4 



2^6 



DAYS SPENT IN ITINERATING. 



DESTINATION. 



DATE OF 

 DEPARTURE. 



1/ • 



DATE OF 

 RETURN. 



DAYS ON 

 ROAD. 



DAYS AT 

 STATION. 



DISTANCES. Etc. COST OF ITINERATION 



7^4^ vX 



TOTAt 



il TRAV- 

 ELLED. 



FORM OF 

 CONVEYANCE. 



PERSONAL 

 EXPENSE, 



MISSION 

 EXPENSE. 



1^ 



TOTAI,. 



AVERAGE COST TO 

 MISSION PER DAY 



