CLEAR 2009 Annual Conference
Expense Report for Non-Member Pre-Approved Speakers 
(CLEAR does not reimburse costs for member speakers or 
for non-members who have not received pre-approval)

Name:______________________________ Social Security No:___________________________
Mailing Address________________________________________________________________
_____________________________________________________________________________
Phone No.(______)___________________________ Date Submitted:______________________

CLEAR USE ONLY:
COST CENTER A/C#                                 AMOUNT                APPROVED BY

______________ _______________ $___________________ _________________
______________ _______________ $___________________ _________________
______________ _______________ $___________________ _________________

TOTAL REIMBURSED $___________________
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