Detailed Budget Worksheet & Cost Review Form - Indian General Assistance Program Page 3

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Indicate the budgeted travel's purpose, the destination of each trip, the duration of the trip
TRAVEL - CONTINUED:
and the number of travelers. Specify the mileage, per diem, and other costs for each type of travel, such as lodging,
common carrier transportation, etc. Please explain/justify travel expenses for Tribal Council members. This
amount will be entered on Standard Form 424A, Section B, Line 6.c.
Cost
# of Days
# of
Trip E - Purpose, Location,
Expense
# of Trips
Amount
(or rate/mile)
(or # of miles)
Travelers
Attendees, Component #
and/or Travel Justification
Round Trip Airfare
Lodging
Per Diem (Meals &
Incidental Expenses)
* Ground Transportation
POV Mileage Cost
Subtotal for Trip E
Cost
# of Days
# of
Trip F - Purpose, Location,
Expense
# of Trips
Amount
(or rate/mile)
(or # of miles)
Travelers
Attendees, Component #
and/or Travel Justification
Round Trip Airfare
Lodging
Per Diem (Meals &
Incidental Expenses)
* Ground Transportation
POV Mileage Cost
Subtotal for Trip F
Cost
# of Days
# of
Trip G - Purpose, Location,
Expense
# of Trips
Amount
(or rate/mile)
(or # of miles)
Travelers
Attendees, Component #
and/or Travel Justification
Round Trip Airfare
Lodging
Per Diem (Meals &
Incidental Expenses)
* Ground Transportation
POV Mileage Cost
Subtotal for Trip G
Cost
# of Days
# of
Trip H - Purpose, Location,
Expense
# of Trips
Amount
(or rate/mile)
(or # of miles)
Travelers
Attendees, Component #
and/or Travel Justification
Round Trip Airfare
Lodging
Per Diem (Meals &
Incidental Expenses)
* Ground Transportation
POV Mileage Cost
Subtotal for Trip H
* Rental Car, Taxi, Shuttle, Rail, etc.
TRAVEL TOTAL:
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