Form 73-316 - Witness Fee Claim Page 2
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273-316 (Back)(Rev.1-13/15)
Witness Fee Claim Continuation
DOCUMENT NO
WITNESS NAME
MileAge RATeS
Period
Rate
01-01-12 thru 12-31-12
55.5¢
per mile
Beginning 01-01-13
56.5¢
per mile
WiTNeSS eXPeNSeS, (Please enter meals and lodging for each date.)
Daily expenses for Meals and lodging
Date
Meals
Lodging
TOTAlS
(FOR THIS PAGE ONLY)
Comments / explanation (optional)
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Parent category: Financial