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TRAVEL & BUSINESS EXPENSE REPORT
EMPLOYEE’S NAME: EMPLOYEE’S PAYROLL ID #
E -
EMPLOYEE’S HOME ADDRESS: DEPARTMENT NAME
REQUISITION #
X -
PURPOSE OF TRAVEL/BUSINESS:
____________________________________________________________________________________________________________
We certify that the following expenses were charged and incurred in accordance with College policy and reimbursement is not being
provided by any other source.
AUTHORIZING SIGNATURE:
________________________________________________ __________________________________________________
EMPLOYEE’S SIGNATURE DATE
_________________________________________________
(Please Print) » NAME » TITLE DATE
(A) (B)
DATE OF PAID BY PAID
EXPENSE DESCRIPTION OF EXPENSE EMPLOYEE BY COLLEGE
Air/Rail Fare
. .
Private Auto
. .
Hotel
. .
. .
. .
. .
. .
. .
TOTAL EXPENSES PAID BY EMPLOYEE: TOTALS . .
COST
CENTER
OBJECT
CODE
AMOUNT 1. Total Expenses (Columns A&B) .
. 2. Total Expenses Paid by Employee (Column A) .
3. Less: Travel Advance – Check #_____________
________________ - 73000 Credit Memo
.
.
If Line 3 is more than Line 2:
AMOUNT DUE TO FIT
.
Column
TOTAL EXPENSES (A)
.
If Line 3 is less than Line 2:
AMOUNT DUE TO EMPLOYEE
.
FOR ACCOUNTING USE ONLY: _____________________________________________________ _______________________
Reviewed by: Date
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