UNIVERSITY OF NORTH DAKOTA TRAVEL EXPENSE VOUCHER T
Name: EMPLID #
Department: Stop# Contact Phone #
Purpose of Trip:
Acct Use Only
YEAR 20
OUT-OF-STATE TRAVEL IN-STATE TRAVEL
521010(InS) N
521035 521080 521075 521090 521035 521020 521015 521030 521070(OoS) 521065 O
MEALS MEALS T
DEPARTURE
DATE AND RETURN AIR TRANS IN/OUT OTHER TRANS E
(MO/DAY) POINTS COVERED BY TRAVEL TIME TAXABLE NON-TAX LODGING VEHICLE MILES TAXABLE NON-TAX LODGING VEHICLE MILES OF STATE AND MISC EXP *
TOTALS 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
521035 521080 521075 521090 521035 521020 521015 521030 521010 / 521070 521065
0 0
Personal vehicle mileage claimed has been TOTAL EXPENSES: $0.00
approved by employee's supervisor
MISCELLANEOUS EXPENSE DETAIL *(Details for note column above)
Supervisor Signature Date
APPROVALS
I hereby certify this itemized statement representing a claim for per diem, mileage
and/or travel expenses or combination thereof is truthful and accurate. All expenses
claimed have not been paid by the state through direct payments to the hotel or with a
state credit card and is not a duplicate payment. AMOUNT ACCOUNT FUND DEPT PROGRAM PROJECT
1
2
Traveler's Signature Date 3
4
5
Departmental Approval Date 6
7
8
Additional Approval (if required) Date 9
10
$0.00 Amount Authorized
Audited G&C Input Operator & Process Date
Submit Completed Form To Accounting Services Stop# 8356
1/5/2010