Transportation Reimbursement Form 2008
Name Office Program Month of Travel Date Submitted
Date
Purpose of Trip Mileage
Origin
Destination
Round Trip
No. of miles
One Way
No. of miles
Total (dollars)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 Parking/Tolls/Gas
$ amounts $ amounts
Item Code A
Reimbursable at a rate of .505 per mile
Total of A (dollars)
$0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 Taxi/Limousine/Shuttle
$ amounts $ amounts
Item Code D
Total of D (dollars)
$0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.505 Note: Mileage for legitimate business purposes is reimbursable at a rate of .505 per mile. Mileage between the east campus and main campus is calculated at 7.5 each way. A copy of this form must accompany any request for reimbursement if you are claiming mileage
Revised Account Payable form 0601
Item Code E
Total of E (dollars)
$0.00
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Travel Reimbursement Report 2008
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Travel Reimbursement Report 2008
ACTIVITY CODE:
All travelers must abide by the guidelines on the reverse of this form. Record daily expenses on the expense log and list below any needed explanations by referencing the line item by letter code. Payee Name and Address: NSU ID Number Purpose of Trip Forward check to: Dates of Trip (a letter and an 8-digit number)
Item Code (Object Code): Calendar Date
SECTION 1
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Totals 0.00 0.00 0.00 0.00 0.00 $0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 $0.00
A Reimbursement at $0.505/mile
B* C* D E
Airfare Auto Rental
Parking/Tolls/Gas
Taxi/Limo/Shuttle
Transportation Total F Lodging G1 Breakfast G2 Lunch G3 Dinner G4 Gratuity/Meals (Max 20%) G5 Tax/Meals (Max 8%) H Tips-Misc Lodging and Meals Total J Office Supp. (3266) K Phone, Fax (3510) L Registration (4360) M Entertainment (4330) N Facilities Rental (3492) O Promo Exp. (4380) P Classroom Sup.(3261) Q Other Misc. Expense Total Total Per Day
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SECTION 2
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SECTION 3
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Explanations:
SUMMARY
Total Expenses (Sections 1,2,3) *Less Cash Advance (journal #) Amount Due Traveler Amount Due NSU
Traveler's Signature
$0.00
$0.00 $0.00 ACCOUNT ALLOCATION Account Amount
Date
Index
Traveler's Supervisory Approval
Date Date Date
Department Approval
Budget-Accounts Payable Approval
TOTAL Dept. Name:
$0.00