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MTL100-05_C-RF-SF-P-02-002-002

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Ville de Montréal. Section des archives via Archives de Montréal (Ville de Montréal)
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Application FormBudgetDocumentExpense ClaimFormPrintedTravelTagged automatically by a vision model; may contain mistakes.
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This is a printed form titled "DEMANDE D'AUTORISATION" with the annex label "ANNEXE A" in the top right corner. It is a blank authorisation request for travel expenses, with a grid of tables for a traveller's name, supplier codes, estimated and actual expenses split between Québec and outside Québec, and a "Approbation de l'immédiat" approval box at the bottom. The page is a scanned black-and-white document, with a footer reading "Page 1 de 2".Described automatically by a vision model; may contain mistakes.
Text in the image
ANNEXE ADEMANDE D'AUTORISATIONAbsence, voyage, fraisDossier n°NOM DU VOYAGEURCODES FOURNISSEURSPARTIE 1PARTIE 2ESTIMÉ DES DÉPENSESDÉPENSES RÉELLESMontantQuébecHors QuébecESTIMÉ DES DÉPENSES PAYÉES À L'EMPLOYÉDÉPENSES À PAYER À L'EMPLOYÉMontants forfaitairesRepasNuitées (établissement non commercial)CouchersTéléphone (Hors Québec)Transport enSous-total (incluant taxes)Autres dépensesFrais d'inscriptionTaxiAvionStationnementHébergementFrais de représentationDiversESTIMÉ DES DÉPENSES PAYÉES AU FOURNISSEURDÉPENSES À PAYER AU FOURNISSEURTOTALRevenus vendus: (incluant tous les frais payés à l'avance) ...SOLDENomFacture à payerResponsable :Date :Page 1 de 2Revenus versés: inclure tous les frais payés à l'avance iciRead automatically; may contain mistakes.
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2026-10-16T15:48:21Z · source datestamp n/a · ead

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