ࡱ> NPM!` !bjbj\\ *:>>RRRRRRRf....$Rfw"H*****L!!!!!!!$c#h%"-R**"RR**1"ZZZR*R*!Z!ZZRRZ* 0v.ZLG"0w"Zq&&q&Zq&RZ8Z""Dw"fff J fffJfffRRRRRR  DU/DUHS CORPORATE CARD MISSING RECEIPT FORM I,  FORMTEXT       , have either not received or misplaced a Corporate Card receipt totaling $ FORMTEXT       . This expense was on behalf of Duke. This form is submitted in lieu of the original receipt. Reference Number: FORMTEXT      Date: FORMTEXT      Supplier: FORMTEXT     Amount:  FORMTEXT      Items purchased: FORMTEXT       FORMTEXT       FORMTEXT $NXZ`fh|~ ( X Z n p r | ~ ^ b ľzhbXjh0 CJU hdCJ"jth~h0 >*CJU hrCJ h0 >*CJjhE>*CJU"jh~h0 >*CJUh~h0 >*CJjh~h0 >*CJU h0 CJ h0 5CJh0 5>*CJh4oh0 5>*CJhr5>*CJh4oh0 5CJ h0 5CJ h0 CJZ\^` ` b d ?d$If^?gd0 d$If]gd0 d$Ifgd0 $a$gd0 gd0 !      & ( > @ T V X b d յեՕusUjh~h0 CJUjhrCJUmHnHujth~h0 CJUj"h~h0 CJUjh~h0 CJUj\h~h0 CJU h0 CJjhECJUjh0 CJUjh~h0 CJU+ ^RRRB?d$If^?gd0 d$Ifgd0 kd$$Ifl\b5"   t0"644 la  * > f ^RRRB?d$If^?gd0 d$Ifgd0 kd$$Ifl\b5"   t0"644 laf h j l n p ^RRRB?d$If^?gd0 d$Ifgd0 kd$$Ifl\b5"   t0"644 lap r ^RRRB?d$If^?gd0 d$Ifgd0 kdx$$Ifl\b5"   t0"644 la <^RRRB?d$If^?gd0 d$Ifgd0 kd^$$Ifl\b5"   t0"644 la      FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       I certify that the amounts shown above were expended for Duke business purposes. If charged to a grant or contract, I certify that the claimed expenses comply with the conditions of the grant or contract.  FORMTEXT      Cardholder SignatureDate FORMTEXT       FORMTEXT      Department Administrator/ChairmanDate Department FORMTEXT       *,.8:@BVXZdfjl ϿϯϟϏojhE@h0 CJUjF h~h0 CJUj h~h0 CJUj| h~h0 CJUj h~h0 CJUjh~h0 CJU h0 CJjhrCJUmHnHujh0 CJUj>h~h0 CJU+<>@hj^RRRB?d$If^?gd0 d$Ifgd0 kd( $$Ifl\b5"   t0"644 la^RRRB?d$If^?gd0 d$Ifgd0 kd $$Ifl\b5"   t0"644 la^RRRB?d$If^?gd0 d$Ifgd0 kd $$Ifl\b5"   t0"644 la ^YYYYPPP $Ifgd0 gd0 kd $$Ifl\b5"   t0"644 la !!!!!(!*!.!0!D!F!H!R!T!!!!!!!!!!߿߯߫hJrjhE@h0 CJUjhE@h0 CJUjXhE@h0 CJU h0 CJjhrCJUmHnHujh0 CJU qhhh $Ifgd0 kd $$IflFdhh t0c6    44 la !!qhhh $Ifgd0 kd$$IflFdhh t0c6    44 la!!,!.!V!qhhh $Ifgd0 kd$$IflFdhh t0c6    44 laV!X!!!!qhhh $Ifgd0 kdD$$IflFdhh t0c6    44 la!!!!!!qllcc $Ifgd0 gd0 kd$$IflFdhh t0c6    44 la!!!!}gd0 zkdB$$Ifl0B t0644 la(/ =!"#$% tDText1tDText2tDText3vDText14$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / $$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / / / tDText4vDText13$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / $$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / / / tDText5vDText12$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / tDText6vDText11$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / tDText7vDText10$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / tDText8tDText9$$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / $$If!vh55 55 #v#v #v#v :Vl t0"6,55 55 / / / / vDText15$$If!vh5h5h5#vh#vh#v:Vl t0c65h5h5/ / $$If!vh5h5h5#vh#vh#v:Vl t0c65h5h5/ / $$If!vh5h5h5#vh#vh#v:Vl t0c65h5h5/ / vDText16vDText17$$If!vh5h5h5#vh#vh#v:Vl t0c65h5h5/ / $$If!vh5h5h5#vh#vh#v:Vl t0c65h5h5/ / vDText18$$If!vh55B#v#vB:Vl t0655B/ 8@8 0 Normal_HmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j 0 Table Grid7:V0H@H E Balloon TextCJOJQJ^JaJ: -./0012DX^rstuvwx   45IJK_`tuvwxyz{|JKLMabwx}~0000000000@00 0 0 0 0 @0 @0 @0 @0 @0 0 0 0 0 0 @0 @0 @0 @0 @0 0 0 0 0 0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 0 0 0 0 0 0 0 00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0 00 -./0012DX^rstuvwx   45IJK_`tuvwxyz{|JKLMabwx}~h0+h0+h0+h0+h0+h0+j0+h0* 0h00 h00 h00  j00  h00  j00  0 h0 & h0 & h0 & h0 & 0 h00  j00  h00  j00  0 h0$ h0$ h0$ h0$ 0 h00 h00 h00 h00 0 h00 h00 h00 h00 0 h0 h0 h0 h00 0 h0  0 h00 h00 0h0 h0 h0 h0 0h0h0h0h0h0 h0 h0 h00h0 h0 h0 49:=>h0 h0 h0 Qr Mh0 h0  h0 !h0# h0# h0# `/h0%h0%h0% h0% h00h00  !  f p < !V!!!! !3?EDPV^jp  ,25AGKW]`lrMY_FFFFFFFFFFFFFFFFFFText1Text2Text3Text14Text4Text13Text5Text12Text6Text11Text7Text10Text8Text9Text15Text16Text17Text184E_ !6LaN FWq3H^s`1b33F2CDWX^qx  35HK^`sM`bnPdJr97Er0 2DX^rstuvwx   45IJK_`tuvwxyzKLMabwx}~_0@  m(PP PUnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"h?@ABCDFGHIJKLORoot Entry FLvQData 1Table)q&WordDocument*:SummaryInformation(=DocumentSummaryInformation8ECompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q