%PDF-1.3
%
5 0 obj
<>
endobj
xref
5 128
0000000016 00000 n
0000002985 00000 n
0000003425 00000 n
0000003488 00000 n
0000003716 00000 n
0000003909 00000 n
0000004017 00000 n
0000005209 00000 n
0000005299 00000 n
0000005376 00000 n
0000005523 00000 n
0000005553 00000 n
0000005669 00000 n
0000005811 00000 n
0000005841 00000 n
0000005960 00000 n
0000006110 00000 n
0000006140 00000 n
0000006256 00000 n
0000006398 00000 n
0000006428 00000 n
0000006547 00000 n
0000006700 00000 n
0000006730 00000 n
0000006849 00000 n
0000006995 00000 n
0000007025 00000 n
0000007142 00000 n
0000007294 00000 n
0000007324 00000 n
0000007441 00000 n
0000007586 00000 n
0000007616 00000 n
0000007735 00000 n
0000007880 00000 n
0000007910 00000 n
0000008026 00000 n
0000008171 00000 n
0000008201 00000 n
0000008319 00000 n
0000008479 00000 n
0000008509 00000 n
0000008628 00000 n
0000008792 00000 n
0000008822 00000 n
0000008938 00000 n
0000009126 00000 n
0000009156 00000 n
0000009275 00000 n
0000009449 00000 n
0000009479 00000 n
0000009595 00000 n
0000009787 00000 n
0000009817 00000 n
0000009933 00000 n
0000010119 00000 n
0000010149 00000 n
0000010264 00000 n
0000010424 00000 n
0000010596 00000 n
0000010626 00000 n
0000010741 00000 n
0000010892 00000 n
0000010922 00000 n
0000011037 00000 n
0000011190 00000 n
0000011220 00000 n
0000011338 00000 n
0000011484 00000 n
0000011514 00000 n
0000011629 00000 n
0000011776 00000 n
0000011806 00000 n
0000011925 00000 n
0000012080 00000 n
0000012110 00000 n
0000012227 00000 n
0000012381 00000 n
0000012411 00000 n
0000012530 00000 n
0000012680 00000 n
0000012710 00000 n
0000012824 00000 n
0000012848 00000 n
0000012871 00000 n
0000012903 00000 n
0000012925 00000 n
0000012957 00000 n
0000012981 00000 n
0000013007 00000 n
0000013030 00000 n
0000013054 00000 n
0000013076 00000 n
0000013115 00000 n
0000013158 00000 n
0000013220 00000 n
0000013274 00000 n
0000013344 00000 n
0000013414 00000 n
0000013441 00000 n
0000013495 00000 n
0000013528 00000 n
0000013555 00000 n
0000013580 00000 n
0000013609 00000 n
0000013640 00000 n
0000013671 00000 n
0000013700 00000 n
0000013897 00000 n
0000014074 00000 n
0000014136 00000 n
0000014181 00000 n
0000016732 00000 n
0000019335 00000 n
0000020515 00000 n
0000021707 00000 n
0000022897 00000 n
0000024082 00000 n
0000024222 00000 n
0000024390 00000 n
0000024571 00000 n
0000024744 00000 n
0000024921 00000 n
0000025229 00000 n
0000025445 00000 n
0000025638 00000 n
0000048488 00000 n
0000003073 00000 n
trailer<<2e51072187c9737947b1fa19d5c990d6>]>>
