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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 to

Summary of your request :

Day 1 of your travel started at on arriving at : Mileage of miles was requested as were Meals totaling $

Additional Day Meals ( non travel days ) were requested for:

meals in the amount of $
meals in the amount of $
meals in the amount of $
meals in the amount of $

Your return trip started at on arriving home at : Mileage of miles and meals totaling $

Your lodging was requested in the amount of : $ - GSA rate exceeded ( )

The following documentation has been uploaded to validate this request -

Total Requested: $

By signing this agreement, you declare under penalties of perjury that to the best of my 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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Timestamp

Audit

June 3, 2022 1:43 pm PDT

{{gravity-field-id-56}} - Travel Request for {{gravity-field-id-1}} to {{gravity-field-id-30}} Uploaded by NV Nurse Apprentice Program Manager - naprequests@nrhp.org IP 134.197.230.125

July 27, 2022 3:45 pm PDT

Joseph Fillipi Jr - joseph@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

August 4, 2022 10:40 am PDT

Joseph Fillipi Jr - joseph@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

August 4, 2022 10:42 am PDT

Joseph Fillipi Jr - joseph@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

August 4, 2022 10:49 am PDT

Ann Murdoch - ann@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

August 4, 2022 11:33 am PDT

Ann Murdoch - ann@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

September 15, 2022 11:25 am PDT

Ann Murdoch - ann@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

September 15, 2022 11:44 am PDT

Ann Murdoch - ann@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

September 15, 2022 11:45 am PDT

Joseph Filippi Jr - joseph@nrhp.org added by Todd Radtke - todd@nrhp.org as a CC'd Recipient Ip: 134.197.230.99

December 28, 2022 9:15 am PDT