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American College of Medical Physics
One Physics Ellipse, College Park, MD 20740-3846 - (301) 209-3360

TRAVEL EXPENSE VOUCHER
*Receipts are required for expenses over $25* NAME MAIL CHECK TO PHONE DATE

27-Nov-09

PURPOSE OF TRAVEL (Be specific, include person and/or organization visited and reason for visit or meeting attended)

FOR HQ USE ACCOUNT TO BE CHARTED

DESCRIPTION ITINERARY

ACCOUNT NO.

FROM / TO ITEM NO DESCRIPTION OF ITEM DATE

FROM / TO

FROM / TO

FROM / TO

FROM / TO

FROM / TO

FROM / TO

DATE

DATE

DATE

DATE

DATE

DATE

1A

PERSONAL VEHICLE MILEAGE (BY DAY) PERSONAL VEHCILE (MILES X RATE) FARE* AIR/RAIL VEHICLE RENTAL* PARKING-TOLLS CAB FARES LODGING* MEALS TELEPHONE MISC. ITEMS

1B 2 3 4 5 6 7 8 9

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

TOTALS ->

0.00

0.00

0.00

0.00

0.00

0.00

0.00

REMARKS (Include item no.)

AMOUNTS TO BE ACCOUNTED FOR I certify that the above charges, incurred by me, are correct and proper.

CASH ADVANCE (+) TOTAL EXPENSES (-)
CLAIMANT'S SIGNATURE DATE

Check Applicable Box $0.00 [ ] DUE ACMP

BALANCE (+ OR -)
APPROVED BY DATE *ATTACH RECEIPTS (Receipts are required for expenses over $25)

$0.00 [ ] DUE CLAIMANT


				
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Description: Excel-Version---American-College-of-Medical-Physics