BUSINESS SEARCH EXPENSE SUMMARY
Business Name: File Reference: Business Owner: Business Address: Person Doing Search: Business Phone No.: DATEADDRESS OF POTENTIAL REPLACEMENT PROPERTYHOURSSPENTVEHICLEMILEAGEMEALS/LODGINGWHO DID YOU MEET WITH AND WHAT WAS THE RESULT OF THE VISIT?Search Cost Calculations:_____ Hoursx$__________=$_______________ Milesx$__________=$__________Meals and Lodging=$__________TOTAL (Maximum $2,500)=$__________Time spent is based on reasonable salary earnings and must have been during normal working hours for which no compensation is otherwise received.Mileage rates not to exceed $0.50 cents per mile.Meals and lodging away from home based on paidreceipted bills.The term “general area” is not an acceptable site address.I CERTIFY that all information submitted herewith or included herein is true and correct._______________________________________________________SIGNATURE TITLE DATE ................
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