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Dd Form 1351-3

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Dd Form 1351-3
Dd Form 1351-3
DD FORM 1351-3, SEP 1997
STATEMENT OF ACTUAL EXPENSES
PREVIOUS EDITION MAY BE USED UNTIL SUPPLY IS EXHAUSTED.
REIMBURSABLE EXPENSES (JTR, par. C4601 and JFTR, par. U4205)
DATE
LODGING
(Note 1)
MEALS
(Note 2)
BREAKFAST LUNCH DINNER
LAUNDRY
LOCAL
PRESSING
CLEANING
TRANSPOR-
TATION
(Note 3)
OTHER
(Note 4)
NOTES
(1) Attach lodging receipt(s) as supporting document(s).
(2) Cost of each meal and tip (less the cost of alcoholic
beverages).
(3) Cost of local transportation and tips for travel between places
of lodging or duty points and places where meals are taken not
otherwise reimbursable (JTR, par. C2402, and JFTR, par.U3510).
(4)
(a) Fees and tips to hotel employees;
(b) Fees and tips to porters and baggage carriers (Members of
Uniformed Services indicate only those fees and tips paid to porters
and baggage carriers at places of lodging. Fees and tips at common
carrier terminals are separately reimbursable.);
(c) Communications charges for lodging reservations;
(d) Expenses (other than those shown on lodging receipts) related to
lodging;
(e) Expenses for personal laundry and cleaning of clothing.
(See JFTR and JTR Appendix A, under definition of per diem, for
listing of other incidental expenses.)
I,
(Type or Print Name)
certify that itemized amounts are actual and necessary expenses
incurred by me in performance of official travel for which I have not been reimbursed.
SIGNATURE DATE
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Dd Form 1351-3