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ND2 University of Notre Dame

Travel And Expense Report

ND Faculty/Staff ND Student Other NAME (Please Print or Type) Social Security Number ACCOUNTING ONLY

U.S. Citizen/Permanent Resident Resident Alien/Non-Resident Alien Vendor I.D.# 1099:



DEPARTMENT Process Type:

If checked Other and Non-Resident Alien If Non-Resident Alien, list country & Visa Type: Address Code:



PHONE # Address Seq:

(Must check one if payment is to an individual)

Meals and Entertainment*

*Detail of entertainment expenses, including meals, must be explained on

Airplane Conference Mileage for Car Tolls, Taxi, supporting documentation.



Date From To Tickets Lodging Fees Car Rentals Parking, etc. Bfast Lunch Dinner Per Diem Other Total by Date



77010 77050 77020 77030 77060 77070

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

Total Expense - - - - - - - - - - - $ -

TRAVEL/EXPENSE DETAILS (Must document business purpose - attach additional sheet if necessary) LESS: Travel charged directly to a budget unit thru ND Travel Bureau

LESS: Travel Advance/Traveler's Cheques TR#



LESS: Prepaid Conference Fees, Hotel, etc.

AMOUNT DUE EMPLOYEE/ (DUE UNIVERSITY) $ -

Direct Deposit, if banking information on file



Check, U.S. Mail Address



Check, Specify ( ) Campus Mail, ( ) Hold for pick-up Campus Address



*Fund (6) *Organization (5) *Account (5) *Program (2) Activity (5) Location (4) *Fund (6) *Organization (5) *Account (5) *Program (2) Activity (5) Location (4)

130000 91 $ 130000 91 $

130000 91 $ 130000 91 $

FOAPAL

CODES 130000 91 $ 130000 91 $

*Required Fields

for data entry (#)

130000 91 $ 130000 91 $

identifies length of 130000 91 $ 130000 91 $

number

130000 91 $ 130000 91 $

130000 91 $ 130000 91 $

130000 91 $ 130000 91 $

130000 91 $ 130000 91 $

130000 91 $ 130000 91 $

ORIGINAL RECEIPTS ARE REQUIRED FOR ALL MEALS (EXCLUDING PER DIEM) TOTAL $ -

Compliance

Thomas J. Nevala

EMPLOYEE SIGNATURE DATE SUPERVISOR'S INITIALS DEPARTMENTAL APPROVAL NAME DEPARTMENTAL APPROVAL SIGNATURE DATE Date

Year

Year

Year Mo Day

M Day

Mo Day ACCOUNTING USE ONLY



Transaction Date: Vendor Invoice #: Item Description:

Year Month Day



Vendor Invoice Invoice Due Date:

Date:

Year Month Year Month Day

Day



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