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0.00 Date: Signature: Supervisor Deduct-Pre Paid Items (enter negative number) Print: Date: Signature: Fiscal Agent 0.00 Employee acting in a scholarly capacity Print: Date: Signature: Yes No EMPLOYEE CERTIFICATION I certify that the above expenses are correct in all respects that the distances as charged have been actually and necessarily traveled by me on the dates therein specified that the amount as charged has been actually paid by me for traveling expenses that no part of the account has been paid M.S.U..
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