Scotch) tape, please tape down all edges of the receipts to the sheet. If there are more receipts than can fit on this sheet, please use additional sheets of plain white copy paper. NAME: _______________________________________________________ 9-DIGIT USNH ID #: ___________________________ PROJECT TITLE: ___________________________________________________________ DATE SUBMITTED: ____________________ EXPLANATION OF EXPENSES (A general overview and reason is sufficient – listing every individual item purchased is not necessary.) 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