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Name:Reisezweck/ Reiseziel:Reiseantritt am:um:Rckkehr am: um:Reise
von:Reise nach:Benutztes Verkehrsmittel:Bei PKW bitte amtl. Kennz. Angeben:
SummeBemerkungbernachtungskosten lt. OriginalbelegFahrtkosten (Bahn, Flug1,Taxi 2 etc.) lt. Originalbeleg
Art 1Art 2Art 3
Fahrtkosten (mit eigenem PKW) 3km-Geld fr k m x 0 , 2 0 G e s a m t b e t r a g
K o n t o i n h a b e r :
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Fahrtkosten werden in Anlehnung an das Bundesreisekostengesetz erstattet.
1 Bei Anreise mit dem Flugzeug sind neben der Rechnung zustzlich das Flugticket, die Boarding Psse und ein zum Zeitpunkt der Buchung gltiger Ausdruck der entsprechenden Bahnverbindung inklusive des Bahntarifs beizubringen.
2 Nur in Ausnahmefllen mit Begrndung.
3 Bei Benutzung des privaten PKW ist das Kennzeichen, Ausgangs- und Zielort und die zurckgelegte km-Zahl anzugeben.
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