ATLAS Invoice

ELECTRONIC SIGNATURE & INVOICE SUBMISSION
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TOTAL PAYMENT*
(automatic calculation) If the total is zero, enter your expense(s) on the previous page.
ELECTRONIC SIGNATURE: By typing my initials below, I certify that all information submitted herein is accurate and truthful.*
MILEAGE REMINDER: Did you claim BOTH one-way trips? (instructions are above)
YOU WILL RECEIVE A CONFIRMATION EMAIL AFTER SUBMITTING THIS INVOICE. If you do not receive a confirmation email, your invoice did not go through.
Please check for a confirmation email; if you do not receive it within 2 minutes, your invoice was not received by ATLAS.*
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Travel Date (mm/dd/yy)	Reason for Travel (e.g., North Regional)	From (city)	To (city)	Miles (ONE-WAY)	Mileage Rate (.67 for 2024)	AMOUNT

Submitter Information

Date(s) of Expense	Description/Reason for Expense	Amount $

DATE(s) of Activity	Description of Activity / Reason for Payment	Amount $