ESTIMATED COST OF PROPOSED TRIP



Estimated Cost of Proposed Trip

The following information must be provided by traveler before obtaining trip approval.

1) Air Fare

2) Limo

3) Car Rental

4) Private Auto

@ $0.445___/mile

5) Per Diem days x $ /day =

(varies by city) days x $ /day =

6) Lodging

7) Registration

Total $

Traveler's Signature

Date

**Completed travel vouchers are due within ten days after your return**

Particle Physics Division

Revised 4/28/06

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