HTML Preview Expense Report Pdf page number 1.
Accounts Payable (Travel) EXPENSE REPORT
hp://www.mcmaster.ca/bms/BMS_Purchasing_Resources.htm
Name and Address of Payee (please print):
Name (limit 35 characters)
DY YR
Address (limit 28 characters)
Postal Code
D/C Advance # F/P
D Currency (check one)
From D Canadian $ 1
Box B
D US $ 9
D Other (please specify)
From Box C
0 1 1 2 1 2 2 1 2 7 D
From Box D
0 1 1 2 1 2 2 1 9 5 D
Subtotal B + C + D
From 0 1 0 2 3 0 1 3 3 0 C
Box
A
0 1 0 2 3 0 1 3 3 0 C
0 1 0 2 3 0 1 3 3 0 C
- Subtotal A
Payment Options: Please select one:
McMaster Cheque
Cheque Stub Description:
McMaster Employee ID:
Mail Cheque directly to payee
Addressed envelope aached
Telephone
Declaration by Claimant
:
Printed Name Title E-mail
Printed Name Title
SECTION ONE: Payee and Accounng Details
Shaded Areas for Accounts
Payable Use
Date Prepared
Batch Number
MO
Accounts to be Charged AMOUNT
City/Province (limit 20 characters)
Amount Owing to
McMaster . Select
repayment opon.*
*Repayment Options
: If there is an
amount owing to McMaster please select
one of the following opons:
D
Aach a personal cheque,
payable to McMaster
University
If Posive
(+) result
0 0 0 0 0 5 0 0 0 C
Amount Payable to
Claimant. Select payment
opon below.
limit 24 characters
Direct Bank Deposit limit 7 characters
Signature of Approving Ocer
Signature of Claimant
Mailing Instructions:
SECTION TWO: Declaraon and Authorizaons
Research Oce Approval
Department Contact/Preparer Department Address
Accounts Payable Approval
I have read the University's published regulations on reimbursement of expenses and conrm
that I am in compliance.
Deduct amount owing through
payroll deducon
Vendor Code
Deduct University Prepaid Expenses
0
If Negave (-) result
Send form and receipts to AP (Travel), DTC-403 or Research Finance Office (if appllicable)
Date: