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["REQUEST FOR PAYMENT"]
[null,null,null,null,null,null,null,"PURCHASE ORDER #"]
["VENDOR NAME: ",null,null,null,null,null,null,"PAYMENT NUMBER:"]
["VENDOR ADDRESS: ",null,null,null,null,null,null,"DATE:"]
["DISTRICT:",null,null,null,null,null,null,"VENDOR NUMBER:"]
[]
["A - EXPENSE PAYMENT/REIMBURSEMENT"]
["DATE","DESCRIPTION OF EXPENSE",null,null,null,"ACCOUNT NUMBER",null,null,"AMOUNT"]
[]
[]
[]
[]
[null,"  "]
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[null,null,null,null,null,null,null,"TOTAL",{"$f":"SUM(I12:I18)","v":0}]
["B - TRAVEL REIMBURSEMENT"]
["DATE","PURPOSE","FROM ","TO","MILES","RATE","AMOUNT","Other","TOTAL"]
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[null,null,null,null,"TOTALS",null,{"$f":"SUM(G22:G32)","v":0},0,0]
["Account Distribution:"]
[null,"Account Number","Amount"]
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[null,null,null,null,null,"Alternate Authorizer:"]
[null,"This page total:",{"$f":"I33+I19","v":0},null,null,"Date:"]
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[null,"Total:",{"$f":"C41+C43","v":0}]