Nevada Nurse Apprentice Program

Nevada Rural Hospital Partners Foundation

Nursing Apprentice Program ARPA Grant 

Nurse Apprentice Travel Request

 

Hello , please validate your personal information:




You have made a request for travel reimbursement for your travel to support your nursing apprentice work at from at to at . 

Summary of your request:

Travel started at on , arriving at the facility at . Mileage reimbursement of miles was requested as were outbound travel day meals totaling .

Your return trip departed the facility at on arriving home and ending travel at . Mileage reimbursement of miles was requested as were return travel day meals totaling .

NO meals were requested for non-travel days. NO lodging was requested for this travel period.

     
     
      $0
      

By signing this agreement, you declare under penalties of perjury that to the best of your knowledge this request is true and correct in conformance with governing statues and the requirements of this Nursing Apprentice Program ARPA Grant.

 

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Signature Certificate
Document name: 2025 Miles & Meals {{gravity-field-id-173}} {{gravity-field-id-174}} - {{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} - {{gravity-field-id-30}}
lock iconUnique Document ID: 72538da7b494830adbbe14ff234c53186070cab0
Timestamp Audit
January 13, 2025 5:00 pm PDT2025 Miles & Meals {{gravity-field-id-173}} {{gravity-field-id-174}} - {{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} - {{gravity-field-id-30}} Uploaded by Galina Tolle - galina@nrhp.org IP 99.65.195.165
January 13, 2025 5:02 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 14, 2026 8:55 am PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 14, 2026 9:22 am PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 14, 2026 4:45 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 14, 2026 5:03 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 15, 2026 11:05 am PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 15, 2026 12:33 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 15, 2026 12:38 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
January 15, 2026 12:42 pm PDTNAP Requests - naprequests@nrhp.org added by Galina Tolle - galina@nrhp.org as a CC'd Recipient Ip: 99.65.195.165
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Audit Trail Serial# ec9576fa689cbacb3ebcb2712402244a