University Consortium for Geographic Information Science
Expense Report
Delegate name Meeting Date
Receipts must be submitted before payment can be processed.
Delegate address Submit bills to:
Jack Sanders UCGIS Executive Director PO Box 15079 Alexandria VA 22309 703-799-6698 execdir@ucgis.org Date: TRAVEL
Lodging & Hotel Breakfast Lunch & Snacks Dinner Airfare Auto Rental Local Transportation Tolls/Parking Miles Driven @ $0.405 / mile TRAVEL TOTAL
TOTAL
Office Use
5650
MISCELLANEOUS
Conference Registration Supplies Postage Telephone & Fax Business Entertainment meals Other * MISCELLANEOUS TOTAL
5090 5500 5560 5600 5200
TOTAL EXPENSES Less cash advance Due delegate Due UCGIS
Delegate signature
Date
Approval signature
Date
Class (Office Use Only)
Please fill out one expense form for each trip. Do not combine trips. Expenses cannot exceed US Government per diem rates without prior approval. Contact Jack Sanders at execdir@ucgis.org with questions. See http://www.gsa.gov for current per diem rates Other:
Form updated 10/04