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Attachextrasheetsifneeded.  N   p    \    d      *>&4    +,'4 PleaseindicatecostsofyourprojectinU.S.currency.Wherepossibleverifyallinformation.Beas  specificaspossible. n *rm(noddxdd xg(j""r,( dd ,( dd +  $:: $A)PersonalTravel: 3)!N3( R3 <2'NR( <B)PersonalLodgingandMeals: 3)!3( R3 <2'R( <C)RegistrationFeesorProgramCosts: 3)! R3( R3 <2' R R( <D)PurchaseofMaterialsorEquipment: 3)!\  3( R3 <2'\  R( <E)Consultant/VisitorExpenses: 3)!  3( R3 <2'  R( <@#Ltravel 3)!` 3( R3 <2'` R( <@Llodging/meals 3)!b 3( R3 <2'b R( <@ff Lhonoraria 3)! 3( R3 <2' R( < Total:Consultant/VisitorExpenses: 3)!V 3( R3 <2'V R( < F)Other(pleaseexplain): 3)!`3( R3 <2'`R( < G)TOTALCOST 3)! 3( R3 <2' R( <H)Amountfunded d orrequested  fromothersource(s): 3)!,|3( R3򀀀 d 򀀀 !  <2' \#R( <I)Subtractamountfunded/requestedfrom $ othersource(s)fromTotalCost,(G)above: 3)!L%3( R3 <2'&R( < TOTALAMOUNTREQUESTED: -#!'3( - 1'%( ( 1III.  FacultyTravel:Numberofdaysfundingrequestedfor򀀀 h* IV.  Anyotherrelevantinformation(useadditionalsheetsofnecessary)  , Icertifythatalltheinformationinthisapplicationiscorrect,tothebestofmyknowledge. %!3 򀀀 ($7 Signature: |)$8 Ѐ :*%9    e&*%eLPleasereturnoneoriginalandfive(5)copiesofthisapplicationtoLucybyMonday, *H&: October26,nolaterthan3:30p.m. #eL%e&*u# +$'; i