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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.

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

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

$0
$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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Document name: 2026 - Miles Only {{gravity-field-id-173}} {{gravity-field-id-174}} - {{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} - {{gravity-field-id-30}}

Unique Document ID: 6bf0a39034662cc0b9ef981fd5d87c2e18fb038d

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January 13, 2025 4:57 pm PDT

2026 - Miles Only {{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 4:59 pm PDT