TA by 6n8GZen

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									                                                                                                                                                                      Accounts Payable use only:
                                         COLORADO SCHOOL OF MINES                                                                                            Budget OK: Y       N   C   D     M
                                         Travel Request and Authorization                                                                                    Voucher #
                                               *Denotes required fields                                                                                      Date ________          By _________
TA-                                                                                                                                                          Date ________          By _________
TE #

CWID*                                    Last Name*                                          First Name*                                                     Estimated Expenses
                                                                                                                                                             Reimburse to Traveler Amount
Title*                                   Department Abbreviation*                            Phone*                                                          Per Diem Days Rate
                                                                                                                                                             Meals                                  -
Destination*                                                                                                                                                 Lodging                                -
                                                                                                                                                             Registration Fee
Departure Date*                                                                              Return Date*                                                    Personal Car
                                                                                                                                                             Rental Car
Purpose and Justification of Travel* (For research projects, provide justification as it pertains to the project to be charged)                              Taxi or Bus
                                                                                                                                                             Other-Specify
                                                                                                                                                             Official Function
                                                                                                                                                             Total Reimbursable
                                                                                                                                                             To Traveler                  *
                                                                                                                                                                                          $         -
                                                                                                                                                                          Expenses to be paid
                                                                                                                                                                           directly by school
                                                                                                                                                             Other - Specify VR/PO#
                                                                                                                                                             Vendor
                                                                                                                      Fund Approval
  Index         Fund          Org.           Account                     Prog.                    Maximum                                                    Airline Ticket
                                                                                                                      Signature if not
                                                                                                  Amount                  DH/DD                  Date        Registration Fee
                                                                                                    Actual                                                   VR/PO# Vendor
                                                                                                                                                             Total Travel Expense
                                                                                                                                                                                    $               -
                                                                                                                                                                       Cash Advance Check

                                                                                                                                                             Cash Advance Requested $
                                                                                                                                                             Refer to Financial Policy for allowable cash
                                                                                                      YES              NO         Attached                   advance amounts.
Does this trip involve Student International Travel
If yes, attach a list of the students to this TA form and submit to the Office of International
Programs (OIP) for signature approval.                                                                                                                       NOTE: Cash advances are normally available
                                                                                                                                                             one week before travel occurs.
                                                                                                      YES              NO         Attached
Is trip for Professional Consulting (see Section 3.1 of CSM Procedure Manual)
If yes, have appropriate forms been filed?




Traveler*                                                                                                   Date                  Department Head/Division Director Signature*                      Date




Supervisor                                                                                                  Date                  Office of Research Administration                                 Date




OIP Approval (Required for Student International Travel)                                                    Date                  Associate Provost (Required for all International Travel)         Date




Contact information for Preparer, if other than Traveler                                                      Ext




                                                                                                    Revised 7.06.2011
COLORADO SCHOOL OF MINES                                                                                                                                                                           Accounts Payable use only:

Travel Expense Report                                                                                                                                                                              Budget OK: Y N C D M

*Denotes required field                                                                                                                                                                            Voucher #

                                                                                                                                                                                                   Date        By
TE
TA#
                                                        CWID*
                                                                                  0
Traveler*                                               Title*                                                                                     Index To Be Charged*                                               Index Approval
,                                                       0                                               Index                Fund        Org.        Acct.       Prog.              Amount
Department*                                             Phone*                                            0                   0           0           0            0        $                -
                                                    0                                             0       0                   0           0           0            0
Mailing Address - Street                                                                                  0                   0           0           0            0
                                                                                                          0                   0           0           0            0
City                                                    State                    Zip
                                                                                                                                       Total (from #5 below)                $                -
Purpose and Justification of Travel*
0


    Travel                    Itinerary                         Date                             Mileage                                        Bkfst.              Lunch                 Dinner          Per Diem     Lodging           Total Amt.
     Day                                                                         No. of Miles Rate                   Total                                                                                                              Reimbursable
1                                                                                             0.50                                 -                                                                                                $               -
2                                                                                                                                  -                                                                                                $               -
3                                                                                                                                  -                                                                                                $               -
4                                                                                             0.50                                 -                                                                                                $               -
5                                                                                                                                  -                                                                                                $               -
6                                                                                                                                  -                                                                                                $               -
7                                                                                                                                  -                                                                                                $               -
8                                                                                                                                  -                                                                                                $               -
9                                                                                                                                  -                                                                                                $               -
                                                                                                                                   -                     -                      -                  -           -                -
                             OTHER TRAVEL EXPENSES                                                                      1.Total Mileage, Meals, Lodging                                                                             $               -
Day                              Description                                                         Amount
                 Prepaid Airfare                                                                                        2. Total of Other Travel Expenses                                                                           $               -
                 Prepaid Registration
                 Prepaid Other                                                                                          3.Total Travel Expenses
                 Official Function included w/travel (All receipts are required                                           (Total Lines 1 & 2)                                                                                       $               -
                 & follow Official function rules).
                                                                                                                        4. Deduct (a) Travel Advance,                                                                                             $0.00
                                                                                                                        b. Payments to Airlines, Regist. & Other                                                                                   -




                                                                                                                        5. Amount Due                                                From School to Traveler                        $               -
                                   2 Total Other Travel Expenses                              $                  -                                                                   From Traveler to School                        $               -
                                                                                                           YES                NO
Was trip for Professional Consulting (see Section 3.1 of CSM Procedure Manual)
                                      If yes, have appropriate forms been filled?


                                                                                           Certification
I certify that the statements in this report are true and correct in all respects; that payment of the amounts claimed herein has not and will not be reimbursed
to me from any other source; that travel performed for which a cash advance or reimbursement is claimed was performed by me while on official school business
and that no claims are included for expenses of a personal or political nature or for any other expenses not authorized by CSM Financial Policies; and that I actually
incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Further, I hereby authorize the School to
deduct from my pay any amount paid to me in excess of my authorized expenses as provided by CSM Financial Policies.




Traveler*                                               Date                                 Department Head/Division Director*                              Date                    Accounts Payable                               Date




Supervisor                                              Date                                 Office of Research Administration                               Date                    Associate Provost                              Date




Provost                                                 Date                                 Contact information for Preparer, if other than TravelerExt




                                                                                                                                       Revised 7.06.2011

								
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