DETAILS OF CLAIM
N.B. Before completing this claim please see Guidance and Notes on Page 4.
EXPLANATIONS (See (iii) of Notes on Page 4)
DATE
24.9.84
PLACE
Oxfor to smom
Railway Fare
staver for manage
J
oxford to Sonom
fare
18! Can
Taxi
www
to Oxfords (mbrime club.
+1.50
2.80 (12.30
DATE
PLACE
PARTICULARS OF CHARGES (See Notes Page 4)
Amount
in Currency
Draw a line under the last entry and cancel the remaining spaces by a diagonal line.
Carried Forward
A Cuidance on Page 4