ࡱ> .0- ;bjbjyy 4;,,,,,@@@@\@hpppppKKK$L:,KKKKK:,,ppOK ,p,pKDp@)U \e0d,_,pKKKKKKK::KKKKKKKKKKKKKKKK : KSC Faculty Development Grant Reimbursement Form INSTRUCTIONS: Please note that per KSC 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.) Supplier/Vendor Items Purchased Reason Receipt Total 1. 2. 3. 4. 5. * Total of Expenses Claimed: $____________ ----------------------------------------------------------------------------------------------------------------(Accounts Payable Use Only) 012>?AW X Z  O k ; ? i ǽ|u|mhm`[V h \5 hc5hch5 h5hh5 hc5>*hhUD5>*hh {[5hhUD5hhE5 hE5 hu5hhUD5 h {[5hh`05hh5>*h`0hlWh`05>*CJ aJ hlWhlW5>*CJ aJ hov5>*CJ aJ hlWhc5>*CJ aJ !12 J K q r } ~ gdcgd$a$gdov C I Z p    ! 9 G I h j } ~   ȰȥzhDhDCJaJhDht_hDh \5hDhUD5hDhc5h hT5>*hchc5>* hD5>* hc5>*hch5>* hT5 hD5hchch5hchc5 h \5 hc5 h`05- ;gdD :;hDhDCJaJhDhD6CJaJ21h:pE/ =!"#$% j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH D`D oNormalCJ]_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List DD  List Paragraph ^m$PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ; ;  ; 8@0(  B S  ?==*0?AOjj :={ ^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.{         cm2UDEK1aT {[ \8] cuov2XZlW`0TDEt_o;=@;@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial7 Sylfaen7.@CalibriA$BCambria Math"h8'8'F' ' !r0883QHX $P`02!xx Matthew Kimberlab Oh+'00x   (Matthew KimberNormallab2Microsoft Office Word@@Yo@d)@d)'՜.+,0 hp  ̽ 8  Title  !"#$&'()*+,/Root Entry F+)11Table WordDocument4SummaryInformation(DocumentSummaryInformation8%CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q