1
2
Date
From
To
a. Reason for journey and official destination
b. Name(s) of car passenger(s) for whom supplement is claimed if applicable
Time
Place
Time
Place
c. Overnight accommodation address if night
subsistence allowance is claimed
31.1
ECO,
91
13.00 King
1215 Wyl
Charles Street
PICADILLY,
Transport Used
(For rail travel please state whether warrant used. If not give ticket number, date and office of issue)
are LUNCH WITH MR. LYNCH OF TAXI
CANADIAN HIGH
COMMISSION AT GREEN'S RESTAURANT PICCADILLY.....
6
7
8
9
Mileage
at standard
Mileage Passenger Travelling at Public mileage expenses Transport
10
11 Subsistence Other Allowances expenses
rate
rate
£ p
£ p
£ P
3 09
1
Notes 1. Please use the 24 hour system (where 1 pm is 13.00)
2. This claim must be closed with a diagonal line before it is submitted for approval
3. Supporting vouchers should be attached for incidental expenses.
4. Details of the travel and subsistence rules, and current rates, are shown in the
Pay and Conditions of Service Code.
Total standard mileage this claim
Cumulative standard mileage since 1 April| last brought forward from previous claim Cumulative standard mileage carried forward to next claim
Sub totals
Claim total
3109
less imprest (if any)
3109
• Delete as appropriate
Net amount *claimed/due to the Department
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Private notes are available after approval.