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Agreement (attach copy of form HUD-21004) 7. Persons Authorized to travel at Government expense en route to New Duty Station (2131) a. Name (list Employee on first line) b. Relation d. Per Diem (1) Rate (2) Est. Cost c. If child, Date of Birth e. Transportation (1) Mode (2) For Driver(s) only of POV (enter no. of miles and rate) (3) Est. Cost 7. Est. Per Diem/Travel Cost f. Subtotals f(1) $ f(2) $ $ 8. Round Trip Travel to seek Permanent Residence Quarters (2131) a. Authorization (mark.

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