startxref
0
%%EOF
6 0 obj
<>
endobj
132 0 obj
<
>stream
xՐNAYp@I )} C*QQ$"(H*T 9$G8@ '^@dd[iyܙ^lˇ9''+m{YMgcj:ײ%Y\V/52
endstream
endobj
7 0 obj
<>
endobj
8 0 obj
<>>>/CropBox[0 0 612 792]/Rotate 0/Annots 9 0 R>>
endobj
9 0 obj
[ 14 0 R 17 0 R 20 0 R 23 0 R 26 0 R 29 0 R 32 0 R 35 0 R 38 0 R 41 0 R 44 0 R 47 0 R 50 0 R 53 0 R 56 0 R 59 0 R 62 0 R 63 0 R 66 0 R 69 0 R 72 0 R 75 0 R 78 0 R 81 0 R 84 0 R]
endobj
10 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>
endobj
11 0 obj
<>
endobj
12 0 obj
<>
endobj
13 0 obj
<>
endobj
14 0 obj
<>
endobj
15 0 obj
<>
endobj
16 0 obj
<>stream
endstream
endobj
17 0 obj
<>
endobj
18 0 obj
<>
endobj
19 0 obj
<>stream
endstream
endobj
20 0 obj
<>
endobj
21 0 obj
<>
endobj
22 0 obj
<>stream
endstream
endobj
23 0 obj
<>
endobj
24 0 obj
<>
endobj
25 0 obj
<>stream
endstream
endobj
26 0 obj
<>
endobj
27 0 obj
<>
endobj
28 0 obj
<>stream
endstream
endobj
29 0 obj
<>
endobj
30 0 obj
<>
endobj
31 0 obj
<>stream
endstream
endobj
32 0 obj
<>
endobj
33 0 obj
<>
endobj
34 0 obj
<>stream
endstream
endobj
35 0 obj
<>
endobj
36 0 obj
<>
endobj
37 0 obj
<>stream
endstream
endobj
38 0 obj
<>
endobj
39 0 obj
<>
endobj
40 0 obj
<>stream
endstream
endobj
41 0 obj
<>
endobj
42 0 obj
<>
endobj
43 0 obj
<>stream
endstream
endobj
44 0 obj
<>
endobj
45 0 obj
<>
endobj
46 0 obj
<>stream
endstream
endobj
47 0 obj
<>
endobj
48 0 obj
<>
endobj
49 0 obj
<>stream
endstream
endobj
50 0 obj
<>
endobj
51 0 obj
<>
endobj
52 0 obj
<>stream
endstream
endobj
53 0 obj
<>
endobj
54 0 obj
<>
endobj
55 0 obj
<>stream
endstream
endobj
56 0 obj
<>
endobj
57 0 obj
<>
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>
endobj
60 0 obj
<>
endobj
61 0 obj
<>stream
endstream
endobj
62 0 obj
<>/F 4/FT/Tx/Ff 0/Rect[ 149.5 389.0498 205.1999 401.0498]/Subtype/Widget/T(Airfare)/Type/Annot/DA(/Helv 0 Tf 0 g)/TU 103 0 R>>
endobj
63 0 obj
<>
endobj
64 0 obj
<>
endobj
65 0 obj
<>stream
endstream
endobj
66 0 obj
<>
endobj
67 0 obj
<>
endobj
68 0 obj
<>stream
endstream
endobj
69 0 obj
<>
endobj
70 0 obj
<>
endobj
71 0 obj
<>stream
endstream
endobj
72 0 obj
<>
endobj
73 0 obj
<>
endobj
74 0 obj
<>stream
endstream
endobj
75 0 obj
<>
endobj
76 0 obj
<>
endobj
77 0 obj
<>stream
endstream
endobj
78 0 obj
<>
endobj
79 0 obj
<>
endobj
80 0 obj
<>stream
endstream
endobj
81 0 obj
<>
endobj
82 0 obj
<>
endobj
83 0 obj
<>stream
endstream
endobj
84 0 obj
<>
endobj
85 0 obj
<>
endobj
86 0 obj
<>stream
endstream
endobj
87 0 obj
(Payee)
endobj
88 0 obj
(Date)
endobj
89 0 obj
(Office Number)
endobj
90 0 obj
(Fax)
endobj
91 0 obj
(Mobile Number)
endobj
92 0 obj
(EMail)
endobj
93 0 obj
(Address)
endobj
94 0 obj
(City)
endobj
95 0 obj
(State)
endobj
96 0 obj
(Zip)
endobj
97 0 obj
(Date of MeetingEvent)
endobj
98 0 obj
(Purpose of Reimbursement)
endobj
99 0 obj
(Social Security No if paid to an individual)
endobj
100 0 obj
(Tax ID No if paid to a corporation)
endobj
101 0 obj
(Honorarium 300 for one hour or 500 for modules exc)
endobj
102 0 obj
(Program Chair must approve variances Chair Signatu)
endobj
103 0 obj
(Airfare)
endobj
104 0 obj
(Mileage 50 per mile Total mileage)
endobj
105 0 obj
(x 50 per mile)
endobj
106 0 obj
(Lodging)
endobj
107 0 obj
(Other)
endobj
108 0 obj
(Textfield)
endobj
109 0 obj
(Textfield-0)
endobj
110 0 obj
(Textfield-1)
endobj
111 0 obj
(Signature)
endobj
112 0 obj
<>>>stream
xPpuRp
endstream
endobj
113 0 obj
<>stream
xOJM.QQPsrq*䊎5PHQ0T(W04PU0Pb/ R3
,ḾL3c=K33s=s3c\.}\|@.W_B t
endstream
endobj
114 0 obj
<>
endobj
115 0 obj
[<>]
endobj
116 0 obj
<>stream
x[[o8~_`@IDݝb3ۦh1&.(9Eb;AJmq
x9;W^|H]䆉j"dNZ)~d4IrV,i5$-sM
QiXpB1"QƊZ~t6s6&IQoJ<8y?K6ypMuvW{q6D)$*,wdrlVVrty5 zjWzV25bLcI>"]6Z$t}?MIRld@qLE!NjdDUlc|I5Ϲ,Q9
+(NgTҡޢeLTJEEݬfՕic5bCl2eOC xRN@~AF7ѓFȐ$({ND!#Fs&@KWz;7a#
Q[^>F0o>g$ٵqJL:Lj5!d c/NTKQ[}I-CSF4Ahb?EiĤ7Qu9ӓ
M
]/$Uy.Pѭ eE^t'6iďk]VwNR'jZȮFXn95Ow taL 1k(`=IDTI]RgM5,lGpή98\`gKh˂J{
c=,>^3csJN";wAB;]`/IntF7.t)*G@XU8U5$\F#]ь`q+MEMXLZ4Ѽk}
M-!4Ul4>7hG_xZ^{ȩaa,"tCe/ywwwg'mS N{1>7eFקgp~Gr?#{Rk'സ}g5A7^tz[k(w1!,GõH,HCH!KY#~c$MC@5k
q&ܷZJ[Ҏ)]Zx0n60gb\a^ؚޝԒV,-0GA6bٕBqTI|A_kvAiKڤ)|[5
]4py9
¾G\pqhC+ `f10v)AthMJ Z6#_oEm:,EĂӢ.{!{KUahNOd ``бHqY+}pd1v`n|O_ڶ
y.&f@ne\/e/J4pkc:ø&´=(qA&`nxv!Sp̘,Uz{{v^lv5Tl̪MINo%H|4m2.XHgvVX}Ԕݚjv*wqx,^)pՏnVkH~H;
fNTvycvW@TFgr,d
4c,7 },Bxyo3)́k)\̆ڇ>n$.alѴfBّ,c
hjx}IC5F, kX{{Nh/!M;O0|JQfU{ k*=;Fr:_zA@3?2X~߉&uŎc7?4zrZ8,t3~kF#|_n`'?Cxdv|91=ڜBIARhAE$p[H
W#K`s| 2{djA̡9l2w40qwj^`a|LXrT;K"Rt6jwjտt^@-gKUW9ۆhg%OeV+,sn6w gYkpx~E&c\OK?e]v΄T@[^ڨMI
xoy-ZR^>9S(,{]x7swl3K 8:F|,%
n3B7o[;6Ď;$V[&8_~VÛ$ ^
ݑx6W-a
;qs6'2Oco+˜WJ?e[x?gG翽?~i]L&rȉZ'!gj+詿Xr?T
endstream
endobj
117 0 obj
<>>>>>stream
xڽZn#E^X~!]ItYIF1"[$KSMRoh:U3(UT9ЌpJz(?ʛ{710F(W z]?Qppycx:A1ƫSr/?%_
zsW~T2{)0Onܺp
"Ti%lpg}x?@Q~iV2&Tb2+j.J$@}W$3B;I欥ޖ8x#x7LU,ģ)i)](*b `8Gs%'̋2j7NpVatG?WyU-02OlE.-'JS?I5aF=Qn 1Ikmq9R<&!`o {=e[R֔$ogq`Rה%JNʧЌ4*L8FE8x۹1-xS0x
L9Y)ku\\!!X9^JNGi Lgd:GF"LFfl'c*:M1?UZMESyB ҹ1ZBۿClc?9eAeÆ+AFp4ۈckGw~V'4
n05?i8L.yQy@}>ZY4Hٖ-\ՁD3۸"VGq_Ӡ/;^#pG2Bc[J^QIAeͯaK^8d?WbpQWf=珰m:eVŬtӒQ6z1W9ITN)fhe/=Aihyx1dWa=
'"4]>qF~ܑ{rYM`1vP!-a~Ta*>$P$0"