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Travel Expense Report
File Within 10 Days of Return From Trip
Attach Original Receipts
Please Print:
Name John Doe Date Submitted 01/15/16
Employee ID # or Social
Security # (last four digits)
xxx-xx-6789 Time of Departure*
1/06/16
5:00 a.m.
Time of Return*
1/10/16 at
11:00 p.m.
Department Budget Account Number 10-0659900-50410
Mail to Department X (Please Check) Advance Account Number 10-0000000-13445
(or)
Off Campus Address
Street City State Zip
Business Purpose and Destination Accounting Principles Update, Kansas City, MO
Date
Expense 1/6/2016 1/7/2016 1/8/2016 1/9/2016 1/10/2016 / / / / Total
Lodging 125.90 125.90 125.90 125.90 125.90 629.50
Meal per-diem-full day 52.00 52.00 104.00
Meal per-diem-breakfast 9.00 9.00 18.00
Meal per-diem-lunch 15.00 15.00 15.00 45.00
Meal per-diem-dinner 28.00 28.00
Business guest meals ** 49.50 49.50
Airfare/Train 320.00 320.00
Taxi/Limo/Bus 20.00 20.00 40.00
Car Rental 0.00
Car Rental Fuel 0.00
Personal Auto - Miles 83 83
@ .54 Effect. 01/01/16 44.82 0.00 0.00 0.00 44.82 0.00 0.00 89.64
Daily Total 553.72 177.90 149.90 227.40 214.72 0.00 0.00 1323.64
*Other Expenses(Attach additional sheet if necessary) Total Daily Expense 1323.64
Explanation Amount Add "Other" Expense * 156.00
Seminar Registration Fee 150.00 Total Expense 1479.64
Tolls 6.00 Less Advance
Net Due to Employee 1479.64
or
Total "Other" 156.00 Net Due to Valparaiso University
**Business Guest - meals per Hospitality Policy (Attach additional sheet if necessary)
Employee Signature Supervisor Signature(NotTraveler/Employee) Finance Office
Name of Supervisor(Print)
*Time of departure and return necessary for one day travel only. Evening meal reimbursement permitted for work days exceeding
10 hours. Breakfast and lunch will not be reimbursed for trips not requiring an overnight stay.
Policy Effective 04/01/10
mileage rate as of 1/1/16